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Background: Debridement is key to removing devitalised tissue, debris and biofilm as part of wound-bed preparation. Unlike many other methods of debridement, mechanical debridement with a pad is effective enough to be used independently without an adjunctive method of debridement, while being more accessible than other standalone options. Objective: To explore the clinical performance and safety of a debridement pad with both abrasive and non-abrasive surfaces in daily clinical practice. Methods: This was a prospective, non-controlled, non-randomised, single-arm, open-label, multicentred observational evaluation. Inclusion criteria were wounds >4 cm2 covered with at least 30% debris, necrotic tissue or slough in patients aged ≥18 years. The treatment protocol comprised a single application of the debridement pad. The primary outcome measure was the amount of necrotic tissue, slough or debris in the wound bed. Secondary outcomes included the appearance of the wound bed, edges and periwound skin; self-reported pain scores; foreseeable negative impacts; and clinician satisfaction. Results: A total of 62 participants with a variety of wound types were included in the analysis. Most wounds (87%) had been present for over 3 months and had high or moderate exudate levels (90%). A significant reduction was observed in all three parameters: necrotic tissue (p=0.043), slough (p<0.001) and debris (p<0.001). Necrotic tissue, slough and debris showed mean relative reductions of 40%, 72% and 40%, respectively. Of participants, 84% did not experience an increase in pain during the debridement procedure. Conclusion: This clinical real-world data shows the debridement pad to be an effective and well-tolerated device for debridement and wound bed preparation.
Background: Debridement is key to removing devitalised tissue, debris and biofilm as part of wound-bed preparation. Unlike many other methods of debridement, mechanical debridement with a pad is effective enough to be used independently without an adjunctive method of debridement, while being more accessible than other standalone options. Objective: To explore the clinical performance and safety of a debridement pad with both abrasive and non-abrasive surfaces in daily clinical practice. Methods: This was a prospective, non-controlled, non-randomised, single-arm, open-label, multicentred observational evaluation. Inclusion criteria were wounds >4 cm2 covered with at least 30% debris, necrotic tissue or slough in patients aged ≥18 years. The treatment protocol comprised a single application of the debridement pad. The primary outcome measure was the amount of necrotic tissue, slough or debris in the wound bed. Secondary outcomes included the appearance of the wound bed, edges and periwound skin; self-reported pain scores; foreseeable negative impacts; and clinician satisfaction. Results: A total of 62 participants with a variety of wound types were included in the analysis. Most wounds (87%) had been present for over 3 months and had high or moderate exudate levels (90%). A significant reduction was observed in all three parameters: necrotic tissue (p=0.043), slough (p<0.001) and debris (p<0.001). Necrotic tissue, slough and debris showed mean relative reductions of 40%, 72% and 40%, respectively. Of participants, 84% did not experience an increase in pain during the debridement procedure. Conclusion: This clinical real-world data shows the debridement pad to be an effective and well-tolerated device for debridement and wound bed preparation.
Burn wound management has traditionally relied on established treatments, yet emerging evidence underscores honey as a potent and versatile therapeutic agent. This systematic review evaluates the scientific evidence supporting honey’s use in treating burn wounds, highlighting its efficacy and benefits compared to conventional therapies. The review encompasses both clinical trials and animal studies published between January 1, 2013, and June 30, 2024. A comprehensive search of MEDLINE, EMBASE, CINAHL, and ScienceDirect databases was conducted, resulting in the inclusion of 38 eligible studies. The analysis focuses on randomized controlled trials and full-text research articles that investigated honey’s role in burn wound care. Key attributes of honey, including its antimicrobial, anti-inflammatory, antioxidant, and tissue regeneration properties, are examined. The review discusses various types of honey, their composition, and their specific impacts on wound healing, including faster recovery times, reduced infection rates, and improved scar formation outcomes. Additionally, this review highlights the synergy between honey and other adjunctive treatments, such as ascorbic acid. The findings affirm that honey offers significant advantages in burn wound management, supporting its continued use and integration into modern wound care protocols. This chapter provides a comprehensive overview of honey’s role in enhancing burn wound healing, reinforcing its value as both a traditional remedy and a scientifically validated treatment option.
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