Classification of Wounds at Risk and Their Antimicrobial Treatment with Polihexanide: A Practice-Oriented Expert Recommendation
Year: 2011
Type: article
Abstract: Currently, there are no generally accepted definitions for wounds at risk of infection. In clinical practice, too many chronic wounds are regarded as being at risk of infection, and therefore many topical antimicrobials - in terms of frequency and duration of use - are applied to wounds. Based on expert discussion and current knowledge, a clinical assessment score was developed. The objective of this wounds at risk (W.A.R.) score is to allow decision-making on the indication for the use of antiseptics on the basis of polihexanide. The proposed clinical classification of W.A.R. shall facilitate the decision for wound antisepsis and allow an appropriate general treatment regimen with the focus on the prevention of wound infection. The W.A.R. score is based on a clinically oriented risk assessment using concrete patient circumstances. The indication for the use of antiseptics results from the addition of differently weighted risk causes, for which points are assigned. Antimicrobial treatment is justified in the case of 3 or more points.
Source: Skin Pharmacology and Physiology
DOI: 10.1159/000327210
Institutions: Essen University Hospital, Vienna General Hospital, Medical University of Vienna, North Devon District Hospital, Northern Devon Healthcare NHS Trust, Universität Greifswald, Cardiff University, Universitätsklinikum Aachen, RWTH Aachen University, Johannes Gutenberg University Mainz, University Medical Center of the Johannes Gutenberg University Mainz, Klinikum Dortmund, University of Pisa, Landeskrankenhaus Feldkirch, Klinikum Stuttgart, Salmaniya Medical Complex, Arabian Gulf University
Language: English
Topic: Wound Healing and Treatments
Subfield: Rehabilitation
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W2045429545