4.5 Review

Benefit and harm of iodine in wound care: a systematic review

期刊

JOURNAL OF HOSPITAL INFECTION
卷 76, 期 3, 页码 191-199

出版社

W B SAUNDERS CO LTD
DOI: 10.1016/j.jhin.2010.04.026

关键词

Adverse effects; Antiseptics; Bacterial count; Iodine; Wound infection

资金

  1. Meda Pharma BV

向作者/读者索取更多资源

Nowadays many products are available to combat infections and thus to promote wound healing. Iodine is one of these products, but reports are conflicting as to the effectiveness and adverse effects of iodine in the treatment of wounds. A systematic review was performed of 27 randomised clinical trials, reporting on chronic, acute, burn wounds, pressure sores, and skin grafts. Main outcome parameters were wound healing, bacterial count, and adverse effects. Iodine did not lead to a reduction or prolongation of wound-healing time compared with other (antiseptic) wound dressings or agents. In individual trials, iodine was significantly superior to other antiseptic agents (such as silver sulfadiazine cream) and non-antiseptic dressings, but seemed inferior to a local antibiotic (Rifamycin SV MMX (R)) and, when combined with alcohol, to crude honey in reducing bacterial count and/or wound size. Adverse effects, including thyroid function derailment, did not occur more frequently with iodine. Based on the available evidence from clinical trials, iodine is an effective antiseptic agent that shows neither the purported harmful effects nor a delay of the wound-healing process, particularly in chronic and burn wounds. The antiseptic effect of iodine is not inferior to that of other (antiseptic) agents and does not impair wound healing. Hence, iodine deserves to retain its place among the modern antiseptic agents. (C) 2010 The Hospital Infection Society. Published by Elsevier Ltd. All rights reserved.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.5
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Public, Environmental & Occupational Health

Evaluation of a multilevel implementation program for timeout and shared decision making in breast cancer care: a mixed methods study among 11 hospital teams

Haske van Veenendaal, Helene R. Voogdt-Pruis, Dirk T. Ubbink, Esther van Weele, Lejla Koco, Maaike Schuurman, Jannie Oskam, Ella Visserman, Carina G. J. M. Hilders

Summary: The evaluation of a multilevel implementation program on shared decision making (SDM) for breast cancer clinicians showed that the program supported clinicians to adopt SDM and helped internalize the SDM theory. Common barriers reported by clinicians included limited financial means, time constraints, and concurrent activities.

PATIENT EDUCATION AND COUNSELING (2022)

Article Cardiac & Cardiovascular Systems

Quality of life in breast cancer patients with cancer treatment-related cardiac dysfunction: a qualitative study

Yvonne Koop, Nikita van Zadelhof, Angela H. E. M. Maas, Femke Atsma, Saloua El Messaoudi, Hester Vermeulen

Summary: CTRCD has a negative impact on the QoL of BC patients, affecting their physical, social, and psychosocial well-being. Healthcare experiences are influenced by a lack of acknowledgement and professional communication, and patients emphasize the need for personalized care.

EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING (2022)

Article Surgery

Patient-Reported Outcomes of Yearly Imaging Surveillance in Patients Following Endovascular Aortic Aneurysm Repair

A. C. M. Geraedts, S. Mulay, C. B. Terwee, A. C. Vahl, H. J. M. Verhagen, C. Unlu, D. T. Ubbink, M. J. W. Koelemay, R. Balm

Summary: This study investigated the anxiety levels of patients after endovascular aortic aneurysm repair (EVAR) before receiving imaging surveillance results and compared them with the general 65+ Dutch population. The results showed that patients did not experience a significant increase in anxiety levels just before receiving the imaging results compared to standard anxiety levels. However, compared to the general 65+ Dutch population, patients experienced more anxiety and worse physical outcomes.

ANNALS OF VASCULAR SURGERY (2022)

Article Oncology

Future steps in cardio-oncology-a national multidisciplinary survey among healthcare professionals in the Netherlands

Yvonne Koop, Arco J. Teske, Iris Wanders, Hanneke Meijer, J. H. A. M. (Hans) Kaanders, Olivier C. Manintveld, H. Carlijne Hassing, Hester Vermeulen, Angela H. E. M. Maas, Dick-Johan van Spronsen, Femke Atsma, Saloua El Messaoudi

Summary: This study evaluated current perspectives on cardio-oncology and found that professionals have limited awareness and knowledge of cardio-oncology guidelines, leading to insufficient treatment for cardio-oncology patients. There is a strong need for additional training and practical guidelines in this field.

JOURNAL OF CANCER SURVIVORSHIP (2023)

Article Geriatrics & Gerontology

Informal antidepressant strategies for nursing home residents: two group concept mapping studies

Inge A. H. Knippenberg, Ruslan Leontjevas, Slavi Stoyanov, Anke Persoon, Peter Verboon, Hester Vermeulen, Jacques J. D. M. van Lankveld, Debby L. Gerritsen

Summary: The study aims to identify and structure potential informal antidepressant strategies for nursing home residents to use in daily practice alongside formal treatments. Through two Group Concept Mapping studies, researchers identified multiple strategies that residents and others could use and evaluated their expected effectiveness and feasibility. The results emphasize the importance of social connectedness, personalized attention, and adaptations to the physical environment in preventing and alleviating depression.

