Publications (14)19.93 Total impact
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Article: [Nurse consultation in wound healing clinics].
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ABSTRACT: Projects for nurse-led wound healing clinics have aroused a growing interest over recent years, usually initiated by professionals with a university degree diploma in order to offer patients quality of care. The setting up of a nurse outpatient clinics cannot be a spur-of-the-moment act, as it involves prior reflection with regard to medical collaboration, available resources and activity assessment.Soins. Chirurgie 04/2012; -
Article: Effectiveness and tissue compatibility of a 12-week treatment of chronic venous leg ulcers with an octenidine based antiseptic--a randomized, double-blind controlled study.
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ABSTRACT: The aim of this study was to evaluate the cytotoxic effect of octenidine dihydrochloride/phenoxyethanol (OHP) found in vitro by conducting a randomized, double-blind controlled clinical study focusing on its safe and effective use in chronic venous leg ulcers. In total, 126 male and female patients were treated with either OHP (n = 60) or Ringer solution (n = 66). The treatment lasted over a period of maximum 12 weeks. For the assessment of the wound-healing process, clinical outcome parameters were employed, that is, time span until 100% epithelization, wound status and the wound surface area were analysed. Side effects were recorded during the study period. The median time to complete ulcer healing was comparable between the OHP and Ringer solution groups (92 versus 87 days; P = 0·952), without being influenced by wound size or duration of the target ulcer (P-values: 0·947/0·978). In patients treated with OHP, fewer adverse events (AEs) were observed compared with the Ringer group (17% versus 29% of patients reported 20 versus 38 AEs). OHP is well suitable for the treatment of chronic wounds without cytotoxic effects. Furthermore, OHP does not impair the wound healing in chronic venous ulcers.International Wound Journal 11/2011; 9(3):316-23. · 1.46 Impact Factor -
Article: [Healing "booster" dressings].
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ABSTRACT: The relationship between the dressing and the wound is vital to clinical effectiveness. The more-or-less standard wound-surface coverings have been replaced with initial dressings, referred to as modern dressings, which contain an oily and sticky compound. They provide a moist medium by applying the basic mechanistic principles (liquid absorption and release). Other types of products and techniques modify the behaviour of wound cells by acting directly through irritation, biochemical stimulation or genetic modification of the cells, which accelerates the healing process.Soins. Chirurgie 09/2011; -
Article: [A wound, wound healing ... and many ways to achieve this].
Soins. Chirurgie 01/2008; -
Article: Consensus panel recommendations for chronic and acute wound dressings.
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ABSTRACT: To seek a consensus on recommendations that would help health professionals choose appropriate wound dressings in daily practice, since a systematic review found only limited evidence to support reported indications for modern wound dressings. A steering committee selected a panel of 27 experts with no declared conflicts of interest from lists of nursing staff and physicians (specialists or general practitioners) with long-standing experience of wound care. The lists were put forward by 15 French learned societies. The panelists received a recent systematic review of the literature, a classification of indications established by a working group, and definitions for the dressings. The steering committee designed questionnaires on chronic wounds and on acute wounds including burns for each of the 2 panels. The consensus method was derived from the nominal group technique adapted by RAND/UCLA. Panelists rated the relevance of each possible dressing-indication combination on the basis of the published evidence and their own experience. After the first round of rating, they met to discuss results and propose recommendations before taking part in a second round of rating. The working group peer reviewed the final recommendations. A strong consensus was reached for use of the following combinations: for chronic wounds, (1) debridement stage, hydrogels; (2) granulation stage, foam and low-adherence dressings; and (3) epithelialization stage, hydrocolloid and low-adherence dressings; and for the epithelialization stage of acute wounds, low-adherence dressings. For specific situations, the following dressings were favored: for fragile skin, low-adherence dressings; for hemorrhagic wounds, alginates; and for malodorous wounds, activated charcoal.Archives of Dermatology 11/2007; 143(10):1291-4. · 3.89 Impact Factor -
Article: Dressings for acute and chronic wounds: a systematic review.
