The effectiveness of cleansing solutions for wound treatment: a systematic review

Queirós, Paulo Joaquím Pina; Santos, Eduardo; Apóstolo, João; Cardoso, Daniela; Cunha, Madalena; Rodrigues, Manuel Alves

doi:10.11124/jbisrir-2014-1746

Cited by 14 publications

(19 citation statements)

References 17 publications

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“…The full version of this systematic review report was published in JBI Database of Systematic Reviews and Implementation Reports (Queirós et al, 2014).…”

Section: Systematic Review Methodsmentioning

confidence: 99%

A eficácia das soluções de limpeza para o tratamento de feridas: uma revisão sistemática

Santos¹,

Queirós²,

Cardoso³

et al. 2016

Rev. Enf. Ref

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ResumoResumen R E V I E W P A P E R The effectiveness of cleansing solutions for wound treatment: a systematic reviewA eficácia das soluções de limpeza para o tratamento de feridas: uma revisão sistemática La eficacia de las soluciones de limpieza para el tratamiento de heridas: una revisión sistemática Eduardo Santos*; Paulo Queirós**; Daniela Cardoso***; Madalena Cunha****; João Apóstolo*****Background: There is a consensus that wound cleansing reduces infection rates. There is, however, some debate in clinical circles about the potential advantages and disadvantages of cleansing wounds. Objectives: To identify and synthesize the best available evidence on the effectiveness of cleansing solutions for wound treatment.Review method: This systematic review followed the Joanna Briggs Institute methodology and included studies that considered patients with chronic and acute wounds. Critical appraisal, extraction and synthesis of data were performed by two independent reviewers. Results: Three randomized clinical trials (n=718) were included and the results of the meta-analysis showed no difference in the wound infection for the Tap Water versus Sterile Saline comparison (OR=0,79; 95% Cl= 0,72; p=0,55). For acute wounds, the odds ratio was 0,98 (95% CI= 0,43-2,25). Conclusion: There is no evidence that using tap water to cleanse acute and chronic wounds in adults increases infection or healing rates. There may be a trend towards a lower wound infection rate when povidone-iodine is used in surgical wounds.

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“…The full version of this systematic review report was published in JBI Database of Systematic Reviews and Implementation Reports (Queirós et al, 2014).…”

Section: Systematic Review Methodsmentioning

confidence: 99%

A eficácia das soluções de limpeza para o tratamento de feridas: uma revisão sistemática

Santos¹,

Queirós²,

Cardoso³

et al. 2016

Rev. Enf. Ref

Self Cite

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“…Terdapat berbagai solusi yang tersedia untuk pencucian luka yaitu normal salin, povidone-iodine, hydrogen peroxide, cairan pencuci luka komersial, chlorine/sodium hypochlorite, revanol, alkohol 70%, Clorheksidin, air dan sabun antiseptik (Wilkins & Unverdorben, 2013 ;Arisanty, (2013). Penelitian menurut Queirós et al, (2014) menyatakan bahwa pencucian luka dengan menggunakan povidone-iodine, hydrogen peroksida dan natrium hipoklorit tidak dianjurkan karena bersifat korosif terhadap jaringan granulasi sehingga dapat mengganggu proses penyembuhan luka.…”

Section: Diskusiunclassified

Peranan Pencucian Luka Terhadap Penurunan Kolonisasi Bakteri Pada Luka Kaki Diabetes

Nurbaya

Tahir²,

Yusuf³

2018

JKM

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Background: Diabetic ulcer is a major complication of diabetes and is the main cause of infection. One of the efforts or interventions to reduce infection by doing wound cleansing, but research on the effects of wound cleansing on bacterial colonization is still limited. The purpose of this literature study was to determine the effectiveness of using a type of wound cleansing on changes in bacterial colonization in DM wounds. Methods: The data base used in making this review literature is Pubmed, Science Direct, Google Scholar and Cochrane. there are 144 articles identified and published from 2010-2018. Of the 144 articles 8 articles that met the inclusion criteria. Results: Various wound cleansing solutions are used to optimize the wound healing process and the effect is quite good in decreasing bacterial colonies in DM wounds. Conclusion: wound cleansing type ESWA has a bactericidal effect, is effective in reducing bacterial colonization, and economically it is expected to be a concern in the treatment process injury, research is needed as to whether ESWA washing types can be used to reduce bacterial colonization in DM wounds.

