Mallow PJ, Black J, Chaffin AE, Couch KS, Faust E, Fernández LG, Gallagher KE, Lam L, Niezgoda JA, Weir D, et al.
Wounds : a compendium of clinical research and practice. Date of publication 2024 Oct 1;volume 36(10):S1-S13.
1. Wounds. 2024 Oct;36(10):S1-S13. doi: 10.25270/wnds/24101. The economic and quality effects of wound cleansing with pure hypochlorous acid: evidence-based evaluation and clinical experience. Mallow PJ(1), Black J(2), Chaffin AE(3), Couch KS(4), Faust E(5), Fernández LG(6), Gallagher KE(7), Lam L(8), Niezgoda JA(9), Weir D(10). Author information: (1)Department of Health Services Administration, Xavier University, Cincinatti, OH. (2)University of Nebraska Medical Center, Omaha, NE. (3)Division of Plastic Surgery, Tulane University School of Medicine, New Orleans, LA; MedCentris Wound Healing Institute, Hammond, LA. (4)Wound Care Services, The George Washington University Hospital, Washington, DC. (5)Lizzie Wounds, LLC, Douglassville, PA. (6)Department of Surgery, UT Health Science Center-Tyler, The University of Texas-Tyler School of Medicine, Tyler, TX. (7)Acute Surgical Wound Service, ChristianaCare Health Services, Wilmington, DE. (8)Wound Services, United Vein and Vascular Centers, Tampa, FL. (9)Kent Imaging, Calgary, AB, Canada; Auxillium Healthcare Services, South Barrington, IL; WebCME, West Allis, WI. (10)Saratoga Hospital Center for Wound Healing and Hyperbaric Medicine, Saratoga Springs, NY. BACKGROUND: Chronic or hard-to-heal wounds fail to proceed through an orderly and timely healing process, resulting in a lack of anatomic and functional integrity. Infection is a common driver of nonhealing processes; therefore, infection prevention and management are essential components to healing chronic wounds. Inexpensive specialized cleansers, such as pure hypochlorous acid (pHA), can be used to cleanse vulnerable wounds to reduce microbial burden, thereby reducing the risk of infection and significantly decreasing the likelihood of the patient developing a costly wound complication. OBJECTIVE: To report the findings of an expert panel composed of 10 health care professionals (HCPs) from diverse medical specialties convened to discuss the use of pHA in various care settings. METHODS: During the panel discussion, experienced HCPs presented specific case examples in which pHA was used, along with associated costs. RESULTS: A major theme of the panel discussion was the widespread benefit of pHA across various types of wounds and wound care settings. In addition, the patient cases illustrated a negligible economic impact of pHA coupled with positive effects on patient outcomes. This work did not include the development of a consensus statement. CONCLUSION: Together, the information presented in the panel discussion supports pHA as a dominant strategy (more effective, less costly) compared with standard wound management practices in many treatment settings. DOI: 10.25270/wnds/24101 PMID: 39432725 [Indexed for MEDLINE]
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