Wound bed preparation: TIME for an update

International Wound Journal - Tập 13 Số S3 - Trang 8-14 - 2016
Rhiannon Harries1, David C. Bosanquet2, Keith G Harding3
1Royal College of Surgeons/Welsh Wound Initiative Research Fellow, Wound Healing Research Unit, School of Medicine, Cardiff University, Cardiff, UK
2South East Wales Vascular Network, University Hospital of Medicine, Cardiff, UK
3Welsh Wound Innovation Initiative, Cardiff University, Cardiff, UK

Tóm tắt

AbstractWhile the overwhelming majority of wounds heal rapidly, a significant proportion fail to progress through the wound‐healing process. These resultant chronic wounds cause considerable morbidity and are costly to treat. Wound bed preparation, summarised by the TIME (Tissue, Inflammation/infection, Moisture imbalance, Epithelial edge advancement) concept, is a systematic approach for assessing chronic wounds. Each of these components needs to be addressed and optimised to improve the chances of successful wound closure. We present an up‐to‐date literature review of the most important recent aspects of wound bed preparation. While there are many novel therapies that are available to the treating clinician, often, there are limited data on which to assess their clinical value, and a lack of appreciation for adequate wound bed preparation needed before expensive therapy is used to heal a wound.

Từ khóa


Tài liệu tham khảo

10.1046/j.1524-475X.11.s2.1.x

10.1111/j.1742-481x.2004.00008.x

10.1111/wrr.12149

European Wound Management Association (EWMA), 2004, Position document: wound bed preparation in practice

Gethin G, 2015, Debridement for venous leg ulcers, Cochrane Database Syst Rev, 9, CD008599

Edwards J, 2010, Debridement of diabetic foot ulcers, Cochrane Database Syst Rev, 1, CD003556

Smith F, 2013, Debridement for surgical wounds, Cochrane Database Syst Rev, 9, CD006214

Rodeheaver GT, 1997, Chronic wound care: a clinical source book for healthcare professionals, 97

World Union of Wound Healing Societies, 2008, Principles of best practice: wound infection in clinical practice. An international consensus

10.12968/jowc.2016.25.3.160

Fernandez R, 2012, Water for wound cleansing, Cochrane Database Syst Rev, 2, CD003861

10.1097/00000637-199706000-00001

10.1016/S0140-6736(05)67695-7

10.1111/j.1742-481X.2007.00423.x

Dumville JC, 2015, Negative pressure wound therapy for treating leg ulcers, Cochrane Database Syst Rev, 7, CD011354

Dumville JC, 2015, Negative pressure wound therapy for treating pressure ulcers, Cochrane Database Syst Rev, 5, CD011334

Dumville JC, 2013, Negative pressure wound therapy for treating foot wounds in people with diabetes mellitus, Cochrane Database Syst Rev, 10, CD010318

10.2165/00128071-200708020-00001

10.1111/j.1742-4801.2005.00149.x

Gibson D, 2010, MMPs made easy, Wounds Int, 1, 1

10.1016/S0962-8924(98)01362-2

10.1111/j.1742-481X.2010.00749.x

10.1089/wound.2011.0333

10.1111/j.1574-695X.2012.00968.x

10.1016/j.cmi.2014.10.024

Keast D, 2014, Ten top tips. Understanding and managing wound biofilm, Wounds Int, 5, 22

10.1093/med/9780198716006.003.0010

Norman G, 2016, Antibiotics and antiseptics for surgical wounds healing by secondary intention, Cochrane Database Syst Rev, 3, CD011712

Bergin SM, 2006, Silver based wound dressings and topical agents for treating diabetic foot ulcers, Cochrane Database Syst Rev, 1, CD005082

Vermeulen H, 2007, Topical silver for treating infected wounds, Cochrane Database Syst Rev, 1, CD005486

O'Meara S, 2014, Antibiotics and antiseptics for venous leg ulcers, Cochrane Database Syst Rev, 1, CD003557

Jones V, 2007, Wound care essentials practice principles, 64

10.12968/jowc.2012.21.3.109

10.12968/jowc.1998.7.10.527

10.1046/j.1524-475x.2000.00013.x

10.7547/87507315-92-1-12

10.1001/archsurg.137.7.822

European Wound Management Association, 2003, Position document: understanding compression therapy

10.12968/jowc.2008.17.6.29584

10.1097/PRS.0b013e3182615703

10.12968/jowc.2015.24.3.128

10.1001/jamadermatol.2014.1431

Kirsner RS, 2015, Clinical experience and best practices using epidermal skin grafts on wounds, Wounds, 27, 282

Aziz Z, 2015, Electromagnetic therapy for treating pressure ulcers, Cochrane Database Syst Rev, 9, CD002930

Aziz Z, 2015, Electromagnetic therapy for treating venous leg ulcers, Cochrane Database Syst Rev, 7, CD002933

Flemming K, 2000, Laser therapy for venous leg ulcers, Cochrane Database Syst Rev, 2, CD001182

Chen C, 2014, Phototherapy for treating pressure ulcers, Cochrane Database Syst Rev, 7, CD009224

Cullum NA, 2010, Therapeutic ultrasound for venous leg ulcers, Cochrane Database Syst Rev, 6, CD001180

Baba‐Akbari Sari A, 2006, Therapeutic ultrasound for pressure ulcers, Cochrane Database Syst Rev, 3, CD001275

10.1016/j.mcna.2013.04.004

10.1017/S0266462313000263

10.1002/dmrr.2246

10.12968/jowc.2011.20.4.160

Health Research Authority, 2015, Topical oxygen and diabetic foot ulcers 2 (TODFU2)

10.1111/j.1742-481X.2006.00209.x

10.7547/1000155

10.2337/diacare.21.5.822

10.1016/j.diabres.2011.10.032

Carter MJ, 2011, Use of platelet rich plasma gel on wound healing: a systematic review and meta‐analysis, Eplasty, 11, e38

Sieggreen MY, 1997, Debridement: choices and challenges, Adv Wound Care, 10, 32

Cutting KF, 2007, Honey and contemporary wound care: an overview, Ostomy Wound Manage, 53, 49

Kennedy K, 1997, Chronic wound care: a clinical source book for healthcare professionals, 227

10.1111/j.1524-475X.2007.00230.x

10.1128/CMR.12.1.147

2013, Effective debridement in a changing NHS: a UK consensus

Gray D, 2011, Consensus guidance for the use of debridement techniques in the UK, Wounds UK, 7, 77

10.12968/jowc.2011.20.5.242

10.1111/j.1743-6109.2006.00136.x

10.1111/j.1742-481X.2007.00490.x

10.1016/j.jccw.2013.01.002

Allan N, 2010, 050: the impact of VERSAJET hydrosurgical debridement on wounds containing bacterial biofilms, Wound Repair Regen, 18, A88

Wendelken ME, 2010, A closer look at ultrasonic debridement, Podiatry Today, 23, 42

10.1097/00129334-200610000-00011

Thông tin
Thông tin xuất bản

International Wound Journal

Tập 13 Số S3

8-14

Thông tin tác giả