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IWGDF guidance on use of interventions to enhance the healing of chronic ulcers of the foot in diabetes

F. L. Game, J. Apelqvist, C. Attinger, A. Hartemann, R. J. Hinchliffe, M. Löndahl, P. E. Price, W. J. Jeffcoate, Tricia Price

Diabetes/Metabolism Research and Reviews, Volume: 32, Pages: 75 - 83

Swansea University Author: Tricia Price

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DOI (Published version): 10.1002/dmrr.2700

Abstract

RecommendationsClean ulcers regularly with clean water or saline, debride them when possible in order to remove debris from the wound surface and dress them with a sterile, inert dressing in order to control excessive exudate and maintain a warm, moist environment in order to promote healing. (GRADE...

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Published in: Diabetes/Metabolism Research and Reviews
ISSN: 15207552
Published: 2016
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URI: https://cronfa.swan.ac.uk/Record/cronfa48708
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spelling v2 48708 2019-02-05 IWGDF guidance on use of interventions to enhance the healing of chronic ulcers of the foot in diabetes 72b4943af96c97ef72977c31b9c29624 Tricia Price Tricia Price true false 2019-02-05 FGMHL RecommendationsClean ulcers regularly with clean water or saline, debride them when possible in order to remove debris from the wound surface and dress them with a sterile, inert dressing in order to control excessive exudate and maintain a warm, moist environment in order to promote healing. (GRADE strength of recommendation: strong; quality of evidence: low)In general, remove slough, necrotic tissue and surrounding callus with sharp debridement in preference to other methods, taking relative contraindications such as severe ischemia into account. (strong; low)Select dressings principally on the basis of exudate control, comfort and cost. (strong; low)Do not use antimicrobial dressings with the goal of improving wound healing or preventing secondary infection. (strong; moderate)Consider the use of systemic hyperbaric oxygen therapy, even though further blinded and randomized trials are required to confirm its cost‐effectiveness, as well as to identify the population most likely to benefit from its use. (weak; moderate)Topical negative pressure wound therapy may be considered in post‐operative wounds even though the effectiveness and cost‐effectiveness of the approach remain to be established. (weak; moderate)Do not select agents reported to improve wound healing by altering the biology of the wound, including growth factors, bioengineered skin products and gases, in preference to accepted standards of good quality care. (strong; low)Do not select agents reported to have an impact on wound healing through alteration of the physical environment, including through the use of electricity, magnetism, ultrasound and shockwaves, in preference to accepted standards of good quality care. (strong; low)Do not select systemic treatments reported to improve wound healing, including drugs and herbal therapies, in preference to accepted standards of good quality care. (strong; low) Journal Article Diabetes/Metabolism Research and Reviews 32 75 83 15207552 26 1 2016 2016-01-26 10.1002/dmrr.2700 COLLEGE NANME Medicine, Health and Life Science - Faculty COLLEGE CODE FGMHL Swansea University 2023-06-28T15:28:17.7256812 2019-02-05T16:24:57.6189180 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine F. L. Game 1 J. Apelqvist 2 C. Attinger 3 A. Hartemann 4 R. J. Hinchliffe 5 M. Löndahl 6 P. E. Price 7 W. J. Jeffcoate 8 Tricia Price 9 0048708-30052019161643.pdf Woundguidelines-FINAL.pdf 2019-05-30T16:16:43.0770000 Output 188047 application/pdf Accepted Manuscript true 2019-05-30T00:00:00.0000000 true eng
title IWGDF guidance on use of interventions to enhance the healing of chronic ulcers of the foot in diabetes
spellingShingle IWGDF guidance on use of interventions to enhance the healing of chronic ulcers of the foot in diabetes
Tricia Price
title_short IWGDF guidance on use of interventions to enhance the healing of chronic ulcers of the foot in diabetes
title_full IWGDF guidance on use of interventions to enhance the healing of chronic ulcers of the foot in diabetes
title_fullStr IWGDF guidance on use of interventions to enhance the healing of chronic ulcers of the foot in diabetes
title_full_unstemmed IWGDF guidance on use of interventions to enhance the healing of chronic ulcers of the foot in diabetes
title_sort IWGDF guidance on use of interventions to enhance the healing of chronic ulcers of the foot in diabetes
author_id_str_mv 72b4943af96c97ef72977c31b9c29624
author_id_fullname_str_mv 72b4943af96c97ef72977c31b9c29624_***_Tricia Price
author Tricia Price
author2 F. L. Game
J. Apelqvist
C. Attinger
A. Hartemann
R. J. Hinchliffe
M. Löndahl
P. E. Price
W. J. Jeffcoate
Tricia Price
format Journal article
container_title Diabetes/Metabolism Research and Reviews
container_volume 32
container_start_page 75
publishDate 2016
institution Swansea University
issn 15207552
doi_str_mv 10.1002/dmrr.2700
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 1
active_str 0
description RecommendationsClean ulcers regularly with clean water or saline, debride them when possible in order to remove debris from the wound surface and dress them with a sterile, inert dressing in order to control excessive exudate and maintain a warm, moist environment in order to promote healing. (GRADE strength of recommendation: strong; quality of evidence: low)In general, remove slough, necrotic tissue and surrounding callus with sharp debridement in preference to other methods, taking relative contraindications such as severe ischemia into account. (strong; low)Select dressings principally on the basis of exudate control, comfort and cost. (strong; low)Do not use antimicrobial dressings with the goal of improving wound healing or preventing secondary infection. (strong; moderate)Consider the use of systemic hyperbaric oxygen therapy, even though further blinded and randomized trials are required to confirm its cost‐effectiveness, as well as to identify the population most likely to benefit from its use. (weak; moderate)Topical negative pressure wound therapy may be considered in post‐operative wounds even though the effectiveness and cost‐effectiveness of the approach remain to be established. (weak; moderate)Do not select agents reported to improve wound healing by altering the biology of the wound, including growth factors, bioengineered skin products and gases, in preference to accepted standards of good quality care. (strong; low)Do not select agents reported to have an impact on wound healing through alteration of the physical environment, including through the use of electricity, magnetism, ultrasound and shockwaves, in preference to accepted standards of good quality care. (strong; low)Do not select systemic treatments reported to improve wound healing, including drugs and herbal therapies, in preference to accepted standards of good quality care. (strong; low)
published_date 2016-01-26T15:28:13Z
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score 11.012678

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