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Wound cleansing for pressure ulcers

  1. Zena EH Moore*,
  2. Seamus Cowman

Editorial Group: Cochrane Wounds Group

Published Online: 28 MAR 2013

Assessed as up-to-date: 3 JAN 2013

DOI: 10.1002/14651858.CD004983.pub3


How to Cite

Moore ZEH, Cowman S. Wound cleansing for pressure ulcers. Cochrane Database of Systematic Reviews 2013, Issue 3. Art. No.: CD004983. DOI: 10.1002/14651858.CD004983.pub3.

Author Information

  1. Royal College of Surgeons in Ireland, Faculty of Nursing and Midwifery, Dublin, Ireland

*Zena EH Moore, Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland, 123 St Stephens Green, Dublin, Ireland. zmoore@rcsi.ie.

Publication History

  1. Publication Status: New search for studies and content updated (no change to conclusions)
  2. Published Online: 28 MAR 2013

SEARCH

References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Bellingeri 2004 {published data only}
  • Bellingeri R, Attolini C, Fioretti O, Forma P, Traspedini M, Costa M, et al. Evaluation of the efficacy of a preparation for the cleansing of cutaneous injuries. Minerva Medica 2004;95(Suppl):1-9.
Griffiths 2001 {published data only}
  • Griffiths RD, Fernandez RS, Ussia CA. Is tap water a safe alternative to normal saline for wound irrigation in the community setting?. Journal of Wound Care 2001;10(10):407-11.
Ho 2012 {published data only}

