4744 Comparable Clinical Outcomes: Use of a gauze-based wound bed interface with negative pressure wound therapy

Melody Austin, RN, BSN, CWOCN , Advanced Home Care, WOC Nurse-Educator, High Point, NC
Fran Harris, RN, MSN, CDE , Advanced Home Care, WOC Nurse Assistant, High Point, NC
Peggy McCracken, RN, BSN, CWOCN , Advanced Home Care, WOC Nurse-Educator, High Point, NC
Laurie McNichol, MSN, RN, GNP, CWOCN , Advanced Home Care, Director, Practice and Quality, High Point, NC
Topic: Comparable Clinical Outcomes: Use of a gauze-based wound bed interface with negative pressure wound therapy  
Clinical Problem:  Negative pressure wound therapy (NPWT) has become an important addition to the many wound treatment options available to the clinician.  While foam-based NPWT has dominated the market place for many years, the use of a gauze-based wound bed interface has shown comparable outcomes and clinical advantages. Currently there is a limited evidence base to support the use of a gauze-based wound bed interface with NPWT, however the goal of this study was to prove comparable outcomes and advantages.  
Method: A retrospective study of thirty-four home health patients was conducted with the use of a gauze-based NPWT system for both acute and chronic wounds.  
Results: Thirty-four patient case series were reviewed.  Average days of therapy were thirty-eight days.  Wound surface area reduction averaged 32.0 cm2 with improvement in granulation tissue formation.
Conclusions/Implications: Gauze-based NPWT systems can be used to address many of the treatment goals commonly defined at the onset of other NPWT systems including; reduction in wound surface area, and improvement in granulation tissue
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