The Importance Of The Treatment Of Wounds

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Question: 4.3- Discuss the importance for the treatment of wounds: 4.3 A. Sterile vs. Clean technique As it was well stated by Barber et al (3) it may be difficult to determine whether to use a clean technique or a sterile technique when dealing with the different types of wound one encounters. As mentioned in the same article, it is important to consider the policies of the hospital. The the type of wound, bone exposure and an immunosuppressed state would also require sterile technique. Research has been done in order to determine which technique to use. The Agency for Healthcare Research and Quality (AHRQ) has emitted guidelines regarding that clean procedure should be used in the context of pressure ulcers. On the other hand, the Centers for Disease Control and Prevention (CDC) advise for use of sterile technique when dealing with surgical wounds. The CDC also has provided healthcare workers with guidelines up to 48 hours after wound closure and not for longer periods of time. The Wound, Ostomy and Continence Nurses Society 's fact sheet (4) has brought some definitions and recommendations with regards to clean or sterile techniques to be used in wound care. Table 3 outlines some of the reasons when clean or sterile procedures should be used. Table 3. Using a clean or sterile technique. Clean technique Sterile technique Care for pressure ulcers Debridement Cleansing wound Surgical wound care >48 hours Intact surgical wounds Packing Dressing changes without debridement
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