Tina Leeb is an expert in microbiology. For the past three years, the experienced microbiologist has conducted research... read more
At this year’s conference of the European Wound Management Association (EWMA) in Gothenburg, Sweden, two new studies on the efficient treatment of chronic wounds were presented. The participating clinicians were very satisfied with the results – but above all, the findings help patients.
Visible progress in wound treatment: Two new studies by Claas Roes, Leanne Calladine and Clare Morris show how clinicians can achieve this goal for their patients. The results were presented at the conference of the European Wound Management Association (EWMA) in June 2019. While one study assessed how satisfied clinicians and patients were with the treatment of chronic wounds using a monofilament fibre pad* alone, the second study went one step further: The physicians evaluated the results of the wound treatment according to a predetermined scheme, the biofilm-based wound management pathway. This treatment sequence combines regular debridement with antimicrobial wound dressings. Both studies showed not only significant progress in wound healing, but also that clinicians and patients were satisfied with the results.
Chronic wounds that contain wound exudate require debridement when the dressing is changed. The study included 1,180 physicians who treated this type of patient wound either once or twice with a monofilament fibre pad. They then evaluated the healing progress, as well as their satisfaction and that of their patients in a web-based questionnaire. Venous ulcers (63%), decubitus ulcers (10%), diabetic ulcers (8%), surgical wound dehiscence (3%) and other wounds (13%) were treated. The result: 78 percent of the wounds showed a visible positive change across all wound types. Following the second application, this value even increased to 91 percent. This makes doctors and patients happy: More than 80 percent were either completely satisfied or satisfied with the clinical results.
The second study shows how important it is to combine mechanical debridement using monofilament fibre pads with antimicrobial wound dressings with a standardised procedure in order to achieve good progress in healing. Doctors who followed a previously defined scheme – the wound management pathway – observed an improvement in four out of five patients after two weeks. They assessed wound characteristics such as exudate quantity, fibrin production and infection status. The wounds treated during the study had not improved with standard procedures and were very likely contaminated with biofilms. Venous ulcers (67.4%), pressure ulcers (10%), surgical wound dehiscence (1.7%), diabetic ulcers (7.4%) and other wounds (13.4%) were treated. At the end of the study, 73 percent of clinicians and patients stated that they were satisfied or completely satisfied with the healing results achieved. The wound management pathway includes mechanical debridement three times in the first week and twice in the second week. In addition, patients were treated with wound dressings containing antimicrobial agents, including silver (34%), iodine (23%), honey (19%) and PHMB(4%)*.
Overall, both studies show the importance of using the right material along with a standardised treatment procedure for optimal wound healing. When both of these are applied, doctors and patients are satisfied with the progress of healing.
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