![]() ![]() The choice of therapy must be made in accordance with the available evidence for the indication and use of the therapeutic products in an appropriate manner. The treatment of acute and chronic wounds involves a global evaluation of the patient and the choice of appropriate therapy, targeting not only the wound, but also its cause. Lower limb ulcers (venous, arterial and neuropathic) and pressure injury are considered chronic. In addition, biofilm formation and the propensity to be colonized by bacteria and fungi are factors that delay the healing process. They also present a hypoxic microenvironment (low oxygen tension), leading to fibroblast proliferation and, consequently, to increased tissue fibrosis. Healing stops during the inflammatory or proliferative phases, with characteristics that hamper the healing process, such as accumulation of metalloproteinases, collagenases and elastase, which prematurely degrade collagen and growth factors. Wound infection in clinical practice: principles of best practice. 1 1 International Wound Infection Institute (IWII). In contrast, chronic wounds progress slowly in the healing stages, presenting delayed, interrupted or paralyzed healing processes, according to intrinsic or extrinsic factors that have an impact on both the individual and their wound. Acute wounds, mainly traumatic and postoperative in nature, usually maintain anatomical and functional integrity when properly healed. Ulcers and wounds can be classified as acute or chronic. Occlusive dressings Wounds and injuries Wound healing This review includes wound assessment using the acronym TIME ( tissue, infection/inflammation, moisture balance and edge of wound), cleaning and debridement, infection/inflammation control, exudate control, dressing types and main indications. A qualitative analysis of literature was conducted to identify scientific publications that update the concepts involved in local wound treatment, to present some resources that can aid the healing process and describe the different types of dressings available. Constant updating, with emphasis on available scientific evidence, is necessary to offer the best approaches to patients with acute and chronic wounds. ![]() Technological progress in the field of wound treatment has increased rapidly. Their treatment involves overall assessment of the patient and choice of suitable local therapy, and the appropriate indication and use of products. Ulcers or wounds can be classified as acute or chronic. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |