APWCA clinical rounds. Evaluation of Bensal HP for the treatment of diabetic foot ulcers.

BACKGROUND: The extract of oak bark (QRB7) has been used for years as a topical medication with success. QRB7 is the proprietary oak bark extract in Bensal HP. It is indicated as an external treatment for the inflammation and irritation associated with many common forms of dermatitis, including cert...

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Publicado en:Advances in Skin & Wound Care Vol. 21; no. 10; pp. 461 - 465
Autores principales: Jacobs AM, Tomczak R
Formato: clinical trial research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins 2008 Oct
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2008 Oct
      vid: 21
      iid: 10
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        105701050
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        10.1097/01.asw.0000323573.57206.7b
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        atl: APWCA clinical rounds. Evaluation of Bensal HP for the treatment of diabetic foot ulcers.
      aug:
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          Jacobs AM
          Tomczak R
      sug:
        subj:
          Diabetic Foot Drug Therapy
          Ointments Administration and Dosage
          Acids, Carbocyclic Administration and Dosage
          Administration, Topical
          Antiinflammatory Agents Administration and Dosage
          Clinical Trials
          Comparative Studies
          Debridement Utilization
          Microbial Culture and Sensitivity Tests
          Plant Extracts Administration and Dosage
          Random Assignment
          Salicylic Acids Administration and Dosage
          Silver Sulfadiazine Administration and Dosage
          T-Tests
          Wound Healing Drug Effects
          Wound Measurement
          Human
      ab: BACKGROUND: The extract of oak bark (QRB7) has been used for years as a topical medication with success. QRB7 is the proprietary oak bark extract in Bensal HP. It is indicated as an external treatment for the inflammation and irritation associated with many common forms of dermatitis, including certain eczematoid conditions. These conditions include complications associated with pyodermas, and in the treatment of insect bites, burns, and fungal infections. OBJECTIVE: To quantitatively measure the difference in diabetic ulcer size reduction when using Bensal HP versus silver sulfadiazine cream (SSC) for topical treatment as an adjunct to conventional treatment. SETTING: Private office of the primary author. METHODS: Forty diabetic patients with noncellulitic plantar Wagner grade 1 or 2 ulcers and a minimal ankle brachial index of 0.75 were randomly assigned to either the Bensal HP (QRB7) treatment group or SSC control group for 6 weeks of treatment. In addition to either Bensal HP or SSC, all wounds were cultured and treated with debridement at time 0, 2, 4, and 6 weeks and with off-loading. RESULTS: The combined wound diameter of the Bensal HP group decreased 72.5% compared to 54.7% for the SSC group. There was a statistical significance between the decreases in wound sizes after 6 weeks of treatment (P = .016). The Cohen effect size for the Bensal HP group was 2.06 compared with 1.03 for the SSC group. CONCLUSION: In this tightly controlled 6-week study in which no patients were lost to follow-up, Bensal HP seems to be an effective treatment for properly treated diabetic ulcers, outperforming an identical control group whose only difference was SSC as a medication.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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