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Which medical devices and / or local drug should be curatively used, as of 2012, for PU patients ? How can granulation and epidermidalization be promoted ? Developing French guidelines for clinical practice =
Quel dispositif médical et / ou quel médicament local choisir pour un patient avec escarre(s) constituée(s) pour assurer le bourgeonnement et la réépidermisation d'une escarre constituée en 2012 ? Vers l'élaboration de recommandations françaises pour la pratique clinique

NICOLAS B; MOIZIARD AS; BARBIER BARROIS B; RIBINIK P; COLIN A; MICHEL JM; PASSADORI Y
ANN PHYS REHABIL MED , 2012, vol. 55, n° 7, p. 489-497
Doc n°: 159575
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.rehab.2012.08.005
Descripteurs : DA451 - ESCARRES

Management of a patient with pressure ulcer sore(s) must associate
local and general treatment. OBJECTIVES: To determine which medical devices other
than supports and which treatments may be used for pressure sore healing
(granulation tissue and epithelization/epidermidalization) as of 2012. METHODS:
Systematic review of the literature querying the databases: PASCAL Biomed,
PubMed, and Cochrane library from 2000 through 2010. RESULTS: Data in the
literature on granulation tissue and epithelisation/epidermidalization in
pressure sore healing are poor. The level of evidence regarding the relative
effectiveness of one modern dressing compared to another has remained low.
However, the study data on the interest of hydrocolloid dressing compared with
impregnated gases are more significant. DISCUSSION: Studies with heterogeneous
results and populations have shown low power. Meta-analyses are difficult due to
the wide range of therapeutic aims. Further clinical studies with adequate
methodology are needed prior to elaboration of more specific recommendations.
CONCLUSION: The use of hydrocolloid dressing may be recommended to improve
granulation tissue development and epithelization/ epidermidalization in pressure
sore (Level B).
CI - Copyright (c) 2012. Published by Elsevier Masson SAS.

Langue : ANGLAIS

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