Evidence map›Paper›PMID 28266133›Full record

ArticleInternational wound journal2017

Effectiveness of a polyhexanide irrigation solution on methicillin-resistant Staphylococcus aureus biofilms in a porcine wound model.

Stephen C Davis, Andrew Harding, Joel Gil, Fernando Parajon, Jose Valdes, Michael Solis, Alex Higa

Abstract read
In one paragraph

Article in International wound journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed.

  1. Article
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  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
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  11. Article
  12. Review
  13. Article
  14. Biofilm-Associated Infections in Chronic Wounds and Their Management.Advances in experimental medicine and biology · 2023
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Irrigation Solutions in Total Joint Arthroplasty.Spartan medical research journal · 2022
    Article
  20. Frontiers in microbiology · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Stephen C DavisDepartment of Dermatology & Cutaneous Surgery, Miller School of Medicine, University of Miami, Miami, FL, USA.
Andrew HardingDepartment of Dermatology & Cutaneous Surgery, Miller School of Medicine, University of Miami, Miami, FL, USA.
Joel GilDepartment of Dermatology & Cutaneous Surgery, Miller School of Medicine, University of Miami, Miami, FL, USA.
Fernando ParajonDepartment of Dermatology & Cutaneous Surgery, Miller School of Medicine, University of Miami, Miami, FL, USA.
Jose ValdesDepartment of Dermatology & Cutaneous Surgery, Miller School of Medicine, University of Miami, Miami, FL, USA.
Michael SolisDepartment of Dermatology & Cutaneous Surgery, Miller School of Medicine, University of Miami, Miami, FL, USA.
Alex HigaDepartment of Dermatology & Cutaneous Surgery, Miller School of Medicine, University of Miami, Miami, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Irrigation and removal of necrotic debris can be beneficial for proper healing. It is becoming increasingly evident that wounds colonized with biofilm forming bacteria, such as Staphylococcus aureus (SA), can be more difficult to eradicate. Here we report our findings of the effects of an irrigation solution containing propyl-betaine and polyhexanide (PHMB) on methicillin-resistant Staphylococcus aureus (MRSA) biofilms in a porcine wound model. Thirty-nine deep partial thickness wounds were created with six wounds assigned to one of six treatment groups: (i) PHMB, (ii) Ringer's solution, (iii) hypochlorous acid/sodium hypochlorite, (iv) sterile water, (v) octenidine dihydrochloride, and (vi) octenilin. Wounds were inoculated with MRSA and covered with a polyurethane dressing for 24 hours to allow biofilm formation. The dressings were then removed and the wounds were irrigated twice daily for 3 days with the appropriate solution. MRSA from four wounds were recovered from each treatment group at 3 days and 6 days hours after initial treatment. Irrigation of wounds with the PHMB solution resulted in 97·85% and 99·64% reductions of MRSA at the respective 3 days and 6 days assessment times when compared to the untreated group. Both of these reductions were statistically significant compared to all other treatment groups (P values <0·05).

Indexed as

AnimalsBetaineBiguanidesBiofilmsDisease Models, AnimalDisinfectantsMethicillin-Resistant Staphylococcus aureusStaphylococcal InfectionsSwineWounds and InjuriesBetaineBiguanidesDisinfectantspolihexanideMRSAPHMBPorcine modelWound irrigation

Identifiers

PMID28266133
PMCPMC7950165

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.