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J Wound Care ; 28(Sup1): S26-S31, 2019 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-30724117


OBJECTIVE:: To produce recommendations for the design of reliable and informative clinical investigations in chronic wound infection. METHOD:: A multidisciplinary panel of international experts from four countries (Italy, UK, Ireland and the US) were involved in a detailed, semi-structured discussion on how to better select and describe a target population, interventions and outcomes, and which infection-related criteria to apply in order to achieve a high-quality trial. Consent among the experts was measured using the Delphi method and GRADE Working Group suggestions. The project was fully supported by AISLeC 2016 (Italian Nursing Society for Wound Care Study). RESULTS:: In total, 37 recommendations achieved substantial agreement among the experts; 10 concerned the most appropriate description and selection of a target population, four related to interventions and 15 to outcomes. A further eight statements about critical methodological points were approved. CONCLUSION:: Developing recommendations in a systematic manner through a representative group of experts could generate tools for improving the design of clinical trials in this challenging area.

Dermatologia , Padrões de Prática Médica/normas , Infecção dos Ferimentos/terapia , Doença Crônica/terapia , Europa (Continente) , Humanos , Melhoria de Qualidade , Pesquisa , Estados Unidos , Cicatrização
Br J Nurs ; 25(22): S24-S29, 2016 Dec 08.
Artigo em Inglês | MEDLINE | ID: mdl-27935357


Most stoma flanges are made of hydrocolloid material. Hydrocolloid is a hydrophilic material that attracts water, potentially resulting in moisture becoming trapped between the flange and skin. Also, as hydrocolloids are absorbent, the material breaks down over time, and there is a risk that some of the adhesive can remain on the skin on removal. Unlike hydrocolloids, silicone comprises fully cross-linked silicone polymers whose properties have been engineered to manage moisture without breaking down (i.e. manage the transepidermal water loss (TEWL)). A questionnaire survey was undertaken to determine ostomates' perceptions of silicone versus hydrocolloid stoma care products (both flanges and seals). The survey was sent to 229 ostomates who had used silicone seals, of whom 78 returned it (a response rate of 34%). The results suggest that use of the silicone seals resulted in a improvement in the condition of the peristomal skin condition, reduced leakage and increased wear time. Further research into this area is required.

Atitude Frente a Saúde , Coloides , Estomia/instrumentação , Silicones , Dermatopatias/prevenção & controle , Humanos , Estomia/enfermagem , Inquéritos e Questionários
Br J Community Nurs ; 21(1): 9-15, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26692131


This series of letters outlines the response from MA Healthcare, key opinion leaders, and industry to the news that the Government is planning to introduce a generic project for wound dressings, limiting products to three main suppliers.

Almoxarifado Central Hospitalar/organização & administração , Equipamentos e Provisões/provisão & distribução , Formulários Farmacêuticos como Assunto , Medicina Estatal/organização & administração , Ferimentos e Lesões/terapia , Humanos , Reino Unido
Br J Nurs ; 24 Suppl 20: S14-6, 2015 Nov 11.
Artigo em Inglês | MEDLINE | ID: mdl-26559230
J Wound Care ; 24(5 Suppl): S3-5, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-26079059


Unlike common antimicrobial dressings, the Cutimed Sorbact range does not kill pathogens, but instead binds them to its surface, so they can be safely removed at dressing change. As a result, it can be used long term with minimal risk of side effects. This supplement describes the evidence base on the efficacy of DACC technology.

Infecções Bacterianas/terapia , Bandagens , Medicina Baseada em Evidências/métodos , Interações Hidrofóbicas e Hidrofílicas , Infecção da Ferida Cirúrgica/microbiologia , Infecção da Ferida Cirúrgica/prevenção & controle , Cicatrização/fisiologia , Gerenciamento Clínico , Humanos
J Wound Care ; 24(5 Suppl): S6-30, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-26079060


In the previous chapter, Keith Cutting and James McGuire explored the link between infection and wound chronicity and explained how Cutimed Sorbact can be used to promote healing in chronic wounds. The following sections summarise the existing evidence for the Cutimed Sorbact range of dressings.

Infecções Bacterianas/terapia , Bandagens , Medicina Baseada em Evidências/métodos , Interações Hidrofóbicas e Hidrofílicas , Infecção da Ferida Cirúrgica/microbiologia , Infecção da Ferida Cirúrgica/prevenção & controle , Cicatrização/fisiologia , Humanos , Técnicas In Vitro
Br J Nurs ; 23(6): S12, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24690744


Graduated external compression lies at the heart of effective management of venous leg ulceration by reducing oedema and supporting venous return to the heart.

Bandagens Compressivas , Úlcera da Perna/terapia , Edema/etiologia , Humanos , Polímeros , Pressão