Abstract

The challenges of modern wound management, such as the treatment of chronic wounds and their phase-specific handling, are demanding and require optimally adapted therapeutic measures. The principles of moist wound care as well as an adequate debridement have priority here. To support these necessary measures, different options are available, e.g., anew product group operating across several wound phases. Anew treatment principle in modern wound management based on an expert consensus is presented. On the basis of clinical experience reports and published evidence, the current and new principles of wound treatment were discussed in apanel of experts and formulated as aconsensus statement. Enzyme alginogels represent acombination of agents that allow phase-specific wound care. They exhibit autolytic, absorbent, and antimicrobial properties and simultaneously cover three components of wound management based on the TIME framework. Thus, according to the experts, they differ from other wound healing products and can be classified in adistinct product group. Clinical studies, as well as clinical experiences, provide evidence for the efficacy of enzyme alginogels. According to the experts, the potential of enzyme alginogels used considering the principles of moist wound care, comprises the three-fold effect (continuous and significantly simplified debridement, maintaining amoist wound environment and antimicrobial effect without cytotoxicity), the ease of use, and the flexible application. In addition, the flexibility of the product class regarding frequency of application, duration of treatment and combinability with secondary dressings, are of economic benefit in the health care sector.

Highlights

  • The challenges of modern wound management, such as the treatment of chronic wounds and their phase-specific handling, are demanding and require optimally adapted therapeutic measures

  • Bei einer klinisch sichtbaren Besserung des Wundzustandes wird eine Fortsetzung der Behandlung empfohlen, eine Evaluierung des Wundzustands sollte in 4-wöchentlichen Intervallen erfolgen

  • Kyriopoulos E, van Den Plas D, Papadopoulos O (2010) The use of a new wound alginogel for the treatment of partial-thickness hand burns

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Summary

Wundbehandlung mit EnzymAlginogelen

Wundheilungsstörungen, eine phasengerechte Behandlung und aufwendige Verbandwechsel sind Herausforderungen der modernen Wundversorgung. Abhängig von der Wundphase kommen dabei zumeist verschiedene Präparate zur Anwendung, oft in Kombination. Behandlungsoptionen, welche die erforderlichen Maßnahmen der feuchten Wundbehandlung und des Débridements unterstützen, erleichtern dabei die Wundversorgung. Experten aus Deutschland, Österreich und der Schweiz (DACH-Region) diskutierten hierzu ihre klinischen Erfahrungen und stellen den erarbeiteten Konsensus zu aktuellen Wundbehandlungsoptionen vor

Herausforderungen in der modernen Wundversorgung
Feuchte Wundbehandlung
Bedeutung des Débridements
Klinische Studiendaten
Folgende Behandlungswochen
Evidenz aus Fallstudien
Klinische Positionierung und Behandlungsalgorithmus
Nutzen im Versorgungsalltag
Fazit für die Praxis
Einhaltung ethischer Richtlinien
Literatur
Full Text
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