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“…The Champions for Skin Integrity (CSI) model of evidence‐based wound care was developed in 2009, consisting of a multi‐strategy model to facilitate the uptake of evidence‐based wound assessment, management and prevention strategies (Edwards, Finlayson, Parker, Jensen, & Finlayson, ). This model has previously been described in Edwards et al (), and results from a previous study of the CSI model demonstrated the value and capacity of a multi‐faceted approach (Edwards et al, ) to the transfer of knowledge through three areas: 1 day educational “train‐the‐trainer” workshops; human resource support through supporting and facilitating internal and external network development; and practical tools in the form of a CSI resource kit developed from evidence‐based guidelines, such as those produced by the Royal College of Nursing (RCN Institute Centre for Evidence Based Nursing, ), Joanna Briggs Institute (Queirós et al, ) and Wounds Australia (formerly Australian Wound Management Association) (The Australian Wound Management Association Inc & the New Zealand Wound Care Society Inc, ). The CSI model has been successfully implemented in the area of Residential Aged Care Facilities (RACFs) in Australia, resulting in a decreased prevalence of wounds and an increase in staff confidence and uptake of evidence‐based wound management strategies (Edwards et al, ).…”

Section: Introductionmentioning

confidence: 99%

Implementation of the Champions for Skin Integrity model to improve leg and foot ulcer care in the primary healthcare setting

Parker

Shuter

Maresco-Pennisi

et al. 2019

Journal of Clinical Nursing

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Aims To facilitate evidence‐based leg and foot ulcer management through implementation of the Champions for Skin Integrity model to education in primary health care in Australia. Background Leg and foot ulcers are frequently seen wounds in general practice and wound care the most frequently performed activity by practice nurses. The literature reports the lack of evidence‐based leg and foot ulcer assessment, management and prevention strategies in this setting, and previous research in regard to confidence and knowledge has indicated that general practice health professionals have the greatest need for education in wound care. Design Pre–post, nonequivalent group research design. Methods The Champions for Skin Integrity model of evidence‐based wound management utilised strategies including workshops, development of Champions and use of resources. Pre‐ and post‐implementation health professional surveys and patient clinical audits were completed. Descriptive statistics were calculated for all variables. Paired t tests identified statistically significant differences between the pre/post staff survey data. STROBE guidelines for reporting were followed (See Appendix S1). Results One hundred nine general practice healthcare professional staff attended the workshops. Significant outcomes were noted in increased levels of confidence in ability to assess, manage and prevent all types of leg and foot ulcers, as well as to apply evidence‐based practice and change management following workshops. Pre‐ and post‐skin audits also indicated an increase in evidence‐based practices. Conclusion Implementation of Champions for Skin Integrity strategies in this sample of primary healthcare professionals in general practice fostered a positive change in evidence‐based wound management, assessment and prevention. Relevance to clinical practice The Champions for Skin Integrity model has supported increases in evidence‐based practices in treatment and management of wounds in primary healthcare professionals, similar to the positive outcomes gained in the aged care setting. This is likely to lead to positive outcomes for those with wounds in this setting.

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The effectiveness of cleansing solutions for wound treatment: a systematic review

Cited by 14 publications

References 17 publications

A eficácia das soluções de limpeza para o tratamento de feridas: uma revisão sistemática

A eficácia das soluções de limpeza para o tratamento de feridas: uma revisão sistemática

Peranan Pencucian Luka Terhadap Penurunan Kolonisasi Bakteri Pada Luka Kaki Diabetes

Implementation of the Champions for Skin Integrity model to improve leg and foot ulcer care in the primary healthcare setting

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