創傷治療の基本と最近の話題

Various therapeutic materials are available in wound management ; however, each material has both advantage and disadvantage characters. Therefore, we should manage the wound after understanding their specific charactors. TIME concept, as a evaluation tool of local wound condition, is helpful for wound management. On the other hand, the amount of exdate is quite important as well.
We evaluate the wound is infected when the amount of exdate is excessive and the wound is getting out of infection when the amount of exdate decrease.
Topical agents are typical and classical materials for wound management. They consis main and base agent. The base agent could be classified with the level of moisture control, moisture promotion, moisture preservation, and water absorption. The base agent act important role because it influences the control of wound exdate. Wound dressing tools can be similar materials to topical agents.
As a recent topic, “biofilm” acts an important role at wound. It is producted by wound bacteriums for protect themselves from antibiotics. It is configured with acid mucopokysaccharide mainly. Irrigation with bubble soap including surfactant is quite useful for removing biofilm.
We should consider the proper control of moisture balance of the wound and biofilm.