Here - EWMA 2013

E-POSTER PRESENTATIONS
EP 440
E-Poster: Acute Wounds
Treatment of burns by a honey gauze: A small-scale clinical essay
to assess its efficacy
Aharon Wanszelbaum 1
1 Meuhedet health service wound clinics (Jerusalem, Israel).
In wound treatments, honey dressings and gels have provided good results, so we
assumed that burns could also benefit. We developed a small-scale essay to try a honey
gauze with medicinal, controlled honey. The gauze was expected to be non- adherent to
the burn and the honey to contribute its potent antibacterial effects, hyperosmolarity and
other characteristics that could induce a nicer healed skin. Four patients were included
in the essay, with an age range between 20-73 years old, with superficial to partial
thickness burns caused by a variety of incidents (hot oil, hot water, gas explosion). The
wounds were compared with treatment with silver sulfadiazine or silver foam dressings.
Results showed that the honey dressings were superior over the silver treatment in all
aspects of the wound healing process. Of the four patients three healed quickly with
significantly less than normal dressing changes. One of the patients had to drop out due
to pain complaints – a common contra-indication of honey. Nevertheless, the wounds
treated with honey also showed a much better closure/scarring than the wounds treated
with silver. A larger size trial is required to draw further conclusions.
* Honey gauze used: Revamil ® Wound Dressing
E-POSTER: BASIC SCIENCE
EP 441
E-Poster: Basic Science
IN VITRO EVALUATION OF THE DEBRIDEMENT PERFORMANCE OF A NEW
DEBRIDER* COMPARED TO CONVENTIONAL COTTON GAUZE
Cornelia Wiegand 1 , Kirsten Reddersen 1 , Martin Abel 2 , Jeanette Muldoon 3 , Peter Ruth 2 ,
Uta-Christina Hipler 1
1 Department of Dermatology, University Medical Center Jena (Jena, Germany);
2 Lohmann & Rauscher GmbH & Co. KG (Rengsdorf, Germany);
3 Activa Healthcare Ltd. (Burton upon Trent, United Kingdom).
Aim: Wound debridement is a major challenge in treatment of chronic wounds.
Conventional debridement methods relaying on gauze may not be enough. Surgical
debridement requires trained personal, operation theatre and is often associated with
pain. A new debrider* consisting of polyester monofilamentfibres presents a novel, fast
and almost painless option for debridement. We have investigated the performance of
this new debrider* in vitro and compared it to cotton gauze**.
Methods: The wound debridement model consists of glass plates coated with a protein
crust, to imitate wound slough. The debrider* and cotton gauze** were used to debride/
clean the glass plates under standardized conditions (p=0.067N/cm 2 , v=1.6cm/s). Plate
images were processed using ImageJ 1.45m.
Results: The debrider* exhibited a significantly higher cleansing performance than
gauze**, e.g. cotton gauze** reduced the clogged area about 10% while the debrider*
removed more than 70% of the slough, respectively. Moreover, the debrider* was able to
achieve a significant cleansing effect (area cleaned > 70%) for at least four applications
(one pad was used to clean all plates) while cotton gauze** quickly lost its.
Conclusions: The debridement performance of the new debrider* is significantly higher
than that of cotton gauze**. Moreover, the debrider* presents a non-invasive and
therefore almost painless alternative to other. Hence, this new technique should provide
a valuable tool in the treatment of patients with chronic wounds to improve the quality of
life as well as to safe costs.
* Debrisoft ® ; Lohmann & Rauscher; ** cotton gauze, Fuhrmann
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