2023
Clinical Efficacy of Hyaluronic Acid with Iodine in Hard-to-Heal Wounds
PECOVÁ, Jana, Vladimíra ROHLÍKOVÁ, Markéta ŠMOLDASOVÁ a Jan MAREKZákladní údaje
Originální název
Clinical Efficacy of Hyaluronic Acid with Iodine in Hard-to-Heal Wounds
Autoři
PECOVÁ, Jana (203 Česká republika, garant, domácí), Vladimíra ROHLÍKOVÁ (203 Česká republika), Markéta ŠMOLDASOVÁ (203 Česká republika) a Jan MAREK (203 Česká republika)
Vydání
PHARMACEUTICS, SWITZERLAND, MDPI, 2023, 1999-4923
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30202 Endocrinology and metabolism
Stát vydavatele
Švýcarsko
Utajení
není předmětem státního či obchodního tajemství
Impakt faktor
Impact factor: 5.400 v roce 2022
Kód RIV
RIV/00216224:14110/23:00133477
Organizační jednotka
Lékařská fakulta
UT WoS
001074547300001
Klíčová slova anglicky
chronic wounds; ulcer; treatment; hyaluronic acid; iodine
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 15. 2. 2024 14:03, Mgr. Tereza Miškechová
Anotace
V originále
Hard-to-heal wounds do not heal spontaneously and need long-term care provided by specialists. That burdens the patients as well as the healthcare systems. Such wounds arise from several pathologies, which result in venous leg ulcers (VLU), diabetic foot ulcers (DFU), pressure ulcers (PU), or ulcers originating from post-surgical wounds (pSW). Given the complex nature of hard-to-heal wounds, novel treatments are sought to enable wound healing. We tested the clinical efficacy and applicability of fluid comprising hyaluronic acid and iodine complex (HA-I) in the treatment of hard-to-heal wounds. Patients (n = 56) with VLU, DFU, PU, or pSW hospitalised in multiple wound-care centres in the Czech Republic were treated with HA-I. Wound size, classically visible signs of infection, exudation, pain, and wound bed appearance were monitored for 12 weeks. The highest healing rate was in DFU (71.4%), followed by pSW (62.5%), VLU (55.6%), and PU (44.4%). Classical visible signs of infection were resolved within 8 weeks in all types of wounds. Wound bed appearance improved most noticeably in pSW and then in VLU. Exudation was lowered most significantly in DFU and pSW. The highest decrease in pain was in pSW and DFU. The treatment with HA-I successfully led to either complete closure or significant improvement in the wound’s healing. Therefore, the complex of hyaluronic acid and iodine is suitable for the treatment of hard-to-heal wounds of various aetiologies