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Anzai 1989 {published data only}
  • Anzai T, Shiratori A, Otomo E, Honda S, Yamamoto T, Nishikawa T, et al. Evaluation of Clinical Utility of NI-009 on Various Cutaneous Ulcers: Comparative Study with Base. Rinsho Iyaku (Journal of Clinical Therapeutics and Medicines) 1989;5(12):2585-612.
Bellingeri 2003 {published data only}
  • Bellingeri A, Forma O,  Polignano R, Attolini R, Accardi S, Fabbri C, et al. Multi-centre research on a cleanser for cutaneous wounds. Wound Repair and Regeneration 2003;11(5):A36 P.018.
Boykin 1989 {published data only}
  • Boykin A, Winland-Brown J. Pressure sores nursing management. Journal of Gerontological Nursing 1989;15(2232):252-6.
Burke 1998 {published data only}
  • Burke DT, Ho CH, Saucier MA. Hydrotherapy effects on pressure ulcer healing. Archives of Physical Medicine and Rehabilitation 1997;78:1053.
  • Burke DT, Ho CHK, Saucier M, Stewart G. Effects of hydrotherapy on pressure ulcer healing. American Journal of Physical Medicine and Rehabilitation 1998;77(5):394-8.
Colombo 1983 {published data only}
  • Colombo P. Topical chloroxidating solution in wounds treatment: a controlled trial. Acta Toxicologica et Therapeutica 1993;14(2):65-72.
Della Marchina 1997 {published data only}
  • Della Marchina M, Renzi G. Cleansing of wounds and cuts in an elderly patient with a new antiseptic preparation. Chronica Dermatologica 1997;7(6):873-85.
Diekmann 1984 {published data only}
Hartman 2002 {published data only}
  • Hartman D, Coetzee JC. Two US practitioners' experience of using essential oils for wound care. Journal of Wound Care 2002;11(8):317-20.
Hinz 1986 {published data only}
Kucan 1981 {published data only}
  • Kucan JO, Robson MC, Heggers JP, Ko F. Comparison of silver sulfadiazine, povidone-iodine and physiologic saline in the treatment of chronic pressure ulcers. Journal of the American Geriatrics Society 1981;29(5):232-5.
Liu 1999 {published data only}
  • Liu Y. Clinical effect on yousuo mixed solution to treat decubitus ulcer. Shanxi Nursing Journal 1999;13(4):174-5.
Saydak 1990 {published data only}
  • Saydak SJ. A pilot test of two methods for the treatment of pressure ulcers. Journal of Enterostomal Therapy 1990;17(3):140-2.
Toba 1997 {published data only}
  • Toba K, Sudoh N, Nagano K, Eto N, Mizuno Y, Ouchi Y. Randomised prospective trial of gentian violet with dibutryl cAMP and povidone iodine with sugar as a treatment for pressure sores infected with methicillin resistant staphyloccocus aureus in elderly patients. Japanese Journal of Geriatrics 1997;34(7):577-82.
Van Der Cammen 1987 {published data only}
  • Van Der Cammen TJM, O'Callaghan U, Whitefield M. Prevention of pressure sores, a comparison of new and old pressure sore treatments. British Journal of Clinical Practice 1987;41(11):1009-11.
Wang 1997 {published data only}
  • Wang Z, Ren J, Song J. Clinical and experimental study on the use of Chuangling solution to treat the ulcer. Shanxi Nursing Journal 1997;11(5):200-3.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Angeras 1992
  • Angeral MH, Brandberg A, Falk A, Seeman T. Comparison between sterile saline and tap water for the cleansing of acute traumatic wounds. European Journal of Surgery 1992;158(6-7):347-50.
Bates-Jensen 1992
  • Bates-Jensen BM, Vredevoe DL, Brecht M. Validity and reliability of the pressure sore status tool. Decubitus 1992;5(6):80S-86S.
Beaglehole 1993
  • Beaglehole R, Bonita R, Kjellstrom T. Measuring health and disease. Basic Epidemiology. Geneva: World Health Organisation, 1993:13-20.
Bennett 2004
BNF 2003
  • BNF. 13.11 Skin Cleansers and Antiseptics. British National Formulary. Oxon: Pharmaceutical Press, 2003:575-8.
Bridel 1996
  • Bridel J, Banks S, Mitton C. The admission prevalence and hospital-acquired incidence of pressure sores within a large teaching hospital during April 1994 to March 1995. Proceedings of the 5th European Conference on Advances in Wound Management. London: Macmillan, 1996.
Carr 2006
  • Carr M. Wound Cleansing: sorely neglected?. Primary Intention: the Australian Journal of Wound Management 2006;14:150-2, 154, 156-7.
Carville 1995
  • Carville K. Wound care manual. Wound care manual. Western Australia, Silver Chain Foundation, 1995.
Day 2000
EPUAP 2002
  • European Pressure Ulcer Advisory Panel. Summary report on the prevalence of pressure ulcers. EPUAP Review 2002;4(2):49-57.
EPUAP/NPUAP 2009
  • European Pressure Ulcer Advisory Panel & National Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers: quick reference guide. National Pressure Ulcer Advisory Panel, Washington DC. 2009.
Fergusson 2002
Fernandez 2012
Flanagan 1998a
Fox 2002
  • Fox C. Living with a pressure ulcer: a descriptive study of patients' experiences. British Journal of Community Nursing Wound Care Supplement 2002;10:12-4.
Gallagher 2008
  • Gallagher P, Barry P, Hartigan I, McCluskey P, O'Connor K, O'Connor M. Prevalence of pressure ulcers in three university teaching hospitals in Ireland. Journal of Tissue Viability 2008;17:103-9.
Gorecki 2009
Greenhalgh 1997
Haalboom 2000
  • Haalboom JRE. Some remarks about overlays in the prevention and treatment of pressure ulcers. EPUAP Review 2000;2(2):67-70.
