The use of topical calcineurin inhibitors in chronic wound management.

The management of wounds has evolved over many years and with a greater understanding of the mechanisms of skin repair, a recent approach to treatment is to address the changes in tissue. Complex chronic wounds place a significant challenge on health professionals working with these patients, in acc...

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Publicado en:Wound Practice & Research Vol. 26; no. 3; pp. 140 - 146
Autor principal: Sussman, G.
Formato: case study pictorial research tables/charts Journal Article
Publicado: Cambridge Publishing Sep2018
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Cambridge Publishing
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        atl: The use of topical calcineurin inhibitors in chronic wound management.
      aug:
        au: Sussman, G.
        affil: Associate Professor of Wound Care, Monash Institute for Health and Clinical Education, Faculty of Medicine, Nursing and Health Science, Monash University, VIC, Australia
      sug:
        subj:
          Tacrolimus Antagonists and Inhibitors
          Tacrolimus Therapeutic Use
          Hydrolases Antagonists and Inhibitors
          Hydrolases Therapeutic Use
          Administration, Topical
          Wounds, Chronic Drug Therapy
          Wound Care
          Human
          Wound Healing
          Bandages and Dressings
          Pyoderma Gangrenosum Diagnosis
          Lupus Erythematosus, Cutaneous Drug Therapy
          Middle Age
          Aged, 80 and Over
          Male
          Female
          Dermatitis, Atopic Drug Therapy
          Eczema Drug Therapy
          Tacrolimus Administration and Dosage
          Middle Aged: 45-64 years
          Aged, 80 & over
          Male
          Female
      ab: The management of wounds has evolved over many years and with a greater understanding of the mechanisms of skin repair, a recent approach to treatment is to address the changes in tissue. Complex chronic wounds place a significant challenge on health professionals working with these patients, in accurately identifying the underlying cause of the wound and the tissue factors impacting on wound healing. Many different types of dressings are used with limited success; however, dressings do not address the imbalances in tissue. Once a clear diagnosis has been established, the approach is to try to address this underlying imbalance in the tissues. Calcineurin inhibitors were approved for topical use in 2000-2001 for the treatment of atopic dermatitis. Since that time, their use has expanded to treat a number of chronic wounds, including pyoderma gangrenosum, cutaneous lupus erythematosus and other uncommon chronic wounds, with some success. This approach, in contrast to dressings that only impact on the wound environment, addresses the need to restore tissue balance and thus encourage wound healing.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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