Pressure ulcers. Local wound care.
Local care of pressure ulcers includes wound cleansing, débridement, and dressings. Wound cleansing should remove loose debris and exudate but should not damage viable tissue. Saline irrigation is the standard. Débridement is often necessary for Stage III and IV pressure ulcers and can be performed autolytically, mechanically, enzymatically, or sharply. Prompt débridement is essential for infected wounds. Dressings should keep the wound bed continuously moist, should not be toxic to granulation tissue, and should keep the surrounding intact skin dry. Randomized, controlled clinical trials are necessary to define optimal local wound care further.
Goode
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PS
Center for Aging, Division of Gerontology and Geriatric Medicine, University of Alabama at Birmingham, Birmingham, Alabama 35233-2114, USA.
Thomas
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DR
D000891:Anti-Infective Agents, Local / Q000627:therapeutic use; D001458:Bandages; D003646:Debridement / Q000379:methods; D006801:Humans; D003668:Pressure Ulcer / Q000145:classification / Q000628:therapy*; D012107:Research Design; D012720:Severity of Illness Index; D017592:Skin Care / Q000379:methods*; D007507:Therapeutic Irrigation; D014945:Wound Healing
D000891:Anti-Infective Agents, Local