Hanson 1993
  • Hanson D, Langemo D, Olson B. The prevalence and incidence of pressure ulcers in home care: are patients at risk?. Journal of Home Health Care Practice 1993;5(3):25-32.
Hellewell 1997
  • Hellewell TB, Najor DA, Foresman PA, Rodeheaver GT. A cytotoxic evaluation of antimicrobial and non antimicrobial wound cleansers. Wounds 1997;9(1):15-20.
Higgins 2011
  • Higgins JPT, Altman DG. Chapter 8: Assessing risk of bias in included studies. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org.
Hollis 1999
Iocono 1998
  • Iocono JA, Erlich HP, Gottrup F, Leaper DJ. The biology of healing. In: Leaper DJ, Harding KG editor(s). Wounds Biology and Management. Oxford: Oxford Medical Publications, 1998:10-22.
Kaltenthaler 2001
  • Kaltenthaler E, Whitfield MD, Walters SJ, Akehurst RL, Paisley S. UK, USA and Canada: how do their pressure ulcer prevalence and incidence data compare?. Journal of Wound Care 2001;10(1):530-5.
Keelaghan 2008
Kroger 2008
  • Kröger K, Niebel W, Maier I, Stausberg J, Gerber V, Schwarzkopf A. Prevalence of Pressure Ulcers in Hospitalized Patients in Germany in 2005: Data from the Federal Statistical Office. Gerontology 2008;55(3):281-7.
Lawrence 1997
  • Lawrence JC. Wound Irrigation. Journal of Wound Care 1997;6(1):23-6.
Lefebvre 2011
  • Lefebvre C, Manheimer E, Glanville J. Chapter 6: Searching for studies. In: Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org.
Ligresti 2007
Lindholm 1999
  • Lindohlm C, Bergsten A, Berglund E. Chronic wounds and nursing care. Journal of Wound Care 1999;8(1):5-10.
McInnes 2011
  • McInnes E, Dumville JC, Jammali-Blasi A, Bell-Syer SEM. Support surfaces for treating pressure ulcers. Cochrane Database of Systematic Reviews 2011, Issue 12. [DOI: 10.1002/14651858.CD009490]
Moher 2001
  • Moher D, Schulz KF, Altman D. The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomized trials. CONSORT group. Journal of the American Medical Association 2001;285(15):1987-91.
Montori 2001
Moore 2000
  • Moore Z, Pitman S. Towards establishing a pressure sore prevention and management policy in an acute hospital setting. All Ireland Journal of Nursing and Midwifery 2000;1(1):7-11.
Moore 2011
Moore 2012
Morison 1989
  • Morison MJ. Wound cleansing--which solution?. Professional Nurse 1989;4(5):220-5.
Nixon 1999
  • Nixon J, Smye S, Scott J, Bond S. The diagnosis of early pressure sores: report of the pilot study. Journal of Tissue Viability 1999;9(2):62-6.
NPUAP 1989
  • National Pressure Ulcer Advisory Panel. Pressure ulcer incidence, economics, risk assessment. Consensus development conference statement. Decubitus 1989;2(2):24-8.
O'Meara 2001
Posnett 2009
  • Posnett J, Gottrup F, Lundgren H, Saal G. The resource impact of wounds on health-care providers in Europe. Journal of Wound Care 2009;18(4):154-61.
Redelings 2005
  • Redelings MD, Lee NE, Sorvillo F. Pressure Ulcers: More Lethal Than We Thought?. Advances in Skin and Wound Care 2005;18:367-72.
Richardson 1981
Robertson 1990
  • Robertson J, Swain I, Gaywood I. The importance of pressure sores in total health care. Pressure sores, clinical practice and scientific approach. Bader DL. London: Macmillan Press, 1990:3-13.
Rolstad 2000
  • Rolstad BS, Ovington LG, Harris A. Principles of wound management. In: Bryant RA editor(s). Acute and chronic wounds nursing management. Second Edition. St. Louis, Missouri, USA: Mosby, 2000:85-124.
Schoonhoven 2002
Schoonhoven 2006
  • Schoonhoven L, Bousema M, Buskens E. The prevalence and incidence of pressure ulcers in hospitalised patients in The Netherlands: A prospective inception cohort study. International Journal of Nursing Studies 2006;44(6):927-35.
Schulz 2000
  • Schulz KF. Assessing allocation concealment and blinding in randomised controlled trials: why bother?. Evidence Based Medicine 2000;5:36-8.
SIGN 2013
  • Scottish Intercollegiate Guidelines Network (SIGN). Search filters. http://www.sign.ac.uk/methodology/filters.html#random (accessed February 7 2013).
Singer 1994
  • Singer AJ, Hollander JE, Subramanian S, Malhotra AK, Villez PA. Pressure dynamics of varying irrigation techniques commonly used in the emergency department. Annals of Emergency Medicine 1994;24(1):36-40.
Stotts 2001
  • Stotts N. Assessing a patient with a pressure ulcer. In: Morison M editor(s). The prevention and treatment of pressure ulcers. London: Mosby, 2001:99-115.
Thompson 1999
  • Thompson JS, Brooks RG. The economics of preventing and treating pressure ulcers: a pilot study. Journal of Wound Care 1999;8(6):312-6.
Touche Ross 1993
  • Touche Ross. The costs of pressure sores. Touche Ross and Company. London, 1993.
Towler 2001
  • Towler J. Cleansing traumatic wounds with swabs, water or saline. Journal of Wound Care 2001;10(6):231-4.
Versluysen 1986
Whittington 2000
  • Whittington K, Patrick M, Roberts J. A national study of pressure ulcer prevalence and incidence in acute care hospitals. Journal of Wound Care Nursing 2000;24(4):209-15.
Young 1995
  • Young T. Common problems in wound care: wound cleansing. British Journal of Nursing 1995;4(5):286-9.

References to other published versions of this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Moore 2008