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Pressure ulcers. Local wound care.

Authors
Type
Published Article
Journal
Clinics in geriatric medicine
Publication Date
Volume
13
Issue
3
Pages
543–552
Identifiers
PMID: 9227943
Source
Medline

Abstract

Local care of pressure ulcers includes wound cleansing, débridement, and dressings. Wound cleansing should remove loose debris and exudate but should not damage viable tissue. Saline irrigation is the standard. Débridement is often necessary for Stage III and IV pressure ulcers and can be performed autolytically, mechanically, enzymatically, or sharply. Prompt débridement is essential for infected wounds. Dressings should keep the wound bed continuously moist, should not be toxic to granulation tissue, and should keep the surrounding intact skin dry. Randomized, controlled clinical trials are necessary to define optimal local wound care further.

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