title: Which medical device and/or which local treatment for prevention in patients with risk factors for pressure sores in 2012? Developing French guidelines for clinical practice.
abstract: BACKGROUND
  Implementation of a prevention strategy after the identification of risk factors is essential at the entrance in a care unit or in a medical-social unit.
  
  
  OBJECTIVE
  Determine which medical devices and which treatments may be used in order to prevent pressure sore in 2012.
  
  
  METHODS
  Systematic review of the literature using databases: Pascal, Biomed, PubMed, and Cochrane library between 2000 and 2010.
  
  
  RESULTS
  Nursing care including use of soft product, non-irritating for the cleaning, hydration of the skin with emollients, protection of fragile skin in case of incontinence by applying a skin protector and application of dressings in front of bony prominences to reduce shear forces, remain valid (level C).
  
  
  CONCLUSIONS
  Nursing cares and use of dressing in patients with high risks of pressure sores are the responsibility of the nurses. The engagement of health care teams involves screening of risk factors and the knowledge of treatments and local devices.
  
  
  CONCLUSIONS
  Local preventive treatment in a patient with risk factors of pressure sore is of great interest at entrance in a care unit or in a medical-social unit.
authors.affiliation: Pôle Saint-Hélier, Rennes, France. benoit.nicolas@pole-sthelier.com
authors.forename: B
authors.initials: B
authors.lastname: Nicolas
authors.forename: A S
authors.initials: AS
authors.lastname: Moiziard
authors.forename: B
authors.initials: B
authors.lastname: Barrois
authors.forename: D
authors.initials: D
authors.lastname: Colin
authors.forename: J M
authors.initials: JM
authors.lastname: Michel
authors.forename: Y
authors.initials: Y
authors.lastname: Passadori
authors.forename: P
authors.initials: P
authors.lastname: Ribinik
mesh_terms: D001458:Bandages; D004643:Emollients / Q000627:therapeutic use; D005989:Glycerides / Q000627:therapeutic use; D006801:Humans; D009747:Nutritional Physiological Phenomena; D017410:Practice Guidelines as Topic; D003668:Pressure Ulcer / Q000451:nursing* / Q000517:prevention & control*; D012307:Risk Factors; D017592:Skin Care / Q000379:methods*; D014549:Urinary Incontinence / Q000150:complications
chemical_list: D004643:Emollients; D005989:Glycerides; C110597:sanyrene