Ensuring high quality care
is a key requirement in the wound healing process. Optimal wound care
has become synonymous with the prevention and control of microbial contamination.
Wound irrigation plays an essential role in the management of acute and chronic wounds and helps create favorable conditions for healing. The goal is to optimize the wound environment by removing the wound, removing dressings, removing excess or dried exudate, reducing contamination and bacterial load, and inhibiting biofilm activity. thus reducing the overall risk of infection.
Because the new epithelial cells and blood vessels are often delicate, wound cleansing should be done in a minimally traumatic manner. Among the many methods of debridement, irrigation is often the preferred method of wound irrigation because it can remove damage caused by debris and microorganisms while avoiding further damage to the wound bed. You have many options when it comes to doing so. Factors to consider include the ability to initiate rapid antimicrobial responses to contamination while avoiding damage to human cells essential for wound healing.
Wounds should be cleaned if they show signs of infection or shedding, are visibly contaminated with substances that increase the risk of infection, or contain visibly debris. Antiseptic wound washes are becoming a common addition to the toolkit for managing wounds that show signs of colonization, such as the presence of biofilm, excessive exudate, necrotic tissue, and debris.
Wounds suspected of increased biofilm/bioburden should be treated with a combined approach of wound cleansing/irrigation or debridement and application of topical antimicrobials to promote healing by preventing biofilm disruption, removal, and re-formation. need to manage. A bactericidal wound wash, especially in severely colonized wounds, should be used in the following cases: If local infection has already occurred in a patient with a history of recurrent infection and if systemic antibiotics are required to stop the spread of infection.
Topical antiseptics should generally be used for up to 5 days and up to 14 days. After 5 days, the wound should be re-evaluated for any signs of improvement, such as shedding indicating a reduction in bacterial load or a reduction in odor. Once the wound has healed, the use of antiseptic washes should be continued for 14 days and then stopped.