Technology and product reviews dressing[32] not an issue for the patient[32]


. Furthermore, pain and discomfort are . It is an easy-to-use,


relatively quick and efficient method. However, Vowden and Vowden[31]


Page Points 1. Antiseptic cleansing is also considered to be an important component of wound bed preparation


2. The purpose of this method of cleansing is to remove bacteria and debris from the wound — the cleansing also disrupts biofilms present on the wound surface


3. Though water is commonly used for wound cleansing, more recently, it has been suggested that non-healing wounds may benefit from the use of more targeted cleansing solutions


suggest


that the product is more readily placed as an adjunct to current methods of debridement. The product may also be used effectively for maintenance debridement, avoiding the need for specialised debridement techniques[31]


.


CLEANSING Antiseptic cleansing is also considered to be an important component of wound bed preparation[33]


. The purpose of this method


of cleansing is to remove bacteria and debris from the wound — the cleansing also disrupts biofilms present on the wound surface[34]


. A biofilm is the name given to


bacteria living within an extra polymeric substance[35]


to attach to the wound and assists the bacteria in resisting invasion[35] Though water is commonly used


. References


18.The Johanna Briggs Institute. Surgical and conservative sharp wound debridement for chronic wounds.Wound Prac Resear 2011; 19: 29–31.


19. Ovington LG. Hanging wet-to-dry dressings out to dry. Home Health Nurse 2001; 19: 1–11.


20. Vermeulen H, Ubbink DT, Femke de Zwar F, Goossens A, de Vos R. Preferences of patients, doctors, and nurses regarding wound dressing characteristics: A conjoint analysis. Wound Rep Regen 2007; 15: 302–07.


21 König M, Vanscheidt W, Augustin M, Kapp H. Enzymatic versus autolytic debridement of chronic leg ulcers: a prospective randomised trial. J Wound Care 2005; 14: 320–23.


22. Young T. Skin failure and wound debridement. Nurs Res Care 2012; 14: 74.


23. Hart J. Inflammation 1: its role in the healing of acute wounds. J Wound Care 2002; 11: 205–09.


24. Ramundo J, Gray M. Collagenase for enzymatic debridement: a systematic review. J Wound, Ostomy Contin Nurs 2009; 36(suppl): 4–11.


25. Acton C. A Know-how guide to using larval therapy for wound debridement. Wound Essentials 2007; 2: 156–59.


26. Jones J, Green J, Lillie AK. Maggots and their role in wound care. Br J Comm Nurs 2011; 16 (suppl): 24–33.


27. Petherick E, O'Meara S, Spilsbury K, Iglesias CP, Nelson EA, Torgerson DJ. Patient


acceptability of larval therapy for leg ulcer treatment: a randomised survey to inform the sample size calculation of a randomised trial. BMC Med Res Method 2006; 6: 43.


28. Dumville J, Worthy G, Bland J, et al. Larval therapy for leg ulcers (VenUS II): randomised controlled trial. Br Med J 2009; 338: b773.


29. Benbow M. Debridement: wound bed preparation. J Comm Nurs 2011; 25: 18.


30. NICE. The MIST Therapy System for the Promotion of Wound Healing. 2011; NICE, London. 31. Vowden P, Vowden K. Introduction to Debrisoft®. Br J Nurs 2011; 4: 4.


32. Haemmerle G, Duelli H, Abel M, Strohal R. The wound debrider: a new monofilament fibre technology. Br J Nurs 20: S35–42.


33. Falanga V. Classifications for wound bed preparation and stimulation of chronic wounds. 2000; Wound Repair Regen 8: 347–52.


for wound cleansing, more recently, it has been suggested that non-healing wounds may benefit from the use of more targeted cleansing solutions[34]


. One such


solution (Prontosan®; B. Braun) contains polyhexamethylene biguanide (PHMB) — an antimicrobial agent — and betaine, a surfactant. It has been shown to be effective in removing debris and bacteria, while disrupting wound biofilms[34]


. . This substance enables bacteria


. In this way, the


use of antiseptic cleansing contributes to the overall goals of wound bed preparation[36)


SELECTING THE RIGHT METHOD The competence of the practitioner is central when it comes to selecting the most appropriate method of debridement[13)


.


Indeed, competence is defined as the ability to 'practise safely and effectively within one’s own scope of practice'[37]


. Clearly,


each clinician has a duty to provide wound management services in a manner that is safe and appropriate for the individual needs of the patient[38]


. Importantly,


education provides the framework to ensure that actions taken are justifiable and appropriate[39] Young[13]


. suggests that a number of key


factors should be considered when selecting the most appropriate method of debridement.


21 22 Wounds International Vol 3 | Issue 2 | ©Wounds International 2012


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