Wound Bed Preparation

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Only a clean wound can heal

The concept of  ”Wound bed preparation“ was first described by Falanga et al (2000) and can be defined as the global wound management procedure to accelerate endogenous healing and enhance the effectiveness of advanced wound care products. The ultimate aim is to ensure healthy granulation tissue formation resulting in complete wound closure.

Correct Chronic "Wound bed preparation" is achieved by:

  • Reducing bacterial bioburden e.g. biofilm in the wound bed
  • Removing necrotic tissue and slough
  • Controling exudates
  • Managing cellular dysfunctions and biochemical imbalances

Prontosan as an integral part of wound bed preparation

Wound irrigation with Prontosan removes debris, slough, bioburden and biofilm*

Traditional irrigation solutions are likely to glide over the biofilm without removing it.*

 

*Seipp HM et al. Efficacy of various wound rinsing solutions against biofilms. ZfW 2005; 4(5):160-163 / Perez R et al. Effect of different wound rinsing solutions on MRSA biofilm in a porcine model. WoundM 2010; 4(2):44-48

Case Studies & Scientific Evidence

Description Document Link
Clinical and Scientific Evidence (Prontosan® Askina®)
pdf (3.5 MB)
RCT-Prontosan Study Effect of Prontosan on wound bed preparation and inframmation in chronic wounds
pdf (143.6 KB)
Summary RCT Prontosan Study Effect of Prontosan on wound bed preparation and inflammation in chronic wounds
pdf (99.0 KB)

Mechanical Wound Debridement with Prontosan® Debridement Pad

The unmarked side of the pad has to bee moistured with 15 – 20 ml of Prontosan® wound irrigation solution*. If local guidelines exist, they have to be followed. Apply gentle pressure, wipe the moiste­ned side over the wound and / or adjacent skin in a circular motion.

Following debridement, it is advisable to irrigate the wound thoroughly for a second time with Prontosan® Wound Irrigation Solution and to continue with standard treatment.

How do Microfibers Work?

Microfibers are able to attach themselves to even the smallest, most microscopic particles—ones that normal monofilament fibers (positively giant in comparison) crudely brush past. If forces were visible, you‘d be able to see that there are adhesive forces between microfibers and the particles. There are millions of microfibers in a pad, so the overall sticking effect is magnified dramatically. That‘s why cell residues (debris), exudate and slough can be «hoovered up» by microfiber cloths. 

Product Brochure

Description Document Link
Prontosan Debridement Pad Product Brochure
pdf (1.2 MB)

Gentle dressing changes with Prontosan®

Dressings are often encrusted and stick to wound surfaces. By attempting to remove the dressing from the wound surface when dry, new injuries often arise with additional risk of infection, which in turn delay the healing process. In cases where bandaging is difficult to release, intensive dressing moistening with Prontosan® Wound Irrigation Solution is advisable until they can be gently released without traumatising the wound surface. If these actions are stubborn, it indicates the presence of large encrustations. The whole section of the body including the dressing should be thoroughly saturated with Prontosan® Wound Irrigation Solution until the dressings can be easily released.

Learn more on madeeasylive, created by Wounds International with the support of B. Braun.