A study of biofilm-based wound management in subjects with critical limb ischaemia.
Objective: Bacterial biofilms cause or complicate numerous medical conditions, including chronic wounds. Biofilm-based wound care (BBWC) management strategies that suppress biofilm have been designed and are used extensively at the Southwest Regional Wound Care Center in Lubbock, Texas and are descr...
| Publicado en: | Journal of Wound Care Vol. 17; no. 4; pp. 145 - 154 |
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| Autores principales: | , |
| Formato: | algorithm case study pictorial research tables/charts Journal Article |
| Publicado: |
Mark Allen Holdings Limited
Apr2008
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105744180&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105744180 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09690700 H3U jtl: Journal of Wound Care issn: 09690700 maglogo: N pubinfo: dt: Apr2008 vid: 17 iid: 4 pid: 11383 pub: Mark Allen Holdings Limited artinfo: ui: 105744180 2009899696 10.12968/jowc.2008.17.4.28835 NLM18494432 105744180 ppf: 145 ppct: 9 formats: fmt: @attributes: type: P tig: atl: A study of biofilm-based wound management in subjects with critical limb ischaemia. aug: au: Wolcott RD Rhoads DD affil: Director, Southwest Regional Wound Care Center, Lubbock, Texas, US sug: subj: Biofilms Extremities Ischemia Wounds, Chronic Therapy Adolescence Adult Aged Aged, 80 and Over Amputation Blood Gas Monitoring, Transcutaneous Chi Square Test Convenience Sample Debridement Diabetes Mellitus Diabetic Patients Drug Therapy, Combination Female Fisher's Exact Test Limb Salvage Male Middle Age Null Hypothesis Osteomyelitis Record Review Retrospective Design Texas Treatment Outcomes Ultrasonic Therapy Wound Care Methods Wounds, Chronic Microbiology Wounds, Chronic Pathology Xylitol Therapeutic Use Human Adolescent: 13-18 years Adult: 19-44 years Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Female Male ab: Objective: Bacterial biofilms cause or complicate numerous medical conditions, including chronic wounds. Biofilm-based wound care (BBWC) management strategies that suppress biofilm have been designed and are used extensively at the Southwest Regional Wound Care Center in Lubbock, Texas and are described in this article. This retrospective single-centre study was designed to evaluate the frequency of complete healing in subjects with a chronic wound in a limb with critical limb ischaemia (CLI) when managed using BBWC. · Method: Of the 4500 subjects admitted with wounds between August 2002 and January 2006, 1400 subjects' TCpO2 levels were measured, and 266 included were identified as having CLI (TCpO2 <20mmHg). Of these, 190 subjects were considered in the analysis because they received a substantial course of therapy (more than five visits). Each subject was individually managed to reinforce natural healing and suppress bacterial biofilm. Successful healing was defined as complete closure by March 2007. · Results: Of the 190 subjects with CLI, 146 (77%) healed completely, and 44 (23%) were categorised as non-healing. The healed group included 47% (68/146) with osteomyelitis and 69% (101/146) with diabetes mellitus. In the non-healed group, 75% (33/44) had osteomyelitis and 77% (34/44) had diabetes mellitus. Ninety-one per cent (30/33) of the subjects without osteomyelitis or diabetes mellitus healed, and 67% (53/79) of the subjects with both osteomyelitis and diabetes mellitus healed. · Conclusion: When comparing the healing frequency in this study with a previously published study, BBWC strategies significantly improved healing frequency. These findings demonstrate that effectively managing the biofilm in chronic wounds is an important component of consistently transforming 'nonhealable' wounds into healable wounds. · Declaration of interest: Randall Wolcott has patented the combination of lactoferrin and xylitol discussed in this article. pubtype: Academic Journal doctype: algorithm case study pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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