INFECTION CONTROL
Authors Lindsey Bullough is a Tissue Viability Nurse, at the Royal Albert Edward Infirmary, Wigan. Co-authors:
Mr Sean Burns MRCOG clinical director, Dept. Obstetrics and Gynaecology, Wrightington, Wigan and Leigh NHS Foundation Trust; John Timmons, clinical project manager, Smith and Nephew Healthcare, (Literature search and editorial support); Paul Truman, vice president, Market Access, Smith and Nephew Healthcare (Health Economics); Sarah Megginson, statistician, (data analysis and presentation).
References: • Atkins, B. Z., Wooten, M. K., Kistler, J., Hurley, K., Hughes, G. C., & Wolfe, W. G. (2009). Does negative pressure wound therapy have a role in preventing post sternotomy wound complications? Surgical Innovation, 16 (2), 140–6. Retrieved from
http://www.ncbi.nlm.nih.gov/ pubmed/19460818
• Bullough L, Wilkinson D, Burns S and Wan L (2014) Changing protocols to reduce postoperative caesarean section infection and dehiscence, Wounds UK, Vol 10, No 1, pp 72-76.
• Chariker, M., Jeter, K., & Tintle, T. (1989). Effective management of incisional and cutaneous fistulae with closed suction wound drainage. Contemp Surg, 34, 59–63. Retrieved from
http://www.drchariker.com/ documents/EffectiveWoundManagement.pdf
• European Wound Management (2007) Association (EWMA). Position Document: Topical negative pressure in wound management. London: MEP Ltd.
• Fleischmann W, Strecker W, Bombelli M, Kinzl L (1993) Vacuum sealing as treatment of soft tissue damage in open fractures. Unfallchirurg 96(9): 488–92
• Fraccalvieri, M., Ruka, E., Bocchiotti, M. A., Zingarelli, E., & Bruschi, S. (2011). Patient’s pain feedback using negative pressure wound therapy with foam and gauze. International Wound Journal, 8(5), 492–9. doi:10.1111/j.1742- 481X.2011.00821.x
• Grauhan, O., Navasardyan, A., Hofmann, M., Müller, P., Stein, J., & Hetzer, R. (2013). Prevention of poststernotomy wound infections in obese patients by negative pressure wound therapy. The Journal of Thoracic and Cardiovascular Surgery, 145(5), 1387–92. doi:10.1016/j.jtcvs.2012.09.040
• Health and Social Care Information Centre (HSCIC) (2014) Statistics on Obesity, Physical Activity and Diet: England, Report
http://www.hscic.gov.uk/catalogue/ PUB13648 accessed April 2014.
• Jeffery, S. L. a. (2009). Advanced wound therapies in the management of severe military lower limb trauma: a new perspective. Eplasty, 9, e28. Retrieved from
http://www.pubmedcentral.nih.gov/ articlerender.fcgi?artid=2714221&tool= pmcentrez&rendertype=abstract
• Karlakki, S., Brem, M., Giannini, S., Khanduja, V., Stannard, J., & Martin, R. (2013). Negative pressure wound therapy for management of the surgical incision in orthopaedic surgery: A review of evidence and mechanisms for an emerging indication. Bone & Joint Research, 2(12), 276–84. doi:10.1302/2046- 3758.212.2000190
• Malmsjö, M., & Ingemansson, R. (2011). Effects of green foam, black foam and gauze on contraction, blood flow and pressure delivery to the wound bed in negative pressure wound therapy. Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS, 64(12), e289–96. doi:10.1016/
j.bjps.2011.06.023
• Morykwas MJ, Argenta LC, Shelton-Brown EI, McGuirt W. Vacuum-assisted closure: a new method for wound control and treatment: animal studies and basic foundation. Annals of Plastic Surgery 1997; 38(6): 553-62.
• Mouës, C. M., Vos, M. C., van den Bemd, G.-J. C. M., Stijnen, T., & Hovius, S. E. R. (2004). Bacterial load in relation to vacuum-assisted closure wound therapy: a prospective randomized trial. Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society, 12(1), 11–7. doi:10.1111/j.1067-1927.2004.12105.x
• Saxena V, Wei Hwang,C Huang S, Eichbaum Q, Ingber D, and Orgill DP (2004) Vacuum Assisted Closure : Microdeformations of Wounds and Cell Proliferation, Plastic & Reconstructive Surgery Vol.114 No. 5 October 2004
• Tanner et al.(2009) Post-discharge surveillance to identify colorectal surgical site infection rates and related costs. J Hosp Infect. 2009 , 72:243-250.
• Wloch, C., Wilson, J., Lamagni, T., Harrington, P., Charlett, A., & Sheridan, E. (2012). Risk factors for surgical site infection following caesarean section in England: results from a multicentre cohort study. BJOG: An International Journal of Obstetrics & Gynaecology, no–no. doi:10.1111/ j.1471-0528.2012.03452.x.
Get it clean. Keep it clean. Focus wound cleansing and preserve a clean, moist healing environment with octenilin®
octenilin ®
octenilin® wound irrigation solution and octenilin® wound gel contains Octenidine, an antimicrobial preservative which can help to protect wounds from infection.
octenilin® wound irrigation solution is specifi cally formulated with a low surface tension, enabling thorough cleansing of most types of wound.
octenilin® wound gel is a hydrogel which can be left in place for up to 5 days, providing a clean, moist and undisturbed healing environment.
For more information on octenilin® or to fi nd out more about our full range of infection control products call us on 0114 254 3500 or visit
www.schulke.co.uk
APRIL 2015
THE CLINICAL SERVICES JOURNAL
47
Available on Drug Tariff
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