StudentShare
Contact Us
Sign In / Sign Up for FREE
Search
Go to advanced search...
Free

Prognosis and Harm of Wound Cleansing Using Tap Water - Research Proposal Example

Cite this document
Summary
The paper "Prognosis and Harm of Wound Cleansing Using Tap Water" operates mainly based on the question that can be stated as follows:  In postsurgical patients who are for hospital discharge with wounds that require regular cleansing and irrigation?…
Download full paper File format: .doc, available for editing
GRAB THE BEST PAPER97% of users find it useful
Prognosis and Harm of Wound Cleansing Using Tap Water
Read Text Preview

Extract of sample "Prognosis and Harm of Wound Cleansing Using Tap Water"

Title

 

Author (date)

Study Design

Description

 

Validity

Results

 

Author's Conclusions

Reviewer's Comments

Water for Wound Cleansing

(From Cochrane Database of Systematic Reviews)

 

 

Fernandez, R.

and

Griffiths, R.

 

(2008)

 

 

A systematic review of randomized and quasi-randomized controlled trials

 

 

 

P:   People of all ages with a wound of any etiology, in any setting (hospital, community, nursing homes, general practice,

wound clinics)

 

I:   Wound cleansing using water

 

C:  Wound cleansing using normal saline

 

O:  Infection,  wound healing, and cost analysis

Trial selection, data extraction, and quality assessment were carried out independently by two authors and checked by a third author. Differences in opinion were settled by discussion. Some data were pooled using a random-effects model. Trials undertaken in any country, irrespective of the tap water quality were included and there was no restriction on the basis of the language in which the trial reports were written.

 

Valid and non-biased.

Results demonstrated a significant reduction in infection rates in wounds cleaned with tap water compared with normal saline (RR 0.63, 95%CI 0.40 to 0.99; p=0.05)

 

There was no statistically significant difference in the number of wounds that healed after cleansing with either tap water or normal saline

(RR 0.57, 95% CI 0.30 to 1.07)

 

For cost analysis, tap water was inexpensive compared with the use of normal saline.

There is no evidence that using tap water to cleanse acute wounds in adults increases infection and some evidence that it reduces it. However, there is no strong evidence that cleansing wounds per se increases healing or reduces infection. In the absence of potable tap water, boiled and cooled water, as well as distilled water, can be used as wound cleansing agents.

Where tap water is high quality (drinkable), it may be as good as other methods such as sterile water or saline water (and more cost-effective), but more research is needed.

 

PICO QUESTION: In postsurgical patients who are for hospital discharge with wounds that require regular cleansing and irrigation, does wound cleansing using tap water have significant effects compared with using 0.9% normal saline solution in terms of wound healing or infection?

 

DOMAIN:  This applies to both clinical and community settings specifically to the prognosis/harm of wound cleansing using tap water.

Title

 

Author (date)

Study Design

Description

 

Validity

Results

 

Author's Conclusions

Reviewer's Comments

Effectiveness of Solutions, Techniques and

Pressure in Wound Cleansing 

(From The New South Wales Centre for Evidence-Based Health Care - a collaborating center of The Joanna Briggs Institute)

 

 

 

 

 

 

 

 

Fernandez, R.

Griffiths, R.

and

Ussia, C.

 

(2004)

 

 

 

 

 

 

 

 

A systematic review of randomized and clinical controlled trials

P:   Adults and/or children with wounds

 

I:  Wounds were cleaned with commercial cleansers, normal saline, water, chlorhexidine, hydrogen peroxide or povidone-iodine

 

C: Effects comparison

 

O: Prevent infection and promote wound healing

Selection of potential articles, assessment of methodological quality, and data abstraction was conducted independently by two reviewers. Trials with similar patients, comparisons, and outcomes were pooled. The data were analyzed using Cochrane Review Manager 4.2. Where pooling was inappropriate, trials are discussed in a narrative review.

 

Valid and non-biased.

