Superficial pressure sores: comparing two regimes

Abstract

A report of a study that evaluated the performance of Lyofoam A, compared with NA dressing and Tegaderm in treating superficial pressure sores.

The wound/burn guidelines – 2: Guidelines for the diagnosis and treatment for pressure ulcers

“…Therefore, the recommendation level was set similarly to other dressing materials shown below. There are three RCT using hydrogel, and their evidence level is II. Because no significant difference was noted in the cure rate compared with saline gauze dressing, HD or povidone iodine, the recommendation level was set at C1. There are five RCT using polyurethane foam, and their evidence level is II. Since no significant difference was noted in the cure rate compared with saline gauze and polyurethane film, HD, hydrogel, or hydropolymer, the recommendation level was determined at C1. There is one case report using chitin, and the evidence level is IVb.…”

“…Because no significant difference was noted in the cure rate compared with saline gauze dressing, HD or povidone iodine, the recommendation level was set at C1. There are five RCT using polyurethane foam, and their evidence level is II. Since no significant difference was noted in the cure rate compared with saline gauze and polyurethane film, HD, hydrogel, or hydropolymer, the recommendation level was determined at C1. There is one case report using chitin, and the evidence level is IVb. An epithelization effect has been reported. There are no papers concerning the use of topical agents for shallow pressure ulcers (erosion, shallow ulcer) other than expert opinions, and the evidence level is VI. Because it is necessary to protect the wound and maintain an appropriate moist environment for shallow pressure ulcers (erosion, shallow ulcers) within the dermal level, dressing materials are frequently used for their treatment.…”

“…There are five RCT of the use of polyurethane foam for shallow pressure ulcers . No significant difference was noted in the cure rate compared with saline gauze and polyurethane film or hydrogel . Compared with HD, there was also no significant difference in the cure rate, but polyurethane foam was significantly more removable and leakproof .…”

“…Because no significant difference was noted in comparison with saline gauze dressing, HD or povidone iodine gauze, the recommendation level was set at C1. There are two RCT using hydropolymer, and the evidence level is II. Since no significant difference was noted in the cure rate in comparison with HD, the recommendation level was set at C1. There are five RCT using polyurethane foam, and the evidence level is II. Because no significant difference was noted in the cure rate compared with polyurethane film with saline gauze, HD, hydrogel or hydropolymer, the recommendation level was set at C1. There is one case report each of the use of alginate and chitin, and the evidence level is IVb. The principle of moist wound healing is an appropriate water balance at the wound, and not only drying due to marked deficiency of exudate but also excessive exudate delays wound healing.…”

“…Since no significant difference was noted in the cure rate in comparison with HD, the recommendation level was set at C1. There are five RCT using polyurethane foam, and the evidence level is II. Because no significant difference was noted in the cure rate compared with polyurethane film with saline gauze, HD, hydrogel or hydropolymer, the recommendation level was set at C1. There is one case report each of the use of alginate and chitin, and the evidence level is IVb. The principle of moist wound healing is an appropriate water balance at the wound, and not only drying due to marked deficiency of exudate but also excessive exudate delays wound healing. Because dressing materials to be used in the black‐yellow stages with excessive (CQ22) and deficient (CQ24) exudate were mentioned above, pressure ulcers in the red‐white stages with appropriate exudate are discussed in this section. There are three RCT concerning the use of HD for pressure ulcers in the red‐white stages .…”