FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W1993143117> ?p ?o ?g. }

• W1993143117 endingPage "270" @default.
• W1993143117 startingPage "231" @default.
• W1993143117 abstract "Executive summary Background This systematic review updates a previous review published in 2001. Cleansing is a vital component of wound management; however; little attention has been give to the solutions and techniques used for cleansing purposes. The objective of this review was to assess the effectiveness of different solutions, pressures and techniques used for wound cleansing to prevent infection and promote wound healing. Search strategy Randomised and clinical controlled trials were identified using the Cochrane Central Register of Controlled Trials (CENTRAL). Additional searches of other databases and hand searches of journals and bibliographies was undertaken to identify further trials. Selection criteria All randomised and clinical controlled trials involving adults and/or children whose wounds were cleaned with commercial cleansers, normal saline, water, chlorhexidine, hydrogen peroxide or povidone‐iodine were eligible for inclusion. Studies that utilised solutions for preoperative skin cleansing, compared solutions for burns or dental procedures, and those that compared dressings for patients with ulcers were excluded from this review. Outcomes included rate of healing, incidence of infections or levels of bacterial count. Selection of potential articles, assessment of methodological quality and data abstraction was conducted independently by two reviewers. Trials with similar patients, comparisons, and outcomes were pooled. The data were analysed using Cochrane Review Manager 4.2. Where pooling was inappropriate, trials are discussed in a narrative review. Results Fourteen randomised controlled trials were included that compared various solutions for wound cleansing. The evidence indicates that there is no difference in the infection and healing rates in acute and chronic wounds cleansed with either tap water or normal saline. An irrigation pressure of 13 psi is effective for cleansing wounds and reducing infection without causing tissue trauma. There were no studies comparing common techniques for wound cleansing such as swabbing or scrubbing. Showering postoperative wounds did not demonstrate any difference in infection rates; however, it increased the morale of the patient. Whirlpool therapy was effective in reducing inflammation and pain in surgical wounds. Conclusions These conclusions are based on the best available clinical evidence. However, there is an urgent need to support these findings with rigorous research as some of the conclusions are based on single studies with limited sample sizes. Solutions for wound cleansing: The evidence supports the use of potable tap water for cleansing lacerations in both adults and children and postoperative wounds in adults only. Potable tap water as well as boiled and cooled water is also an effective wound cleansing solution. This finding, however, is based on a trial that had a small sample size. The evidence to support the use of potable tap water is limited (only one study with low power); therefore, further studies are required to confirm that assumption. Povidone‐iodine is an effective cleansing solution for contaminated wounds. Pressure for wound cleansing: A pressure of 13 psi is effective in reducing infection and inflammation in both adults and children with lacerations and traumatic wounds. Techniques for wound cleansing: Evidence to support or refute swabbing and scrubbing to cleanse wounds is lacking. The review demonstrated no evidence of a difference in the wound infection and healing rates between wounds that were showered and those that were not. The evidence for showering ulcers and other chronic wounds is lacking; therefore, this technique of wound cleansing should be undertaken with caution. Whirlpool therapy is effective to reduce pain and inflammation in surgical wounds and improve the healing rate in pressure ulcers. The evidence to support the use of Sitz bath for patients following episiotomy is limited." @default.
• W1993143117 created "2016-06-24" @default.
• W1993143117 creator A5005981850 @default.
• W1993143117 creator A5034915173 @default.
• W1993143117 creator A5044850510 @default.
• W1993143117 date "2004-08-01" @default.
• W1993143117 modified "2023-10-13" @default.
• W1993143117 title "Effectiveness of solutions, techniques and pressure in wound cleansing" @default.
• W1993143117 cites W1966378166 @default.
• W1993143117 cites W1980310607 @default.
• W1993143117 cites W1986315165 @default.
• W1993143117 cites W1994325033 @default.
• W1993143117 cites W1996003537 @default.
• W1993143117 cites W1996946503 @default.
• W1993143117 cites W1997994838 @default.
• W1993143117 cites W2004114292 @default.
• W1993143117 cites W2010092815 @default.
• W1993143117 cites W2016111680 @default.
• W1993143117 cites W2016120145 @default.
• W1993143117 cites W2021955988 @default.
• W1993143117 cites W2026457178 @default.
• W1993143117 cites W2026936478 @default.
• W1993143117 cites W2035660428 @default.