Fourteen randomized controlled trials were included that compared various solutions for wound cleansing. The evidence indicates that there is no difference in the infection and healing rates in acute and chronic wounds cleansed with either tap water or normal saline.

The evidence supports the use of potable tap water for cleansing lacerations in both adults and children and postoperative wounds in adults only. Potable tap water as well as boiled and cooled water is also an effective wound cleansing solution. This finding, however, is based on a trial that had a small sample size.

The evidence to support the use of potable tap water is limited (only one study with low power); therefore, further studies are required to confirm that assumption.

PICO QUESTION: In postsurgical patients who are for hospital discharge with wounds that require regular cleansing and irrigation, does wound cleansing using tap water have significant effects compared with using 0.9% normal saline solution in terms of wound healing or infection?

 

DOMAIN:  This applies to both clinical and community settings specifically to the prognosis/harm of wound cleansing using tap water.

Title

 

Author (date)

Study Design

Description

 

Validity

Results

 

Author's Conclusions

Reviewer's Comments

A Comparison Between Traumatic Wound Infections after

Irrigating Them with Tap Water and Normal Saline

(From World Journal of Medical Sciences )

 

 

 

 

 

 

 

 

 

Mirshamsi, M.H. Ayatollahi, J.

and

Dashti-R, M.H.

 

(2007)

 

 

 

 

 

 

 

Randomized and clinical controlled trials

P:  600 patients with fresh contaminated traumatic wounds

 

I:   Washed with tap water

 

C:  Washed with normal saline

 

O:  Rate of wound infection

In a clinical trial study fresh contaminated traumatic wounds of 600 patients referred to 2 emergency centers in Yazd, Iran was randomly washed perfectly with either normal saline or tap water and then sutured with a Nylon thread and left without any dressing. All wounds were followed for 1, 3, and 5 days and during each observation. Classic signs of infection such as erythema, swelling, warmth, purulent and bloody drainage, and Crepitation were recorded for each patient. The patients in 2 groups were matched according to age and sex.

 

Valid and non-biased.

In patients who were 30-60 years old, the incidence of wound infection in wounds washed with tap water was greater than those washed with normal saline (10% vs. 6% p=0.03), but in age ranges less than 30 and greater than 60 years there was no significant difference in wound infection between two groups (p=0.488 and p=0.402).

 

In wounds washed with tap water the incidence rate of wound infection in males was significantly greater than females (10.7% vs. 6.7% p= 0.03)

Findings as well as other mentioned reports appear to support the cost-effectiveness and ease of use of tap water in wound cleansing. However, tap water could be used for cleansing when produced from a supply of potable drinking water. Tap water of lesser quality than was used in our study may produce different effects.

Findings appear to support the safety and ease of use of tap water in wound cleansing, however, tap water could be used for cleansing when produced from a supply of potable drinking water. Tap water of lesser quality than was used in this study may produce different effects.

GUIDE

Author (date): include all authors and date of publication

Study design (level of evidence): include study design and level of evidence using JBI or NHMRC

Description: include patients, intervention, comparison, outcomes measured

Validity: include methodology, rigor, the potential for bias

Results: include generally favorable or unfavorable, specific outcomes of interest, the estimate of experimental effect if appropriate

Author's Conclusions: include limitations, the implication for practice and research) if appropriate

Reviewer's Comments: include the potential for bias, weaknesses, and strengths

 

