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首页> 外文期刊>Annals of physical and rehabilitation medicine >Which medical device and/or which local treatment are to be used, as of 2012, in patients with infected pressure sore? Developing French guidelines for clinical practice [Quel dispositif médical et/ou quel médicament local choisir pour un patient porteur d'une escarre infectée en 2012? Vers l'élaboration de recommandations fran?aises pour la pratique clinique]
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Which medical device and/or which local treatment are to be used, as of 2012, in patients with infected pressure sore? Developing French guidelines for clinical practice [Quel dispositif médical et/ou quel médicament local choisir pour un patient porteur d'une escarre infectée en 2012? Vers l'élaboration de recommandations fran?aises pour la pratique clinique]

机译：截至2012年，患有压疮的患者将使用哪种医疗设备和/或哪种局部治疗方法？制定法国临床实践指南[2012年，对于感染性褥疮的患者，选择哪种医疗器械和/或哪种局部药物？致力于制定法国临床实践建议]

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Introduction: Taking care of a patient with an infected pressure sore necessitates a diagnosis allowing for a suitable treatment strategy. Aims: To choose the dressings and topical antimicrobial agents that can be used as of 2012 in treatment of an infected pressure sore. Methods: A systematic review of the literature with queries to the databases Pascal Biomed, PubMed and Cochrane Library from 2000 through 2010. Results: Diagnosis of local infection is essentially clinical. It is subsequently difficult to destroy and/or permeabilize biofilm by means of mechanical wound debridement. Application of an antimicrobial product and a disinfectant solution are of utmost importance in this respect. Discussion: The studies do not demonstrate that one topical product is better than another in wound cleaning. The papers recommending antimicrobial topics lead to the conclusion that they may be interesting, but show little clinical evidence of their beneficial effects. Dressings including silver, iodine, polyhexamethylene biguanide (PHMB) and negative pressure wound therapy could likewise be of interest, but once again, existing studies present only a low level of evidence (Grade C). Conclusion: Local antimicrobial treatment can be used when there are signs of local infection (Grade C). Systemic antibiotic treatment is to be used when there are general medical signs of infection (Grade B).
机译：简介：要照顾有感染性褥疮的患者，必须进行诊断，以便采取适当的治疗策略。目的：选择从2012年起可用于治疗感染性褥疮的敷料和局部抗菌剂。方法：对文献进行系统的综述，并向2000年至2010年的Pascal Biomed，PubMed和Cochrane Library数据库查询。结果：局部感染的诊断从本质上讲是临床的。随后难以通过机械伤口清创术破坏和/或透化生物膜。在这方面，抗菌产品和消毒液的应用至关重要。讨论：研究并未证明一种局部用药在伤口清洁方面优于另一种局部用药。推荐抗菌药物主题的论文得出的结论是，它们可能很有趣，但很少显示出其有益作用的临床证据。包括银，碘，聚六亚甲基双胍（PHMB）和负压伤口疗法在内的敷料同样可能引起人们的兴趣，但再次，现有研究仅提供了低水平的证据（C级）。结论：当有局部感染迹象时（C级），可以使用局部抗菌治疗。有一般医学感染迹象时应使用全身抗生素治疗（B级）。

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