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- Title
Efficacy and safety of an anti-infection topical desiccating agent (DEBRICHEM) in hard-to-heal wounds.
- Authors
McRobert, John; Jeffery, Steven; Delloson, Debbie
- Abstract
A single centre, non-comparative evaluation was undertaken to observe the clinical results achieved when following best practice for the application of Debrichem. The treatment protocol involved use of this debridement product plus standard of care. The sample comprised 21 patients with complex, non-healing wounds of various aetiologies. One patient dropped out of the evaluation for unknown reasons. Wound types were either venous leg ulcers (n=16) or post-traumatic wounds (n=25). The mean wound duration was 22 months (range: 2 weeks–17 years). Over the 4-week follow-up period, there was a decline in the mean percentage of devitalised tissue present on the wounds, reducing from 69% at baseline to 49% at week 4. Most of the devitalised tissue was slough, for which the mean baseline percentage was 63% compared with an endpoint of 49%. Conversely, the mean percentage of granulation tissue increased from 31% at baseline to 51% at week 4. The mean visual analogue pain score reported during application was 4/10, where 0 represents no pain. However, general wound-related pain scores improved during the follow-up period, with no scores above 2 at week 2, compared with five at baseline. The results indicate that Debrichem is a safe and effective method of debridement that requires minimal training and is single use.
- Subjects
UNITED Kingdom; TISSUE analysis; WOUND &; injury classification; CUTANEOUS therapeutics; PAIN measurement; PATIENT safety; INFECTION control; DISEASE duration; LOCAL anesthesia; VISUAL analog scale; BANDAGES &; bandaging; NECROSIS; PHARMACEUTICAL gels; TRAUMATOLOGY diagnosis; DESCRIPTIVE statistics; EMOTIONS; GRANULATION tissue; DRUG efficacy; DEBRIDEMENT; PATIENT satisfaction; EXUDATES &; transudates; CLINICS; COLOR; SURGICAL dressings; PATIENT aftercare
- Publication
Journal of Wound Care, 2024, Vol 33, Issue Sup5b, pS12
- ISSN
0969-0700
- Publication type
Article
- DOI
10.12968/jowc.2024.33.Sup5b.S12