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Hard-to-heal wounds are challenging to treat and the associated costs consistently fall on outpatient, community and home care budgets. There is a growing body of evidence that suggests the use of PICO™ single-use negative pressure wound therapy (sNPWT) can potentially help improve healing rates of wounds that are deemed as not healing and reduce associated nursing resources and costs. A 323-patient service evaluation was conducted across 17 sites in Denmark, Ireland, Sweden and the United Kingdom between 2016 and 2022. The results are presented in this article.
Authors:
Jane Hampton, Helen Meagher, Andrew Sharpe, Tim Styche and Jacqui Hughes
Jane Hampton is a Wound Consultant in Aarhus, Denmark; Helen Meagheris a Registered Advanced Nurse Practitioner in Tissue Viability, Ireland; Andrew Sharpe is Advanced Podiatrist, Salford Care Organisation, Part of the Northern Care Alliance, UK; Tim Styche is Market Access & Healthcare Economics Manager at Smith+Nephew; Jacqui Hughes is Senior Healthcare Outcomes Manager at Smith+Nephew
Chronic wounds with low healing rate generally lead to decreased in quality of life of patients, financial burden and increased morbidity rate (Järbrink et al, 2016). Thus, wound care management involving a patented 4-in-1 formulation is an aid in the management of chronic wounds. To demonstrate its efficacy, seven patients were chosen, four with a venous leg ulcer, two with a diabetic foot ulcer and 1 with a pressure ulcer. All the wounds were cleaned, debrided and then the silicon dioxide, silver ions, chlorhexidine and hyaluronic acid cream (KAdermin cream) was applied as the primary dressing, with a non-adhesive dressing as a secondary dressing. This case series demonstrates that the cream was able to reduce wound size significantly, while eliminating infection signs.
Harikrishna KR Nair is a Professor and Head of Wound Care Unit, Department of Internal Medicine, Hospital Kuala Lumpur; Nur Zati Ilwani, a SRN, Staff Nurse of Wound Care Unit, Department of Internal Medicine, Hospital Kuala Lumpur; Ling Li Ng is a Pharmacist of Y.S.P. Industries (M) Sdn. Bhd.Lumpur
AUTHORS
Sicco A. Bus1 , Larry A. Lavery2, Matilde Monteiro-Soares3 , Anne Rasmussen4, Anita Raspovic5 , Isabel C.N. Sacco6, Jaap J. van Netten1,7,8 on behalf of the International Working Group on the Diabetic Foot (IWGDF)
INSTITUTIONS
1 Amsterdam UMC, Department of Rehabilitation Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
2 Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA
3 MEDCIDES: Departamento de Medicina da Comunidade Informação e Decisão em Saúde & CINTESIS – Center for Health Technology and Services Research, Faculdade de Medicina da Universidade do Porto, Porto, Portugal
4 Steno Diabetes Center Copenhagen, Gentofte, Denmark
5 Discipline of Podiatry, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia
6 Physical Therapy, Speech and Occupational Therapy department, School of Medicine, University of São Paulo, São Paulo, Brazil
7 School of Clinical Sciences, Queensland University of Technology, Brisbane, Australia
8 Diabetic foot clinic, Department of Surgery,Ziekenhuisgroep Twente, Almelo and Hengelo, The Netherlands
KEYWORDS
diabetic foot; foot ulcer; guidelines; prevention; footwear; self-care; self-management; education www.iwgdfguidelines.org
AUTHORS
Nicolaas C. Schaper1 , Jaap J. van Netten2,3,4, Jan Apelqvist5 , Sicco A. Bus2 , Robert J. Hinchlife6 , Benjamin A. Lipsky7 on behalf of the International Working Group on the Diabetic Foot (IWGDF)
INSTITUTIONS
1 Div. Endocrinology, MUMC+, CARIM and CAPHRI Institute, Maastricht, The Netherlands
2 Amsterdam UMC, Department of Rehabilitation Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
3 School of Clinical Sciences, Queensland University of Technology, Brisbane, Australia
4 Diabetic foot clinic, Department of Surgery, Ziekenhuisgroep Twente, Almelo and Hengelo, The Netherlands
5 Department of Endocrinology, University Hospital of Malmö, Sweden
6 Bristol Centre for Surgical Research, University of Bristol, Bristol, UK
7 Department of Medicine, University of Washington, Seattle, USA; Green Templeton College, University of Oxford, Oxford, UK
KEYWORDS
diabetic foot; foot ulcer; guidelines; guidance; implementation; prevention; treatment www.iwgdfguidelines.org
