Adrian Roberts posted:
> Can anyone guide me to some evidence on this please. My Medline search on
> Antisep$ and wound healing yielded nothing useful. The A&E dept of our
> local DGH cleans its dirty wounds in the traditional fashion with a
> variety of antiseptic. The County's minor injury units (run by a different
> trust) use nothing but saline irrigation believing that antiseptics delay
> wound healing and do not prevent infection. Those running the departments
> do not know of the evidence on which their preferred management is based!
I have the following review on file. If there's anything better and more
recent, would appreciate knowing!
PARADIGM Database Search, 13 September 99:
-------------------------------------
Pike AW
Antiseptic Use in Wound Management
CRITICAL CARE NURSE 1983;Nov/Dec:87-93
Excellent literature review tracing history, recommended
agents & protocols, controversies in effectiveness and
complications, and implications for further research re:
antiseptics in wound management. On balance, extensive
(over)use is attributed to tradition, not documented
need and/or value.
---COPYRIGHT, APPLIED EPIDEMIOLOGY---
BTW, PARADIGM also indexes an animal model study:
Rodeheaver GT, Pettry D, Thacker JG, et.al.
Wound Cleansing by High Pressure Irrigation
SURG GYNECOL OBSTET 1975;141:357-62
David Birnbaum, PhD, MPH
Clinical Assistant Professor
Dept. of Health Care & Epidemiology
University of British Columbia, Canada
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|