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Delivery of topical gentamicin cream via platform wound device to reduce wound infection—A prospective, controlled, randomised, clinical study

The platform wound device (PWD) is a wound coverage system that is designed to decrease wound infection rates by allowing for direct delivery of topical antibiotics and antimicrobials while creating a sealed, protective barrier around the area of injury. This study evaluated the safety and efficacy...

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Autores principales: Cooley, Jennifer, Obaidi, Noor, Diaz, Victoria, Anselmo, Kristin, Eriksson, Elof, Carlsson, Anders H., Chan, Rodney K., Nuutila, Kristo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Blackwell Publishing Ltd 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10088835/
https://www.ncbi.nlm.nih.gov/pubmed/36307989
http://dx.doi.org/10.1111/iwj.13998
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author Cooley, Jennifer
Obaidi, Noor
Diaz, Victoria
Anselmo, Kristin
Eriksson, Elof
Carlsson, Anders H.
Chan, Rodney K.
Nuutila, Kristo
author_facet Cooley, Jennifer
Obaidi, Noor
Diaz, Victoria
Anselmo, Kristin
Eriksson, Elof
Carlsson, Anders H.
Chan, Rodney K.
Nuutila, Kristo
author_sort Cooley, Jennifer
collection PubMed
description The platform wound device (PWD) is a wound coverage system that is designed to decrease wound infection rates by allowing for direct delivery of topical antibiotics and antimicrobials while creating a sealed, protective barrier around the area of injury. This study evaluated the safety and efficacy of the PWD as a protective dressing and a delivery system for topical antibiotics compared to the current standard of care (SoC). This was a multi‐center, prospective, randomised, controlled clinical trial. The wounds were treated with the PWD with gentamicin cream or SoC dressings. The wounds were evaluated before the start of treatment and after 48–96 hours via clinical assessment, photographs, and qualitative bacterial swabs for bacterial analysis. The delivery of gentamicin via the PWD was safe and did not cause any adverse effects. The treatment decreased both inflammation and bacterial growth during the study period. No significant differences in the SoC were observed. The PWD is a transparent and impermeable polyurethane chamber that encloses and protects the injured area. The delivery of topical gentamicin via the PWD was safe and effective. Clinical assessment for infection found the PWD to be non‐inferior to the current SoC treatment options.
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spelling pubmed-100888352023-04-12 Delivery of topical gentamicin cream via platform wound device to reduce wound infection—A prospective, controlled, randomised, clinical study Cooley, Jennifer Obaidi, Noor Diaz, Victoria Anselmo, Kristin Eriksson, Elof Carlsson, Anders H. Chan, Rodney K. Nuutila, Kristo Int Wound J Original Articles The platform wound device (PWD) is a wound coverage system that is designed to decrease wound infection rates by allowing for direct delivery of topical antibiotics and antimicrobials while creating a sealed, protective barrier around the area of injury. This study evaluated the safety and efficacy of the PWD as a protective dressing and a delivery system for topical antibiotics compared to the current standard of care (SoC). This was a multi‐center, prospective, randomised, controlled clinical trial. The wounds were treated with the PWD with gentamicin cream or SoC dressings. The wounds were evaluated before the start of treatment and after 48–96 hours via clinical assessment, photographs, and qualitative bacterial swabs for bacterial analysis. The delivery of gentamicin via the PWD was safe and did not cause any adverse effects. The treatment decreased both inflammation and bacterial growth during the study period. No significant differences in the SoC were observed. The PWD is a transparent and impermeable polyurethane chamber that encloses and protects the injured area. The delivery of topical gentamicin via the PWD was safe and effective. Clinical assessment for infection found the PWD to be non‐inferior to the current SoC treatment options. Blackwell Publishing Ltd 2022-10-28 /pmc/articles/PMC10088835/ /pubmed/36307989 http://dx.doi.org/10.1111/iwj.13998 Text en © 2022 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Articles
Cooley, Jennifer
Obaidi, Noor
Diaz, Victoria
Anselmo, Kristin
Eriksson, Elof
Carlsson, Anders H.
Chan, Rodney K.
Nuutila, Kristo
Delivery of topical gentamicin cream via platform wound device to reduce wound infection—A prospective, controlled, randomised, clinical study
title Delivery of topical gentamicin cream via platform wound device to reduce wound infection—A prospective, controlled, randomised, clinical study
title_full Delivery of topical gentamicin cream via platform wound device to reduce wound infection—A prospective, controlled, randomised, clinical study
title_fullStr Delivery of topical gentamicin cream via platform wound device to reduce wound infection—A prospective, controlled, randomised, clinical study
title_full_unstemmed Delivery of topical gentamicin cream via platform wound device to reduce wound infection—A prospective, controlled, randomised, clinical study
title_short Delivery of topical gentamicin cream via platform wound device to reduce wound infection—A prospective, controlled, randomised, clinical study
title_sort delivery of topical gentamicin cream via platform wound device to reduce wound infection—a prospective, controlled, randomised, clinical study
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10088835/
https://www.ncbi.nlm.nih.gov/pubmed/36307989
http://dx.doi.org/10.1111/iwj.13998
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