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Application of Lucilia sericata Larvae in Debridement of Pressure Wounds in Outpatient Settings
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Water for wound cleansing.

Ritin S Fernandez1, Rhonda Griffiths, Cheryl Ussia

  • 1South Western Sydney, Centre for Applied Nursing Research, New South Wales Centre for Evidence Based Health Care (a collaborating centre of the Joanna Briggs Institute), Liverpool BC, and University of Western Sydney, Penrith South DC, New South Wales, Australia.

International Journal of Evidence-Based Healthcare
|June 3, 2011
PubMed
Summary
This summary is machine-generated.

Tap water may reduce infection rates in acute wounds, but evidence is limited. Studies show no significant difference in infection or healing when comparing tap water to no cleansing or other solutions for various wound types.

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Assessing Biofilm Dispersal in Murine Wounds
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Area of Science:

  • Wound care and infection control
  • Evidence-based medicine

Background:

  • Normal saline is favored for wound cleansing due to its isotonic properties.
  • Tap water is a common, accessible, and cost-effective alternative, but its use in wound care remains debated.

Purpose of the Study:

  • To systematically review randomized and quasi-randomized controlled trials comparing water with other solutions for wound cleansing.
  • To assess the impact of water-based wound cleansing on infection and healing rates.

Main Methods:

  • Searched multiple databases (Cochrane Wounds Group, MEDLINE, EMBASE, CINAHL) and contacted experts for eligible randomized and quasi-randomized controlled trials.
  • Included trials comparing water with other solutions for wound cleansing, with outcomes including infection and healing measures.
  • Independent data extraction and quality assessment by two reviewers, with discrepancies resolved by a third reviewer.

Main Results:

  • Five trials compared water and normal saline; three compared water with no cleansing; one compared water with procaine spirit.
  • Tap water use for acute adult wounds showed a lower infection rate than saline (RR 0.55, 95% CI 0.31-0.97).
  • No significant differences in infection rates were found for chronic wounds, acute pediatric wounds, or when comparing tap water to no cleansing.

Conclusions:

  • Limited evidence suggests tap water may reduce infection in acute wounds.
  • No significant differences in infection or healing rates were observed between tap water and other cleansing solutions or no cleansing.
  • Boiled, cooled, or distilled water are suitable alternatives when tap water is not potable.