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The Best of the Best
Sep 2012

Top-Accessed Article: Dressings for Acute and Chronic Wounds

Arch Dermatol. 2012;148(9):1028. doi:10.1001/archdermatol.2012.976

Chaby G, Senet P, Vaneau M, et al. Dressings for acute and chronic wounds: a systematic review. Arch Dermatol. 2007;143(10):1297-1304.

Given that dermatologists create more acute wounds than any other specialty and care for a large number of chronic wounds, this excellent article by Chaby and colleagues, in which they present a systematic review on the efficacy of modern dressings on acute and chronic wounds, was especially timely. Studying various aspects of healing, such as complete healing, time to healing, and change in wound size, among others, they extracted data from 93 studies. Although no level A studies were found for any type of dressing, hydrocolloid dressings proved superior to saline gauze or paraffin gauze dressings for the complete healing of chronic wounds, and alginates were better than other modern dressings for debriding necrotic wounds. Also, hydrofiber and foam dressings, when compared with other traditional dressings or a silver-coated dressing, respectively, reduced time to healing of acute wounds. While the quality of data was limited, this article provided continued rationale for and guidance in choosing modern dressings for wounds that dermatologists often encounter.

From October 2010 to August 2011, this article was viewed 2117 times on the Archives of Dermatology website.

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Contact Dr Kirsner at the Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, 1600 NW 10th Ave, Room 2023-A, Miami, FL 33136(rkirsner@med.miami.edu).

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