Evidence map›Paper›PMID 42431657›Full record

ArticleBMJ open2026

Plasma-activated water as a wound rinse solution in patients with diabetes-related foot ulcers in two Australian hospitals: study protocol for a phase I double-blinded, randomised controlled trial.

Adrian I Abdo, Neil Mcmillan, Li Lao, Guilherme N Pena, Robert Fitridge, Katharina Richter

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

6 authors.

Adrian I AbdoSchool of Pharmacy and Biomedical Science, College of Health, Adelaide University, Adelaide, South Australia, Australia adrian.abdo@adelaide.edu.au.ORCID http://orcid.org/0000-0002-6329-8954
Neil McmillanBasil Hetzel Institute for Translational Health Research, The Queen Elizabeth Hospital, Adelaide University, Adelaide, South Australia, Australia.
Li LaoBasil Hetzel Institute for Translational Health Research, The Queen Elizabeth Hospital, Adelaide University, Adelaide, South Australia, Australia.
Guilherme N PenaBasil Hetzel Institute for Translational Health Research, The Queen Elizabeth Hospital, Adelaide University, Adelaide, South Australia, Australia.
Robert Fitridge *Basil Hetzel Institute for Translational Health Research, The Queen Elizabeth Hospital, Adelaide University, Adelaide, South Australia, Australia.
Katharina Richter *School of Pharmacy and Biomedical Science, College of Health, Adelaide University, Adelaide, South Australia, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients living with diabetes-related foot ulcers (DFU) often have non-healing wounds that, despite ongoing clinical management and wound debridement as standard of care, can proceed to infection and lower limb amputation. Additionally, treatment guidelines do not recommend most topical antibiotics or antiseptic treatments, limiting complements to surgical wound debridement. We present a protocol for a phase I randomised controlled trial testing the safety and efficacy of plasma-activated water as an antiseptic for preventing infection and promoting ulcer healing. METHODS AND ANALYSIS: This protocol describes a single-centre, two-armed (1:1 allocation), double-blinded, randomised controlled trial of plasma-activated water (PAW) for the treatment of non-healing DFU. 20 participants will be randomised to the control (standard care with 10-minute treatment with saline-soaked gauze twice weekly for 6 weeks) or intervention group (same but with 10-minute treatment with PAW-soaked gauze instead). Primary outcome is the safety and tolerability of PAW in treating non-healing wounds, while secondary outcome is the effect on promoting wound healing and antimicrobial activity. ETHICS AND DISSEMINATION: The Central Adelaide Local Health Network Human Research Ethics Committee (2025/HRE00207) has approved the study. Results will be presented at international conferences and published in a peer-reviewed clinical journal. TRIAL REGISTRATION NUMBER: This trial was registered in the Australia New Zealand Clinical Trials Registry (registration number ACTRN12625000902493) on 20 August 2025.

Indexed as

Anti-Infective Agents, LocalDiabetic FootWaterWound HealingAustraliaClinical Trials, Phase I as TopicDebridementDouble-Blind MethodHumansMulticenter Studies as TopicRandomized Controlled Trials as TopicAnti-Infective Agents, LocalWaterAnti-Bacterial AgentsClinical ProtocolsClinical TrialDiabetic footWOUND MANAGEMENT

Identifiers

PMID42431657
PMCPMC13358267

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.