Techniques and solutions used in cleansing ulcers: a review of the literature

Submitted: May 17, 2019
Accepted: May 6, 2020
Published: July 24, 2020
Abstract Views: 1923
PDF (Italiano): 872
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Appendice (Italiano): 113
Appendix: 53
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The ulcer is the loss of continuity of the epithelium, epidermis or mucous membrane caused by the expulsion of inflamed necrotic tissue. It is the expression of degenerative processes caused by inflammatory, infectious phenomena, circulatory disorders or tissue damage for chemical and physical causes. The treatment of a chronic skin lesion must be multidisciplinary and require the collaboration of numerous specialists, nursing staff, the patient and/or the family unit. The purpose of the review is to verify the effects of cleansing on wounds considering both the approaches adopted and the solutions used, evaluating the relative cure and infection rates of ulcers. The literature search was performed in the Pubmed and Cochrane Library databases. Randomized clinical trials and literature reviews from 2003 to 2018 were considered. 276 scientific papers have been identified. Of these, 15 studies were considered potentially eligible. After the complete reading of each work, 6 articles were finally included. The management of ulcers involves many wound care professionals who should work together to heal wounds. Specifically, cleansing is considered a routine intervention that is carried out with sterile physiological solution through the tamponade method, this is because the literature does not provide satisfactory research in the context of the use of tap water.

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Citations

Bux, M.; Malhi, JS. Assessing the use of dressings in practice. J wound care 1996; 5 (7):305-8.
Dow, G.; Browne, A.; Sibbald, RG. lnfection in chronic wounds. Controversies in diagnosis and treatment. Ostomy/Wound Management 1999; 45: 23-40.Phillips, TJ; Dover, JS. Leg ulcers. J Am Acad Dermatol 1991; 965-87
Lindholm, C.; Bergsten, A. & Berglund, E. Chronic wounds and nursing care. J Wound Care 1999; 8:5-10.
Leyden, JJ.; Bartelt, NM. Comparison of topical antibiotic ointments, a wound protectant, and antiseptics for treatment of human blister wounds contaminated with Staphylococcus aureus. J Fam Pract.1987; 24(6):601-4.
Lindholm C, Bergsten A & Berglund E. Chronic wounds and nursing care. J Wound Care 1999; 8: 5-10.
Lineaweaver, W.; Howard, R.; Soucy, D.; et al. Topical antimicrobial toxicity. Arch Surg 1985; 120(3):207-70.
Monti. L' ulcera cutanea - Approccio multidisciplinare alla diagnosi ed al trattamento. Springer Editore, 2000.
Myers, JA. Modern plastic surgical dressing, Health Society Service Journal 1982; 4 :336-337.
Phillips TJ, Dover JS Leg ulcers. J Am Acad Dermatol 1991 ; 965-87
Preece, J. Development of a wound-management formulary for use in clinical practice Prof Nurse 2004; 20(3) 27-29.
Registered Nurses Association of Ontario (RNAO). Assessment and Management of Stage I to IV Pressure Ulcers (Revised). Toronto, 2007.
Ronald, M.; Moscati; Mayrose, J.; Readon, R.F.; Janicke, D.M.; Jehle, D.V. Comparison between sterile saline and tap water for cleaning of acute traumatic soft tissue wounds Angeras MH et.al Eur J Surg.1992.
Salamsn, RA; Harding, KG. The aetiology and healing rates of chronic leg ulcers. J Wound Care. 1995; 4(7): 320-320.
Vowden, K. VPB. Bridging the gap: the impact of patient choice on wound care. J Wound Care. 2006;15(4):143-145.

How to Cite

Vitale, E., De Angelis, L. R. ., & Germini, F. (2020). Techniques and solutions used in cleansing ulcers: a review of the literature. Italian Journal of Wound Care, 4(1). https://doi.org/10.4081/ijwc.2020.51

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