AGING & MENTAL HEALTH (2023)

Article Surgery

Improving Shared Decision Making in Vascular Surgery: A Stepped Wedge Cluster Randomised Trial

Fabienne E. Stubenrouch, Loes J. Peters, Sylvana M. L. de Mik, Peter L. Klemm, Arnoud G. Peppelenbosch, Stella C. W. M. Schreurs, Dick M. Scharn, Dink A. Legemate, Ron Balm, Dirk T. Ubbink

Summary: Introduction of decision support tools improves the level of shared decision making in vascular surgery, increases patient knowledge, and shifts their preference towards more non-surgical treatments.

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY (2022)

Article Orthopedics

A Sense of Being Needed: A Phenomenological Analysis of Hospital-Based Rehabilitation Professionals' Experiences During the COVID-19 Pandemic

Roel van Oorsouw, Anke Oerlemans, Emily Klooster, Manon van den Berg, Johanna Kalf, Hester Vermeulen, Maud Graff, Philip van den Wees, Niek Koenders

Summary: This study explored the lived experiences of rehabilitation professionals working in hospitals during the COVID-19 pandemic, highlighting ethical issues and moral distress they encountered. The findings showed a significant impact on the working environment, while also revealing moments of freedom and solidarity among participants.

PHYSICAL THERAPY (2022)

Article Surgery

The association of potential prognostic determinants to nonadherence to negative pressure wound therapy: An exploratory prospective prognostic study

Alexandra H. J. Janssen, Andrea W. van Bruggen-van der Lugt, Johannes A. Wegdam, Tammo S. de Vries Reilingh, Susan van Dieren, Hester Vermeulen, Anne M. Eskes

Summary: This study aimed to assess the predictive value of prognostic determinants to nonadherence to negative pressure wound therapy. The results showed that patients with sensitive skin may have an increased risk of premature termination of negative pressure wound therapy. Further research is needed to determine strategies to overcome skin irritation problems and prevent nonadherence.

SURGERY (2022)

Article Education, Scientific Disciplines

Exploring nurses' role in guiding residents' workplace learning: A mixed-method study

Iris Jansen, Milou E. W. M. Silkens, Gerbrich Galema, Hester Vermeulen, Suzanne E. Geerlings, Kiki M. J. M. H. Lombarts, Renee E. Stalmeijer

Summary: This study aimed to understand the guiding role of nurses in residents' workplace learning and explore the perceptions and reasons of residents and nurses regarding this role. The results showed that nurses provided more support and guidance in learning from patient care compared to the perceptions of residents. Additionally, nurses indicated that attending physicians did not always involve them in guiding residents, while residents perceived nurses to be involved.

MEDICAL EDUCATION (2023)

Review Surgery

Shared Decision Making and the Management of Intact Abdominal Aortic Aneurysm: A Scoping Review of the Literature

Matthew Machin, Isabelle Van Herzeele, Dirk Ubbink, Janet T. Powell

Summary: The study aimed to summarize the current knowledge of shared decision making (SDM) in patients with intact abdominal aortic aneurysms (AAA) and identify areas where further evidence is needed. The results showed that most patients with AAA desire SDM, but it is not commonly practiced. Patients with AAA do not receive adequate information for SDM, although the use of tailored decision support tools (DSTs) can improve patient knowledge and facilitate SDM.

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY (2023)

Article Nursing

Factors influencing the delivery of nutritional care by nurses for hospitalised medical patients with malnutrition; a qualitative study

Gerda Van Den Berg, Hester Vermeulen, Tiffany Conroy, Harm Van Noort, Marian De Van Der Schueren, Getty Huisman-de Waal

Summary: This study explores nursing nutritional care delivery in hospitals through observations of nursing care and discussions with multidisciplinary professionals. It highlights the crucial role of nurses in identifying and treating malnutrition and emphasizes the importance of a systematic nursing approach combined with patient participation to counteract malnutrition effectively.

JOURNAL OF CLINICAL NURSING (2023)

Letter Dermatology

Effectiveness and patient satisfaction of a Dutch patient decision aid for psoriasis - a pilot study

A. M. van Huizen, N. J. Rietbergen, G. E. van der Kraaij, D. T. Ubbink, Ph. I. Spuls

JOURNAL OF DERMATOLOGICAL TREATMENT (2023)

Article Oncology

Effects and Working Mechanisms of a Multilevel Implementation Program for Applying Shared Decision-Making while Discussing Systemic Treatment in Breast Cancer

Haske van Veenendaal, Loes J. Peters, Esther van Weele, Mathijs P. Hendriks, Maaike Schuurman, Ella Visserman, Carina G. J. M. Hilders, Dirk T. Ubbink

Summary: This study investigated the effect of a multilevel shared decision-making (SDM) implementation program in breast cancer care. The results showed that the program led to a significant improvement in the application of SDM by clinicians, especially in discussing options. However, patients' perceived level of SDM did not change, even after the implementation of the program. Exposure to the program, redistribution of tasks, and discussing feedback from consultations were associated with a higher level of SDM.

CURRENT ONCOLOGY (2023)

Article Psychiatry

Emergency care to 'persons with confused behavior': Lived experiences of, and collaboration between, police and members of a mobile crisis team - A hermeneutic-phenomenological study

Thea H. Daggenvoorde, Miranda van Eerden, Silvio C. G. H. van den Heuvel, Harm J. Gijsman, Hester Vermeulen, Peter J. J. Goossens

Summary: The study found that collaboration between police officers and MCT members in responding to emergencies involving 'persons with confused behavior' is challenging due to different perspectives and expectations leading to friction and stagnation. Police prefer prompt involvement of MCT, while MCT aims to provide accessible and problem-identifying services for police.

INTERNATIONAL JOURNAL OF SOCIAL PSYCHIATRY (2022)

暂无数据