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Journal of Wound Care

Tania Woodrow, Theresa Chant, Harvey Chant
OBJECTIVE: To evaluate the potential benefit of an intact fish skin graft rich in omega-3 (Kerecis Omega3), in the management of postoperative diabetic foot wounds. METHOD: Prospective evaluation in eight patients with diabetes following forefoot surgery. The dressing was applied weekly for a period of six weeks in the diabetic foot clinic. At each visit the wound was photographed and independently measured using ImageJ software to calculate wound area. Secondary outcome measures were pain, infection, odour, discharge and irritation...
February 2, 2019: Journal of Wound Care
Hassan Mahmoudi, Maryam Pourhajibagher, Nasim Chiniforush, Ali Reza Soltanian, Mohammad Yousef Alikhani, Abbas Bahador
OBJECTIVE: To investigate the relationship between biofilm formation and antibiotic resistance patterns in meticillin-resistant and meticillin-sensitive Staphylococcus aureus, isolated from burns. METHODS: In a cross-sectional study, pus/wound swab samples were obtained from burns. Presence of Staphylococcus aureus was confirmed, and biofilm formation-related icaABCDR and eta, etb genes were detected by polymerase chain reaction. Biofilm formation assay was assessed using the microtiter plate method...
February 2, 2019: Journal of Wound Care
Sylvie Meaume, Pierre Thomas, François Truchetet, Philippe Celerier, Pierre-André Becherel, Luc Teot, Christophe Bedane
OBJECTIVE: To evaluate the performance of Jelonet Plus (JP) and UrgoTul (UT), assessing pain at dressing removal when managing acute or chronic wounds at granulation and epithelialisation stages. METHODS: This was a randomised, multicentre, controlled single-blinded study using a cross-over design. Hospitalised and ambulatory patients presenting with non-infected acute or chronic wounds (at least 40% of wound area of ≤100cm2 covered with granulation tissue) were randomly allocated to be treated with either JP or UT dressings applied according to a standardised local care procedure for two days...
February 2, 2019: Journal of Wound Care
Rachel Webb
No abstract text is available yet for this article.
February 2, 2019: Journal of Wound Care
Kevin Woo, Rosemary Hill, Kimberly LeBlanc, Gregory Schultz, Terry Swanson, Dot Weir, Dieter O Mayer
Products that provide a protective skin barrier play a vital role in defending the skin against the corrosive effect of bodily fluids, including wound exudate, urine, liquid faeces, stoma output and sweat. There are many products to choose from, which can be broadly categorised by ingredients. This article describes the differences in mechanisms of action between barrier products comprising petrolatum and/or zinc oxide, silicone film-forming polymers and cyanoacrylates, and compares the evidence on them. The literature indicates that all types of barrier product are clinically effective, with little comparative evidence indicating that any one ingredient is more efficacious than another, although film-forming polymers and cyanoacrylates have been found to be easier to apply and more cost-effective...
February 2, 2019: Journal of Wound Care
José Luis Lázaro-Martínez, Yolanda García-Álvarez, Francisco Javier Álvaro-Afonso, Esther García-Morales, I Sanz-Corbalán, Raúl Juan Molines-Barroso
OBJECTIVE: To describe the outcomes of a new product based on negatively charged polystyrene microspheres (NCM) technology, in non-responding diabetic foot ulcers (DFU). METHODS: A clinical case series of patients with a hard-to-heal DFU treated with NCM were recruited between March and June 2017 in a specialised diabetic foot unit. DFUs were treated daily with NCM over four weeks, although the health professional could decide to continue NCM treatment in some patients...
February 2, 2019: Journal of Wound Care
Mateusz Sopata, Adam Piasecki, Maciej Sopata
OBJECTIVE: There is a lack of literature on the characteristics and properties of fibre dressings available on the market. This study analysed the structure and absorption properties of different fibrous dressings used in wound treatment. METHOD: This in vitro experiment was performed using scanning electron microscopy (SEM) and absorption test. Dressings were compared before and after the gelling process which was then compared with the results of the absorption test...
February 2, 2019: Journal of Wound Care
Jan Stana, Uroš Maver, Uroš Potočnik
Chronic wounds represent a major socioeconomic problem. Chronic venous ulceration is one of the least well-understood types of chronic wounds. A chronic venous ulcer arises as a result of chronic venous insufficiency (CVI), which affects approximately 10-35% of people in the developed world, yet not all people with CVI develop ulceration. The question of why some patients with CVI develop chronic ulceration and others do not, still remains unanswered. Risk factors for the development of chronic ulceration are poorly understood and include age, residual iliofemoral vein obstruction, residual deep incompetence, persistent venous hypertension, obesity and genetics...
February 2, 2019: Journal of Wound Care
Dylan Hutchison, Robert Cuff, Tim Liao, Lindsey Korepta, Justin Simmons, Monica Rudy, Jeanine Holen, Jill Ann Hiller, Taylor Ten Brock, Michael Rozwadowski
OBJECTIVE: The purpose of this study was to use a fluorescence imaging system (FIS) (SPYElite, NOVADAQ, US) during lower extremity amputations and develop parameters to predict amputation healing, for which there are no proven, objective tests. We hypothesised that the FIS may identify areas of poor perfusion at the time of amputation and predict potential healing complications. There are no studies involving the FIS used in this study in lower extremity amputation. METHOD: This prospective cohort study involved patients requiring either below- or above-knee-amputation at one, mid-western medical centre...
