Frequency and Outcome of Spontaneous Hemorrhage in Electrical Burn Injuries at Burns Centre, Karachi

Ibran, Ehmer al; Rao, Masood Hussain; Kanwal, Fatima; Irfan, Saboohi

doi:10.36570/jduhs.2016.1.349

Cited by 1 publication

(2 citation statements)

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“…Other studies report its pH‐dependent efficacy against Pseudomonas biofilm 23,31 . A prospective RCT found that cleansing with 1% acetic acid eliminated Pseudomonas from chronic wounds 7 days faster than saline (control), 34 and this is supported by other clinical studies on various wound types 35–37 . What is missing from the literature is a direct comparison of acetic acid against Pseudomonas versus other common chronic wound pathogens, and that is where this study provides further insight.…”

Section: Discussionsupporting

confidence: 53%

“…23,31 A prospective RCT found that cleansing with 1% acetic acid eliminated Pseudomonas from chronic wounds 7 days faster than saline (control), 34 and this is supported by other clinical studies on various wound types. [35][36][37] What is missing from the literature is a direct comparison of acetic acid against Pseudomonas versus other common chronic wound pathogens, and that is where this study provides further insight. We found that 30 s of vigorous mechanical cleansing with 5% acetic acid better removed cyan than red bacterial FL-an important consideration in the context of frequently polymicrobial wounds.…”

Section: Cleansermentioning

confidence: 94%

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An objective comparative study of non‐surgical cleansing techniques and cleanser types in bacterial burden management

Oropallo,

Rao,

Del Pin

et al. 2024

International Wound Journal

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Cleansing is a vital component of effective wound hygiene and biofilm management, often accomplished through vigorous mechanical action or through soaking with moistened gauze. In the present study, a quantitative comparison of the effectiveness of different cleansing techniques and solutions in removing bacteria was conducted on 71 chronic wounds using bacterial fluorescence imaging as a real‐time diagnostic for moderate to high bacterial loads. Vigorous gauze cleansing for 30 s proved most effective by reducing bacterial fluorescence by 33.99%, surpassing 10‐min soaking in bacterial reduction (13.24%). Among different cleansers, no statistically significant differences in effectiveness were observed, but povidone‐iodine showed the strongest trend towards bacterial reduction. Sub‐analysis highlighted the superiority of antiseptic cleansers over saline and gentle soap (−33.30% vs. −1.80% bacterial reduction respectively). Five percent acetic acid was also shown to be more effective in removing specific bacterial strains (Pseudomonas aeruginosa). Findings from studies like this contribute to refining wound hygiene guidelines and clinical algorithms for bacterial and biofilm management.

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Section: Discussionsupporting

confidence: 53%