Local wound management factors related to biofilm reduction in the pressure ulcer: A prospective observational study.
biofilm
critical colonization
infection control
local wound management
pressure ulcer
Journal
Japan journal of nursing science : JJNS
ISSN: 1742-7924
Titre abrégé: Jpn J Nurs Sci
Pays: Japan
ID NLM: 101227890
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
revised:
08
10
2020
received:
07
09
2020
accepted:
18
10
2020
pubmed:
4
12
2020
medline:
14
4
2021
entrez:
3
12
2020
Statut:
ppublish
Résumé
Critical colonization in pressure ulcers delays healing and has been studied. However, local wound management includes no clear strategy for preventing the development of biofilms. Therefore, this multicenter, prospective, observational study was conducted to examine the effect of local management on the biofilm area of pressure ulcers with critical colonization. Participants were 34 patients with a pressure ulcer deeper than the dermis and in a state of critical colonization. The primary outcome was the change over a week in the proportion of the biofilm area in relation to that of the pressure ulcer area. We investigated the relationship between primary outcome and local wound management. The wound-blotting method was used for determining the biofilm area. To calculate the change in the biofilm area, baseline proportion was subtracted from proportion 1 week later. Six types of topical treatment were used in three facilities. The proportion of the biofilm area at 1 week follow-up was significantly smaller with iodine ointment than that without iodine ointment (p = .02). The standardized partial regression coefficient of iodine ointment adjusted by the type of medical facility was -0.26 (p = .003). This study revealed that the use of iodine ointment reduced the proportion of the biofilm area in the pressure ulcer surface. To manage pressure ulcers in a state of critical colonization, these results suggest that local management include the use of iodine ointment.
Substances chimiques
Anti-Bacterial Agents
0
Types de publication
Journal Article
Multicenter Study
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
e12394Informations de copyright
© 2020 Japan Academy of Nursing Science.
Références
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