Which medical technology and/or local treatment is most conducive, as of 2012, to pressure sore debridement ? Developing French guidelines for clinical practice.
BACKGROUND
Implementation of a curative strategy at the debridement stage associates systemic therapy with local therapy.


OBJECTIVE
To determine which medical devices and technology other than support surfaces and what kinds of drugs to use in order to cleanse a pressure ulcer in 2012.


METHODS
A systematic review of the literature querying the databases PASCAL Biomed, Cochrane Library and PubMed from 2000 to 2010 along with a compendium of prevailing professional practices.


RESULTS
Pressure sore debridement is based on local care and on the use of alginates, hydrogels and hydrocolloids.


CONCLUSIONS
The analyzed articles do not take into account any specific stage of pressure ulcer debridement. Data that might favor some kinds of dressings show a low level of evidence. Were it possible to decide on the dressing to be used for a given indication, professionals would be better able to orient and narrow down their choices.


CONCLUSIONS
Use of alginates and hydrogels in pressure ulcer debridement is of real interest. According to expert opinion, other dressings (irrigo-absorbents, for instance) seem promising, but have yet to receive adequate scientific validation.
Unité plaies et cicatrisation, CHRU Lapeyronie, Montpellier, France. chloetrial@yahoo.fr
C
C
Trial
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Pineau
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Barrois
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Colin
J-M
JM
Michel
Y
Y
Passadori
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P
Ribinik
D001458:Bandages; D003646:Debridement; D006801:Humans; D054843:Negative-Pressure Wound Therapy; D017410:Practice Guidelines as Topic; D003668:Pressure Ulcer / Q000628:therapy*