Article

Taking care of a patient with an infected pressure sore
necessitates a diagnosis allowing for a suitable treatment strategy. AIMS: To
choose the dressings and topical antimicrobial agents that can be used as of 2012
in treatment of an infected pressure sore. METHODS:
A systematic review of the
literature with queries to the databases Pascal Biomed, PubMed and Cochrane
Library from 2000 through 2010. RESULTS: Diagnosis of local infection is
essentially clinical. It is subsequently difficult to destroy and/or permeabilize
biofilm by means of mechanical wound debridement. Application of an antimicrobial
product and a disinfectant solution are of utmost importance in this respect.
DISCUSSION: The studies do not demonstrate that one topical product is better
than another in wound cleaning. The papers recommending antimicrobial topics lead
to the conclusion that they may be interesting, but show little clinical evidence
of their beneficial effects. Dressings including silver, iodine,
polyhexamethylene biguanide (PHMB) and negative pressure wound therapy could
likewise be of interest, but once again, existing studies present only a low
level of evidence (Grade C). CONCLUSION: Local antimicrobial treatment can be
used when there are signs of local infection (Grade C). Systemic antibiotic
treatment is to be used when there are general medical signs of infection (Grade B).
CI - Copyright (c) 2012. Published by Elsevier Masson SAS.

Langue : ANGLAIS