Addition of Negative Pressure Wound Therapy to Standard Gauze Dressings for Acute Wounds in a Limited-Resource Setting
Wounds and Injuries
About this trial
This is an interventional treatment trial for Wounds and Injuries focused on measuring Negative-Pressure Wound Therapy, Wound Healing, Global Health, Cameroon
Eligibility Criteria
Inclusion Criteria:
- Patients must be at least 15 years of age,
- Acute wounds <21 days from any soft tissue traumatic, surgical, or infectious cause.
Wound size must be either
- a minimum of 25 sq cm in cross dimension with a minimum wound depth of 1 cm at the deepest point or
- a minimum of 16 sq cm in cross dimension with a minimum depth of 1.5 cm at deepest point.
- Wounds must have been cleaned and debrided of all debris, foreign body contamination (dirt, grass, bone fragments, other debris), necrotic tissue, and pus
- Wound should be considered stable (not evoloving) and ready for dressing changes every 72hours.
- Necrotizing soft tissue infection wounds will only be considered after control of infection through medical and surgical treatment and the wound stable enough for a dressing change every 72 hours.
- Aamputation stump wounds can be included if all other criteria fulfilled.
Exclusion Criteria:
- A wound that would be able to be closed primarily or within 5 days through suture closure, flap rotation or immediate skin graft coverage.
- A wound greater than or equal to 21 cm in either length or width at the initial measurement.
- A wound in the perineum: defined by the pubic bone anteriorly and the anus posteriorly.
- A wound with a visible blood vessel of >3mm.
- The presence of known cancer in the wound.
- Acute burns or burns with skin grafts wound.
- Latex allergy.
- Expected mortality within 30 days of admission from co-exisitng medical or surgical condition.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Standard Gauze Dressing
WiCare NPWT dressing
Patients with wounds that meet eligibility criteria will be randomized, if randomized to the Standard Gauze Dressing Arm, a saline moistened sterile gauze will be packed into the wound with dry gauze and either tape or other means will be used to secure the dressing. The dressing will be changed daily and measured and photodocumented every 72 hours with the Wound Zoom system.
Patients with wounds that meet eligibility criteria will be randomized, if randomized to the WiCare NPWT Dressing Arm, a saline moistened sterile gauze will be packed into the wound and then the WiCare dressing and wound pump will be placed on the wound. The dressing will be changed, measured and photodocumented every 72 hours with the Wound Zoom system.