Community Tissue Viability Lead, Guy's and St Thomas' NHS Foundation Trust.
Advanced Podiatrist, Salford Care Organisation, Northern Care Alliance NHS Foundation Trust.
J Wound Care. 2024 May 1;33(Sup5b):S4-S11. doi: 10.12968/jowc.2024.33.Sup5b.S4.
It is now assumed that all hard-to-heal wounds contain biofilm. Debridement plays a key role in wound-bed preparation, as it can remove biofilm along with the devitalised tissue, potentially leaving a clean wound bed that is more likely to progress towards healing. The gold standard methods of debridement (surgical and sharp) are the least used, as they require specialist training and are often not readily available at the point of need. Most other methods can be used by generalists but are slower. They all need regular applications. The topical desiccating agent DEBRICHEM is an innovative alternative, as it is fast, effective and can be used in all clinical settings, as well as typically requiring only a single use. This article describes best practice for achieving optimal outcomes with its use.
现在人们认为,所有难以愈合的伤口都含有生物膜。清创在创面准备中起着关键作用,因为它可以去除生物膜和失活组织,有可能留下一个更有可能愈合的清洁创面。清创的黄金标准方法(手术和锐器)是使用最少的方法,因为它们需要专业的培训,而且往往在需要时无法立即获得。大多数其他方法都可以由全科医生使用,但速度较慢。它们都需要定期应用。局部干燥剂 DEBRICHEM 是一种创新的替代方法,因为它快速、有效,可以在所有临床环境中使用,通常只需要使用一次。本文描述了使用 DEBRICHEM 以实现最佳效果的最佳实践。