Preparing the wound bed 2003: focus on infection and inflammation.
Wound bed preparation is the promotion of wound closure through diagnosis of the cause, attention to patient-centered concerns, and correction of systemic and local factors that may delay healing. To enhance the evidence base that may be lacking, a review of relevant literature was conducted and com...
| Publicado en: | Ostomy Wound Management Vol. 49; no. 11; pp. 24 - 29 |
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| Autores principales: | , , , , |
| Formato: | algorithm pictorial review tables/charts Journal Article |
| Publicado: |
HMP Global
2003 Nov
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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=106746189&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106746189 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08895899 4F3 jtl: Ostomy Wound Management issn: 08895899 maglogo: N pubinfo: dt: 2003 Nov vid: 49 iid: 11 pid: 20465 pub: HMP Global place: Malvern, Pennsylvania artinfo: ui: 106746189 106746189 2004096170 NLM14652411 106746189 ppf: 24 ppct: 5 formats: tig: atl: Preparing the wound bed 2003: focus on infection and inflammation. aug: au: Sibbald RG Orsted H Schultz GS Coutts P Keast D affil: Associate Professor of Medicine, Director of Continuing Education, Department of Medicine, University of Toronto, Toronto, Canada sug: subj: Wound Care Wound Infection Therapy Wounds, Chronic Therapy Antiinfective Agents, Local Therapeutic Use Bacterial Colonization Bandages and Dressings Inflammation Etiology Inflammation Physiopathology Microbial Culture and Sensitivity Tests Pyoderma Gangrenosum Therapy Skin Ulcer Etiology Specimen Handling Tissue Perfusion Vasculitis Complications Vasculitis Physiopathology Wound Healing Wound Infection Diagnosis Wound Infection Microbiology Wound Infection Symptoms Wounds, Chronic Microbiology Wounds, Chronic Physiopathology ab: Wound bed preparation is the promotion of wound closure through diagnosis of the cause, attention to patient-centered concerns, and correction of systemic and local factors that may delay healing. To enhance the evidence base that may be lacking, a review of relevant literature was conducted and combined with input from the International Wound Bed Preparation Advisory Board and the Canadian Chronic Wound Advisory Board to create an updated examination of practices. A template based on expert opinion of the clinical actions corresponding to each step in the paradigm of preparing the wound bed is presented and the effects of local factors (tissue debridement, infection or inflammation, moisture balance, and edge effect [TIME]) are discussed. This review differentiates increased bacterial burden/infection in the superficial and deep wound bed compartments from inflammation and provides a topical approach to treatment. Inflammatory conditions causing leg ulcers, including pyoderma gangrenosum and vasculitis are reviewed. The topical combination of silver with absorptive dressings has led to new therapeutic options for increased bacterial burden in the surface wound compartment. A compilation of the available systematic reviews for the treatment of infection has been included as a background for the expert opinion. pubtype: Academic Journal doctype: algorithm pictorial review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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