506 Sweet Dressings: Honey Use in United States and Canadian Burn Centers
Notice bibliographique
Résumé
Burn centers in the United States (US) and Canada vary widely with regards to wound care practices. Honey is a natural, non-toxic, and an ageless technique for the promotion of wound healing. Our burn center recently began using honey dressings (HD) and experienced several challenges: application, dressing maintenance, and staff acceptance. As part of an evidence-based Performance Improvement project to improve HD implementation in our burn center, we contacted burn centers throughout the US and Canada to learn about their use of HD. Burn Care Resource Directories for US (N=128) and Canadian (N=14) burn centers, available on the American Burn Association (ABA) website, were used. Through phone calls in October 2016, a 10 question survey was conducted with a nurse or alternate provider about their center’s use of HD. The questions addressed wound type, size, and location, products used, and successes and failures. Descriptive statistics were performed. We received responses from 105 US (82%) and 10 Canadian (71%) burn centers, of which 67 were ABA verified (58%). Current HD use for various wounds was reported in 22 centers (19%), while eight centers (7%) reported past usage that has since been discontinued. Of the 22 centers reporting HD use, 15 were verified (68%). The Western Region had the highest use (n=11, 50%) with the remaining from the Midwest, Northeast, Eastern Great Lakes and Canada. Two-thirds (n=14, 64%) reported use on chronic wounds, 13 (59%) on burns, 11 (50%) on pressure ulcers, and two (9%) on skin grafts. All centers described using HD for small wounds, while only two centers (9%) reported the use of HD for ≥ 20% total body surface area wounds. The most common form of HD used was gel (n=16, 73%), with five centers describing an absorbent polymer or alginate sheet (23%); 10 used a combination of products (45%). The most common complications reported were pain (45%) and stickiness (18%). Honey is used in a small number of US and Canadian burn centers. Despite feedback that HD are challenging to use in that they are “sticky” and “drippy,” centers are reporting success, particularly with facial burns, and several said, “we love it.” Many centers reported intermittent burning or stinging upon application. Overall, respondents from centers using HD are very optimistic and plan to continue using them in their practice. Dressing selection is crucial and factors such as pain, ease of use, and healing time are considerations. Introduction of new products is challenging and may be facilitated by sharing experiences with other burn centers. HD appear to provide many elements for optimal wound healing; however, further research is warranted to establish if HD result in improved wound healing and a reduction in wound infections in burn patients.
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Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
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