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Wound cleansing for pressure ulcers. [Cochrane Database Syst Rev. 200... http://www.ncbi.nlm.nih.gov/pubmed/16235386?ordinalpos=2&itool=E...

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All: 1 Review: 1

1: Cochrane Database Syst Rev. 2005 Oct 19;(4):CD004983. Links

Wound cleansing for pressure ulcers. Related Links

Moore ZE, Cowman S. Water for wound cleansing.


[Cochrane Database Syst Rev. 2008]
Royal College of Surgeons in Ireland, Faculty of Nursing & Midwifery, 123 St Stephens Green,
Water for wound cleansing.
Dublin, Ireland, Dublin 15. zmoore@rcsi.ie
[Cochrane Database Syst Rev. 2002]
BACKGROUND: Pressure ulcers (also called pressure sores, bed sores and Hyperbaric oxygen therapy for chronic wounds.
decubitus ulcers) are areas of tissue damage that occur in the very old, [Cochrane Database Syst Rev. 2004]
malnourished or acutely ill, who cannot reposition themselves. Pressure ulcers Silver based wound dressings and topical agents for
impose a significant financial burden on health care systems and negatively affect treating diabetic foot[Cochrane
ulcers. Database Syst Rev. 2006]
quality of life. Wound cleansing is considered an important component of pressure
ulcer care. OBJECTIVES: This systematic review seeks to answer the following Systematic reviews of wound care management: (3)
antimicrobial agents for chronic wounds;
[Health Technol(4) diabetic
Assess. foot
2000]
question:What is the effect of wound cleansing solutions and wound cleansing
techniques on the rate of healing of pressure ulcers? SEARCH STRATEGY: We » See all Related Articles...
searched the Specialised Trials Register of the Cochrane Wounds Group (up to
August 2005), and the Cochrane Central Register of Controlled Trials (The
Cochrane Library Issue 3, 2005). We searched bibliographies of relevant
publications retrieved. We contacted drug companies and experts in the field to
identify studies missed by the primary search. SELECTION CRITERIA: Randomised
controlled trials (RCTs) comparing wound cleansing with no wound cleansing, or
different wound cleansing solutions, or different cleansing techniques, were eligible
for inclusion if they reported an objective measure of pressure ulcer healing. DATA
COLLECTION AND ANALYSIS: Two authors extracted data independently and
resolved disagreements through discussion and reference to the Cochrane
Wounds Group editorial base. A structured narrative summary of the included
studies was conducted. For dichotomous outcomes, relative risk (RR), plus 95%
confidence intervals (CI) were calculated; for continuous outcomes, weighted
mean difference (WMD), plus 95% CI were calculated. Meta analysis was not
conducted, because of the small number of diverse RCTs identified. MAIN
RESULTS: No studies compared cleansing with no cleansing. Two studies
compared different wound cleansing solutions: a statistically significant
improvement in Pressure Sore Status Tool scores occurred for wounds cleansed
with saline spray containing Aloe vera, silver chloride and decyl glucoside
(Vulnopur) compared to isotonic saline (P value = 0.025), but no statistically
significant change in healing was seen when water was compared to saline (RR
3.00, 95% CI 0.21, 41.89). One study compared cleansing techniques, but no
statistically significant change in healing was seen for ulcers cleansed with, or
without, a whirlpool (RR 2.10, 95% CI 0.93 to 4.76). AUTHORS' CONCLUSIONS:
We identified only three studies addressing cleansing of pressure ulcers. One noted
a statistically significant improvement in pressure ulcer healing for wounds cleansed
with saline spray containing Aloe vera, silver chloride and decyl glucoside
(Vulnopur) when compared with isotonic saline solution. Overall, there is no good
trial evidence to support use of any particular wound cleansing solution or
technique for pressure ulcers.
PMID: 16235386 [PubMed - indexed for MEDLINE]

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