Zakhary SA, Davey C, Bari R, Bean J, Reber T, Gallagher K, Couch K, Hurlow J, Laforet K, McIssac C, Napier K, Vilar-Compte D, Zakhary E, Hermans M, Bolton L, et al.
Ostomy/wound management. Date of publication 2017 Nov 1;volume 63(11):18-29.
1. Ostomy Wound Manage. 2017 Nov;63(11):18-29.
The Development and Content Validation of a Multidisciplinary, Evidence-based
Wound Infection Prevention and Treatment Guideline.
Zakhary SA, Davey C, Bari R, Bean J, Reber T, Gallagher K, Couch K, Hurlow J,
Laforet K, McIssac C, Napier K, Vilar-Compte D, Zakhary E, Hermans M, Bolton L.
Acute and chronic wound infections create clinical, economic, and
patient-centered challenges best met by multidisciplinary wound care teams
providing consistent, valid, clinically relevant, safe, evidence-based management
across settings. To develop an evidence-based wound infection guideline, PubMed,
Cochrane Library, and Cumulative Index to Nursing and Allied Health Literature
databases were searched from inception through August 1, 2017 using the terms (or
synonyms) wound infection and risk factor, significant, diagnosis, prevention,
treatment, or surveillance. Studies on parasitic infections, in vitro studies,
and non-English publications were excluded. The 19-member International
Consolidated Wound Infection Guideline Task Force (ICWIG TF), hosted by the
Association for the Advancement of Wound Care (AAWC), reviewed
publications/assessed levels of evidence, developed recommendations, and verified
representation of all major recommendations from 27 multidisciplinary wound
infection documents. Using a web-based survey, practitioners were invited to
assess the clinical relevance and strength of each recommendation using
standardized scores. Survey responses from 42 practitioners, including registered
nurses (RNs), Wound Care Certified and advanced practice RNs, physical
therapists, physicians, podiatrists, and scientists from 6 countries were
returned to AAWC staff, tabulated in a spreadsheet, and analyzed for content
validity. Respondents had a median of >15 years of military or civilian practice
and managed an average of 15.9 ± 23 patients with infected wounds per week.
Recommendations supported by strong evidence and/or content validated as relevant
by at least 75% of respondents qualified for guideline inclusion. Most (159,
88.8%) of the 179 ICWIG recommendations met these criteria and were summarized as
a checklist to harmonize team wound infection management across specialties and
settings. Most of the 20 recommendations found not to be valid were related to
the use of antibiotics and antiseptics. After final ICWIG TF review of best
evidence supporting each recommendation, the guideline will be published on the
AAWC website.
PMID: 29166260 [Indexed for MEDLINE]
