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Which medical technology and/or local treatment is most conducive, as of 2012, to pressure sore debridement ? Developing French guidelines for clinical practice.
MedLine Citation:
PMID:  23062521     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
INTRODUCTION: Implementation of a curative strategy at the debridement stage associates systemic therapy with local therapy. OBJECTIVES: To determine which medical devices and technology other than support surfaces and what kinds of drugs to use in order to cleanse a pressure ulcer in 2012. METHOD: A systematic review of the literature querying the databases PASCAL Biomed, Cochrane Library and PubMed from 2000 to 2010 along with a compendium of prevailing professional practices. RESULTS: Pressure sore debridement is based on local care and on the use of alginates, hydrogels and hydrocolloids. DISCUSSION: The analyzed articles do not take into account any specific stage of pressure ulcer debridement. Data that might favor some kinds of dressings show a low level of evidence. Were it possible to decide on the dressing to be used for a given indication, professionals would be better able to orient and narrow down their choices. CONCLUSION: Use of alginates and hydrogels in pressure ulcer debridement is of real interest. According to expert opinion, other dressings (irrigo-absorbents, for instance) seem promising, but have yet to receive adequate scientific validation.
Authors:
C Trial; J Pineau; B Barrois; D Colin; J-M Michel; Y Passadori; P Ribinik
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-12
Journal Detail:
Title:  Annals of physical and rehabilitation medicine     Volume:  -     ISSN:  1877-0665     ISO Abbreviation:  Ann Phys Rehabil Med     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-10-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101502773     Medline TA:  Ann Phys Rehabil Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012. Published by Elsevier Masson SAS.
Affiliation:
Unité plaies et cicatrisation, CHRU Lapeyronie, 34000 Montpellier, France. Electronic address: chloetrial@yahoo.fr.
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