Article

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.
CI - Copyright (c) 2012. Published by Elsevier Masson SAS.

Langue : ANGLAIS