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ABSTRACT: To critically review the literature on the efficacy of modern dressings in healing chronic and acute wounds by secondary intention. Search of 3 databases (MEDLINE, EMBASE, and the Cochrane Controlled Clinical Trials Register) from January 1990 to June 2006, completed by manual research, for articles in English and in French. The end points for selecting studies were the rate of complete healing, time to complete healing, rate of change in wound area, and general performance criteria (eg, pain, ease of use, avoidance of wound trauma on dressing removal, ability to absorb and contain exudates). Studies were selected by a single reviewer. Overall, 99 studies met the selection criteria (89 randomized controlled trials [RCTs], 3 meta-analyses [1 of which came from 1 of the selected systematic reviews], 7 systematic reviews, and 1 cost-effectiveness study). The RCTs, meta-analyses, and cost-effectiveness studies were critically appraised by 2 reviewers to assess the clinical evidence level according to a modification of Sackett's 1989 criteria. Ninety-three articles were finally graded. We found no level A studies, 14 level B studies (11 RCTs and 3 meta-analyses), and 79 level C studies. Hydrocolloid dressings proved superior to saline gauze or paraffin gauze dressings for the complete healing of chronic wounds, and alginates were better than other modern dressings for debriding necrotic wounds. Hydrofiber and foam dressings, when compared with other traditional dressings or a silver-coated dressing, respectively, reduced time to healing of acute wounds. Our systematic review provided only weak levels of evidence on the clinical efficacy of modern dressings compared with saline or paraffin gauze in terms of healing, with the exception of hydrocolloids. There was no evidence that any of the modern dressings was better than another, or better than saline or paraffin gauze, in terms of general performance criteria. More wound care research providing level A evidence is needed.Archives of Dermatology 11/2007; 143(10):1297-304. · 3.89 Impact Factor -
Article: Reimbursement of dressings: a WUWHS statement.
International Wound Journal 01/2007; 3(4):296-301. · 1.46 Impact Factor -
Article: Wound healing university diplomas in France: an impact measurement after 6 years.
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ABSTRACT: An educational programme in wound healing was developed in France in 1998. The course lasts for 1 year and consists of 100 hours of interactive education including wound-healing principles, management of pressure ulcers, leg ulcers, diabetic foot ulcers, burns and trauma. The programme mixes theoretical and practical issues and results in the award of a diploma that identifies students as having a level of expertise in wound healing. A large component of each student's evaluation is based on a thesis that has been developed by the student during the year. After 6 years of continual development and modification, this educational approach was analysed to evaluate its impact on wound healing in France. More than 500 individuals have been trained by this educational programme, including nurses, physicians, pharmacists, physiotherapists and employees of commercial concerns. In order to evaluate the impact of such a training programme on changing practice in France, a questionnaire was developed and a telephone survey carried out. The results of this survey are reported here and they show that education and training provided undertaking a university diploma has played an important role in the development of wound healing and the subsequent change in practice in France.International Wound Journal 07/2005; 2(2):96-102. · 1.46 Impact Factor -
Article: [Towards a first national wound congress].
Soins. Chirurgie -
Article: [Improving the management of wounds in the hospital and home].
Soins. Chirurgie -
Article: Assessing pain at wound dressing-related procedures.
