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Wound Hygiene Stage 2

Soft Mechanical Removal Of Slough And Debris

Proactive debridment is an integral part of wound hygiene, as it will help with any wound not covered with granulation tissue to progress toward healing.1

“Hints And Tips”

Wound hygiene should therefore be routinely performed every time the clinicians assesses or manages the wound. Regular debridement should thus be regarded as standard practice for hard-to-heal wounds. 3 Before debridement, the wound should be cleansed with an antimicrobial or pH-balanced surfactant solution. After debridement, the wound and periwound skin should be rinsed, ideally with an antiseptic solution, to avoid contamination with surface microbes and kill bacteria exposed by the procedure.4 A faster and more effective method is needed to disrupt biofilm, address any residual biofilm and prevent re-formation in hard-to-heal wounds: debridement. It is recommended to debride at every dressing change to remove necrotic tissue, slough, debris and biofilm, as well as to refashion the wound edges by removing necrotic, crusty and/or overhanging wound edges that may be harbouring biofilm. This ensures the skin edges align with the wound bed to facilitate epithelial advancement and wound contraction.
  1. Kaehn, K., Pilhexanide: A Safe And Highly Effective Biocide, Skin Pharmacol Physiol 2010, 23 (supplement 1) 7-16.  
  2. Davis, SC. Harding, A. Gil, J. Parajon, F. Valdes J, Solis, M. and Higa, A. "Effectivness of a polyhexanide solution on MRSA biofilms in a porcine wound model" IWJ 1742- 4801, 2017, 1-8.
  3. Moore, M 0.1% Polyhexanide-Betaine Solution as an Adjuvant in a Case-Series of Chronic Wounds, Surg Technology International, 2016.
  4. Cutting K, (2010), Addressing the challenge of wound cleansing in the modern era, British Journal of Nursing, 2010 (Tissue Viability Supplement), Vol 19, No 11.