AI Article Synopsis

  • Debridement is vital for healing wounds by removing dead tissue and bacteria, but it can also spread bacteria into the air.
  • This study tested three debridement methods—curette, Coblation®, and Versajet®—on infected pig skin wounds to see how they affected bacterial levels and aerosolization.
  • Only Coblation significantly decreased bacteria in the wounds without causing airborne bacteria spread, making it a safer option compared to Versajet, which increased aerosolized bacteria.

Article Abstract

Debridement is essential in wound treatment to remove necrotic tissue and wound bacteria but may lead to bacteria spread by aerosolization. This study investigated the wound bacterial reduction and bacterial transmission induced by debridement using curette, plasma-mediated bipolar radiofrequency ablation (Coblation®) or hydrodebridement (Versajet®). Full thickness dermal wounds in porcine joint specimens inoculated with S. aureus were debrided with curette, Coblation, Versajet, or were left untreated. During and after debridement, aerosolized bacteria were measured and to assess wound bacterial load, quantitative swab samples were taken from each wound. Only Coblation was able to reduce the bacterial load of the wound significantly. Versajet debridement resulted in a significant bacterial aerosolization, but this was not the case with Coblation and curette debridement. This study shows that Coblation is a promising wound debridement method, which effectively reduces the wound bed bacterial load without the risk of bacterial aerosolization.

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Source
http://dx.doi.org/10.2340/00015555-1944DOI Listing

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