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ABSTRACT: This article is an abstract from a new guide, Principles of Best Practice: Minimising Pain at Wound Dressing-Related Procedures. It is an educational initiative of the World Union of Wound Healing Societies (WUWHS). The guide has been inspired by two seminal documents: the European Wound Management Association's position document, Pain at Wound Dressing Changes (EWMA, 2002), and Practical Treatment of Wound Pain and Trauma: A Patient-centred Approach (Reddy et al, 2003). As an international educational initiative, the WUWHS document is aimed at anyone involved in dressing-related procedures anywhere in the world. This article summarises the section on best practice in the assessment of wound pain.Nursing times 100(41):56-7. -
Article: Consensus Panel Recommendations for Chronic and Acute Wound Dressings
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ABSTRACT: Objective To seek a consensus on recommendations that would help health professionals choose appropriate wound dressings in daily practice, since a systematic review found only limited evidence to support reported indications for modern wound dressings.Archives of Dermatology 143(10):1291-1294. · 3.89 Impact Factor -
Article: Dressings for Acute and Chronic WoundsA Systematic Review
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ABSTRACT: Objective To critically review the literature on the efficacy of modern dressings in healing chronic and acute wounds by secondary intention.Data Sources Search of 3 databases (MEDLINE, EMBASE, and the Cochrane Controlled Clinical Trials Register) from January 1990 to June 2006, completed by manual research, for articles in English and in French.Study Selection The end points for selecting studies were the rate of complete healing, time to complete healing, rate of change in wound area, and general performance criteria (eg, pain, ease of use, avoidance of wound trauma on dressing removal, ability to absorb and contain exudates). Studies were selected by a single reviewer. Overall, 99 studies met the selection criteria (89 randomized controlled trials [RCTs], 3 meta-analyses [1 of which came from 1 of the selected systematic reviews], 7 systematic reviews, and 1 cost-effectiveness study).Data Extraction The RCTs, meta-analyses, and cost-effectiveness studies were critically appraised by 2 reviewers to assess the clinical evidence level according to a modification of Sackett's 1989 criteria. Ninety-three articles were finally graded.Data Synthesis We found no level A studies, 14 level B studies (11 RCTs and 3 meta-analyses), and 79 level C studies. Hydrocolloid dressings proved superior to saline gauze or paraffin gauze dressings for the complete healing of chronic wounds, and alginates were better than other modern dressings for debriding necrotic wounds. Hydrofiber and foam dressings, when compared with other traditional dressings or a silver-coated dressing, respectively, reduced time to healing of acute wounds.Conclusions Our systematic review provided only weak levels of evidence on the clinical efficacy of modern dressings compared with saline or paraffin gauze in terms of healing, with the exception of hydrocolloids. There was no evidence that any of the modern dressings was better than another, or better than saline or paraffin gauze, in terms of general performance criteria. More wound care research providing level A evidence is needed. Figures in this Article Wounds are a major cause of morbidity and impaired quality of life and take up substantial health care resources in developed countries.1 Each year in the United States, over 1.25 million people experience burns, and 6.5 million have chronic skin ulcers caused by pressure, venous stasis, or diabetes mellitus.2 Since the 1960s, it has been accepted that wound healing is optimal when the wound is kept in a moist environment rather than air dried.3- 4 Occlusive or semi-occlusive dressings that promote reepithelialization and wound closure have been developed for chronic and acute wounds to reduce pain and healing time, absorb blood and tissue fluids, and to be painless on application and removal.5 The main occlusive or semi-occlusive dressings are hydrocolloid dressings (HCDs), alginates, hydrogels, foam dressings (FDs), hydrofiber dressings (HFDs), and paraffin gauze and nonadherent dressings. Recent products that are reported to induce angiogenesis or reduce infection are hyaluronic acid (HA) cream or dressings and dressings supplemented with activated charcoal or silver. Current clinical practice guidelines on the treatment of pressure ulcers, leg ulcers, and diabetic foot lesions and available systematic reviews on the treatment of arterial leg ulcers or surgical wounds have not established a care strategy for each type of wound.6- 12 The choice of ideal dressing remains controversial. We assessed the level of published clinical evidence in support of the efficacy of modern dressings for the care of chronic and acute wounds in terms of complete healing or aspects such as pain, ease of use, avoidance of wound trauma on dressing removal, ability to absorb and contain exudates, and prevention of infection.Archives of Dermatology 143(10):1297-1304. · 3.89 Impact Factor -
Article: [Care of scars, alternatives to hospitalization].
Soins. Chirurgie
Top co-authors
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Institutions
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2007
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Haute Autorité de Santé
Paris, Ile-de-France, France -
Centre Hospitalier Universitaire d'Amiens
Amiens, Picardie, France
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