Read More
Cite this document
  • APA
  • MLA
  • CHICAGO
(“IN PATIENTS WHERE INFECTION IS A CONCERN FOR WOUND HEALING IS TAP Research Proposal”, n.d.)
IN PATIENTS WHERE INFECTION IS A CONCERN FOR WOUND HEALING IS TAP Research Proposal. Retrieved from https://studentshare.org/miscellaneous/1553387-in-patients-where-infection-is-a-concern-for-wound-healing-is-tap-water-as-effective-as-sterile-saline-in-wound-cleansing
(IN PATIENTS WHERE INFECTION IS A CONCERN FOR WOUND HEALING IS TAP Research Proposal)
IN PATIENTS WHERE INFECTION IS A CONCERN FOR WOUND HEALING IS TAP Research Proposal. https://studentshare.org/miscellaneous/1553387-in-patients-where-infection-is-a-concern-for-wound-healing-is-tap-water-as-effective-as-sterile-saline-in-wound-cleansing.
“IN PATIENTS WHERE INFECTION IS A CONCERN FOR WOUND HEALING IS TAP Research Proposal”, n.d. https://studentshare.org/miscellaneous/1553387-in-patients-where-infection-is-a-concern-for-wound-healing-is-tap-water-as-effective-as-sterile-saline-in-wound-cleansing.
  • Cited: 0 times

CHECK THESE SAMPLES OF Prognosis and Harm of Wound Cleansing Using Tap Water

War and the Threat of External Violence

This book is an attempt of a geopolitical prognosis.... War and the Threat of External Violence War is Peace.... Orwell, G.... 1984.... George Orwell's novel 1984 is a dystopia of a wide international fame, dystopia with a very clear warning.... Along with the political satire of Animal Farm, 1984 was an important choice step of the Western intellectual elite on the way to further development of civilization....
9 Pages (2250 words) Essay

He similarities and differences between autosomal recessive and sex-linked recessive conditions

Autosomal recessive conditions manifest themselves only when an individual is homozygous for the affected allele that causes a certain condition.... he alleles that cause these conditions are not found on the sex genes,and the affects are generally masked in the heterozygous parents who possess both a normal,dominant allele and the affected recessive allele....
15 Pages (3750 words) Essay

The Letter A and The Eyes Are Not Her: Relationships and Handicaps

The author compares Christy Brown's 'The Letter 'A,'' and Ruskin Bond's 'The Eyes Are Not Here' short stories.... 'The Letter 'A,'' is an autobiographical account of Brown's struggle against cerebral palsy.... 'The Eyes Are Not Here' is a fictional tale of a brief encounter between two blind passengers....
4 Pages (1000 words) Essay

Tooth Shape and Size Anomalies, Occlusal Implications, and Orthodontic Management

The dissertation is focused on the issue of the tooth shape and size anomalies which include megalodontia, microdontia (including peg-laterals), fusion, gemination, concrescence, dilaceration, taurodontism, and dens in dente.... Besides, a brief description of the jobs and duties that dentist performs is given here....
100 Pages (25000 words) Dissertation

Functional Assessment in the Middle Years - a Hypertensive Cardiovascular Disease

This research "Functional Assessment in the Middle Years - a Hypertensive Cardiovascular Disease" examines the cardiovascular disease is one of Australia's largest health problems.... It is the leading cause of death in this country accounting for 34% of all deaths in Australia in 2006.... .... ... ...
12 Pages (3000 words) Case Study

Eyewitness Testimony of Children

The group's initial prognosis was that the older children would have more confident recollections; the non-abused would have displayed a higher aptitude than the abused children and that an abused child would be easier to influence and his memory more imprecise.... This paper "Eyewitness Testimony of Children" discusses a childhood eyewitness's dependence that holds significance legally and psychologically....
11 Pages (2750 words) Literature review

Features and Main Aspects of Multiple Sclerosis

This research paper describes the problems, features and main aspects of Multiple Sclerosis.... This paper investigates the effects Multiple Sclerosis has on gait patterns and this will be achieved by looking at the clinical methodologies used in studying the physical ability of the patients especially with regards to locomotion....
42 Pages (10500 words) Research Paper

Clean Water for Farm to Use

From the paper "Clean water for Farm to Use" it is clear that an automated system for the treatment of water would be of great importance as this will greatly reduce the cost incurred in the operation of the water treatment plant.... Having an automated system improves the efficiency and quality of water.... A process control system monitors a water treatment environment and it electronically controls the process on the limits that are determined and set by the operators....
12 Pages (3000 words) Case Study
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.
Contact Us