February 1, 2019: Journal of Wound Care
Jamie Corroon, Ryan Bradley
OBJECTIVE: There is a medical need to evaluate new treatments that may improve wound healing. This study aimed to determine if Original Healing Salve (OHS, Puremedy, Inc.) a topical, botanically-enriched salve (BES), changes distal leg tissue oxygenation in people with type 2 diabetes. METHOD: A randomised, controlled, crossover, double-blinded clinical trial comparing changes in cutaneous oxygen delivery (mean TcPO2 ) on multiple sites of the lower extremity following application of a botanically-enriched topical salve, as compared with application of the salve's base in patients with type 2 diabetes...
February 1, 2019: Journal of Wound Care
Christopher H Pham, Zachary J Collier, Mike Fang, Anna Howell, Timothy J Gillenwater
OBJECTIVE: A systematic review and meta-analysis was performed to summarise the state of the literature in regard to the efficacy and uses of clostridial collagenase ointment (CCO) in the burn patient. METHOD: A systematic review of articles available on PubMed, Scopus and OvidSP Medline was performed. Keywords used in the search process included burns, thermal injury, collagenase, enzymatic debridement, wound care. Reviews, case reports, independent abstracts, consensus and opinion papers were excluded...
February 1, 2019: Journal of Wound Care
Rachel Webb
No abstract text is available yet for this article.
February 1, 2019: Journal of Wound Care
David Fernandez
An 87-year old male received surgical excision of scalp melanoma and subsequent radiotherapy due to metastasis to the skull. A radiation-induced wound developed with osteoradionecrosis that required necrotic bone excision resulting in a 7.5x8.5cm wound over the exposed dura, which remained non-healing despite many attempts by local wound care management. Due to the refractory nature of the wound, strips of cryopreserved umbilical cord (cUC) allograft were applied over the exposed dura resulting in significant vascular granulation tissue formation in the central wound bed within four weeks...
February 1, 2019: Journal of Wound Care
Meltem Meriç, Gül Ergün, Coşkun Meriç, İbrahim Demirci, Ömer Azal
OBJECTIVE: To examine the experiences of patients with diabetic foot ulcers (DFUs). METHOD: This qualitative study, using patient interviews, focused on how inpatients receiving treatment for diabetes experience the disease. Patients were selected using a purposive sampling method. RESULTS: A total of 15 patients participated in the study. Following analysis of patient interviews, four main themes were determined: 'developing diabetic foot', 'living with diabetic foot', 'coping with diabetic foot' and 'expectations'...
January 2, 2019: Journal of Wound Care
Sajedeh Ebrahimdamavandi, Hamid Mobasheri
OBJECTIVE: Static magnetic field (SMF) has long been used as a therapeutic means, though its effects on the activity of cells and the mechanism(s) involved remain unknown. The purpose of this study is to determine the effect of a moderate-intensity SMF on the activity, growth and migration of mouse embryonic fibroblast (NIH 3T3), aiming to mimic wound healing and to study it in real time. METHOD: A cell-free area (a scratch with a 200-500µm width) was formed in NIH 3T3 cultured cells and used as a wound model...
January 2, 2019: Journal of Wound Care
Cihan Sahin, Pinar Kaplan, Sinan Ozturk, Sule Alpar, Huseyin Karagoz
OBJECTIVE: The purpose of this revisited study was to compare the clinical efficacy and long-term scar evaluation of a hydrophilic polyurethane membrane (HPM), Omiderm (Omikron Scientific Ltd., Rehovot, Israel) and an antimicrobial tulle-gras dressing (TGD), Bactigras (Smith & Nephew) in the management of partial-thickness burns. METHOD: Patients with partial-thickness burns were enrolled in this prospective study. Burn areas were divided into two areas and both dressings were applied to each field at the same time...
January 2, 2019: Journal of Wound Care
Rachel Webb
No abstract text is available yet for this article.
January 2, 2019: Journal of Wound Care
Tanya Graham, Sangeeta Sooriah, Silvia Giampieri, Rachel Box, Patricia Grocott
OBJECTIVE: Recessive dystrophic epidermolysis bullosa (RDEB) is a rare genetic skin disorder which requires intensive hand therapy to delay fusion of the digits. Existing dressings do not conform to the complex structure of the hand and are applied in patches held with additional bandages, leading to an occlusive environment. The aim was to co-design with patients a dressing glove based on their user experiences and needs. METHOD: Qualitative interviews and focus groups with children and adults with RDEB, and their carers, were conducted...
January 2, 2019: Journal of Wound Care
Hsin-Chung Tsai, Caitlin W Lehman, Chuan-Mu Chen
OBJECTIVE: To compare the healing results between platelet-rich plasma (PRP) and platelet-derived patches versus traditional advanced wound dressings in patients with chronic wounds. METHOD: Patients with and without diabetes were divided into two groups, each of which received either PRP patch treatments or the advanced wound dressings. All wounds were cleaned, debrided and assessed by physicians. The data were analysed and represented as mean ± standard deviation (SD)...
January 2, 2019: Journal of Wound Care
Jaroslaw Marczak, Gun Rembeck, Eva-Lisa Petersson, Lena Nordeman
OBJECTIVE: The aim of the study was to elucidate how patients experience living with chronic leg ulcers before consulting a health professional, and to determine the reasons behind the decision to visit a health-care centre. METHOD: A qualitative interview study was carried out. There were 11 participants, five men and six women (age range: 27-83 years old). All participants in the study were patients visiting the public primary medical centre in western Sweden for the first time for a chronic leg ulcer...
January 1, 2019: Journal of Wound Care
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