What is it about?
Instillational therapy using a NPWT device has been postulated to enhance wound bed cleaning better than simple VAC therapy does. However until now studies of this issue are scarce and not easily comparable. We therefore studied the effect of instillational therapy on the bacterial Count in contaminated wounds under NPWT.
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Why is it important?
Because eradication or reduciton of microbial wound contamination is an essential prerequisite for wound healing. We were able to show a significant decrease of the microbial contamination of wounds following surgical debridement and repeated instillationaö VAC therapy.
Perspectives
Given the fact that oftentimes bacterial colonizaiton of wounds poses a problem due to multi-drug resistancy and the low Penetration of systemically administered antibiotics into a contaminated wound this method might help to cure hard to heal wounds and to effectively reduce or eliminate drug resistant microbial colonizaiton from wounds.
Univ.-Professor Dr.med. Prof. h.c. Dr.h.c. Raymund E Horch
Friedrich-Alexander-Universitat Erlangen-Nurnberg
Read the Original
This page is a summary of: Negative pressure wound treatment with computer-controlled irrigation/instillation decreases bacterial load in contaminated wounds and facilitates wound closure, International Wound Journal, July 2018, Wiley,
DOI: 10.1111/iwj.12958.
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