22 January 2022 : Clinical Research
A Questionnaire-Based Study to Obtain a Consensus from 5 Polish Burns Centers on Eschar Removal by Bromelain-Based Enzymatic Debridement (Nexobrid®) in Burns Following the 2020 Updated European Consensus Guidelines
Tomasz Korzeniowski12ABCDEFG*, Jerzy Strużyna13ACDEFG, Anna M. Chrapusta4ABCDE, Andrzej Krajewski5ABDE, Marek Kucharzewski6ABDEF, Krzysztof Piorun
5ABCE, Jakub Nowakowski7BCDF, Agnieszka Surowiecka1ACDE, Magdalena Kozicka12ABDF, Kamil Torres12BDEG
DOI: 10.12659/MSM.935632
Med Sci Monit 2022; 28:e935632
Table 3 Consensus statements and agreement on application of enzymatic debridement.
| No | Statement | Agreement | Likert scale | Consensus |
|---|---|---|---|---|
| 10 | Enzymatic debridement needs to be carried out early, preferably within the first 72 h after the moment the burn occurred | 100% | 4/5 strongly agree1/5 agree | Yes |
| 11 | Late application of Nexobrid (>72 h after the moment the burn occurred) may still be effective and can be considered. However, it calls for a sufficient extent of eligibility verification and wound preparation | 100% | 5/5 strongly agree | Yes |
| 12 | Careful removal or blisters and dead epidermis residue is a prerequisite for enzymatic debridement | 100% | 5/5 strongly agree | Yes |
| 13 | Enzymatic debridement does not work on dry wounds, which is why a moist environment needs to be ensured before the procedure is carried out | 100% | 5/5 strongly agree | Yes |
| 14 | A moist environment can be achieved by means of soaking the wound or applying special dressings (eg, hydrogel) | 100% | 5/5 strongly agree | Yes |