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Wound care meta-review draws firm conclusions from Cochrane published studies
Date:7/9/2012

laced into five categories, based on strong evidence of effect/no effect, limited evidence of effect/no effect and no evidence either way.

Strong findings included:

Acute wounds

  • Using antibiotics to prevent infections after dog bites is ineffective unless the bites are on the hands.

  • Systemic treatment with therapeutic touch does not have any additional effect on wound healing compared to placebo or non-treatment after minor surgery.

  • Cleansing pin site wounds using saline, alcohol, hydrogen peroxide or antibacterial soap to prevent infections is no more effective than no cleansing.

  • Topical honey reduces wound healing time when compared to film or gauze-based dressings for burns.

  • Silver sulfadiazine should not be used for burns as trials show this can delay wound healing and increase pain and infection rates.

  • Drinking quality tap water is better for cleansing lacerations and acute soft tissue wounds than sterile saline solutions.

Chronic wounds

  • Systemic treatment of venous ulcers with pentoxyfylline increases complete wound healing and compression therapy, using high compression, multi-component systems or elastic bandages, is most effective.

  • Using hyperbaric oxygen therapy decreases major amputations in diabetic ulcers and local hydrogels should be used after debridement to promote wound healing.

  • Systemic prostanoids should be used to relieve rest pain and improve ulcer healing in patients with critical leg ischaemia and spinal cord stimulation improves limb salvage.

  • Using high-specification foam mattresses and low air loss mattresses can prevent pressure ulcers on the ward and pressure-relieving overlays are recommended on operation tables. Using local therapeutic ultrasound is not recommended for healing pressure ulcers.

"Our meta-review drew 33 conclusions with strong evidence and 18 conclusions wit
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Contact: Annette Whibley
annette.wizard@gmail.com
Wiley
Source:Eurekalert

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