Department of Dermatology, Universitätsklinikum Essen, Germany.
Skin Pharmacol Physiol. 2011;24(5):245-55. doi: 10.1159/000327210. Epub 2011 Apr 20.
Currently, there are no generally accepted definitions for wounds at risk of infection. In clinical practice, too many chronic wounds are regarded as being at risk of infection, and therefore many topical antimicrobials - in terms of frequency and duration of use - are applied to wounds. Based on expert discussion and current knowledge, a clinical assessment score was developed. The objective of this wounds at risk (W.A.R.) score is to allow decision-making on the indication for the use of antiseptics on the basis of polihexanide. The proposed clinical classification of W.A.R. shall facilitate the decision for wound antisepsis and allow an appropriate general treatment regimen with the focus on the prevention of wound infection. The W.A.R. score is based on a clinically oriented risk assessment using concrete patient circumstances. The indication for the use of antiseptics results from the addition of differently weighted risk causes, for which points are assigned. Antimicrobial treatment is justified in the case of 3 or more points.
目前，对于有感染风险的伤口还没有普遍接受的定义。在临床实践中，太多的慢性伤口被认为有感染的风险，因此许多局部抗菌药物——就使用频率和持续时间而言——被应用于伤口。基于专家讨论和现有知识，开发了一种临床评估评分。该风险伤口 (W.A.R.) 评分的目的是根据聚己双胍决定使用防腐剂的指征。拟议的风险伤口临床分类将有助于决定伤口消毒，并允许制定适当的一般治疗方案，重点是预防伤口感染。W.A.R. 评分基于使用具体患者情况的临床导向风险评估。使用防腐剂的指征源于附加不同权重的风险原因，并为此分配分数。如果有 3 个或更多的分数，则需要进行抗菌治疗。