• W1993143117 cites W204520878 @default.
• W1993143117 cites W2049393834 @default.
• W1993143117 cites W2061647583 @default.
• W1993143117 cites W2078292028 @default.
• W1993143117 cites W2079983730 @default.
• W1993143117 cites W2084581107 @default.
• W1993143117 cites W2109856998 @default.
• W1993143117 cites W2111532173 @default.
• W1993143117 cites W2111894592 @default.
• W1993143117 cites W2122638237 @default.
• W1993143117 cites W2135612958 @default.
• W1993143117 cites W2141811678 @default.
• W1993143117 cites W2144224124 @default.
• W1993143117 cites W2171737928 @default.
• W1993143117 cites W2238595899 @default.
• W1993143117 cites W2394901126 @default.
• W1993143117 cites W2401601663 @default.
• W1993143117 cites W2462509289 @default.
• W1993143117 cites W3026631148 @default.
• W1993143117 cites W4211088880 @default.
• W1993143117 cites W4252151381 @default.
• W1993143117 cites W4255040113 @default.
• W1993143117 doi "https://doi.org/10.1111/j.1479-6988.2004.00013.x" @default.
• W1993143117 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/27820212" @default.
• W1993143117 hasPublicationYear "2004" @default.
• W1993143117 type Work @default.
• W1993143117 sameAs 1993143117 @default.
• W1993143117 citedByCount "14" @default.
• W1993143117 countsByYear W19931431172014 @default.
• W1993143117 countsByYear W19931431172015 @default.
• W1993143117 countsByYear W19931431172016 @default.
• W1993143117 countsByYear W19931431172020 @default.
• W1993143117 countsByYear W19931431172022 @default.
• W1993143117 crossrefType "journal-article" @default.
• W1993143117 hasAuthorship W1993143117A5005981850 @default.
• W1993143117 hasAuthorship W1993143117A5034915173 @default.
• W1993143117 hasAuthorship W1993143117A5044850510 @default.
• W1993143117 hasConcept C126322002 @default.
• W1993143117 hasConcept C141071460 @default.
• W1993143117 hasConcept C168563851 @default.
• W1993143117 hasConcept C17744445 @default.
• W1993143117 hasConcept C177713679 @default.
• W1993143117 hasConcept C189708586 @default.
• W1993143117 hasConcept C199343813 @default.
• W1993143117 hasConcept C199539241 @default.
• W1993143117 hasConcept C2771230 @default.
• W1993143117 hasConcept C2777084678 @default.
• W1993143117 hasConcept C2779473830 @default.
• W1993143117 hasConcept C535046627 @default.
• W1993143117 hasConcept C71924100 @default.
• W1993143117 hasConceptScore W1993143117C126322002 @default.
• W1993143117 hasConceptScore W1993143117C141071460 @default.
• W1993143117 hasConceptScore W1993143117C168563851 @default.
• W1993143117 hasConceptScore W1993143117C17744445 @default.
• W1993143117 hasConceptScore W1993143117C177713679 @default.
• W1993143117 hasConceptScore W1993143117C189708586 @default.
• W1993143117 hasConceptScore W1993143117C199343813 @default.
• W1993143117 hasConceptScore W1993143117C199539241 @default.
• W1993143117 hasConceptScore W1993143117C2771230 @default.
• W1993143117 hasConceptScore W1993143117C2777084678 @default.
• W1993143117 hasConceptScore W1993143117C2779473830 @default.
• W1993143117 hasConceptScore W1993143117C535046627 @default.
• W1993143117 hasConceptScore W1993143117C71924100 @default.
• W1993143117 hasIssue "7" @default.
• W1993143117 hasLocation W19931431171 @default.
• W1993143117 hasOpenAccess W1993143117 @default.
• W1993143117 hasPrimaryLocation W19931431171 @default.
• W1993143117 hasRelatedWork W1996966348 @default.
• W1993143117 hasRelatedWork W2059459105 @default.
• W1993143117 hasRelatedWork W2071654623 @default.
• W1993143117 hasRelatedWork W2078668847 @default.
• W1993143117 hasRelatedWork W2081859324 @default.
• W1993143117 hasRelatedWork W2115099528 @default.
• W1993143117 hasRelatedWork W2799289174 @default.
• W1993143117 hasRelatedWork W3021421529 @default.

• next