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 4 Consensus statements and agreement on post-enzymatic debridement wound care.
| No | Statement | Agreement | Likert scale | Consensus |
|---|---|---|---|---|
| 15 | Local evaluation by an experienced member of the burn team is crucial in terms of adopting the right approach to post-enzymatic debridement wound management | 100% | 4/5 strongly agree1/5 agree | Yes |
| 16 | The color of the wound bed and post-enzymatic debridement bleeding patterns play an important role in burn wound depth diagnosis | 100% | 5/5 strongly agree | Yes |
| 17 | The key aspect of post-enzymatic debridement wound management involves preventing the wound from drying and keeping the wound moist | 100% | 5/5 strongly agree | Yes |
| 18 | Full-thickness wounds require early skin grafting | 100% | 4/5 strongly agree1/5 somewhat agree | Yes |
| 19 | Special dressings (eg, silicone, hydrocolloid, or membrane dressings) or allografts are recommended for use if epithelialization is expected or as a means of preparing the wound for grafting | 100% | 3/5 strongly agree1/5 agree1/5 somewhat agree | Yes |
| 20 | If pseudoeschar lasts >14 days, repeated wound debridement needs to be considered | 100% | 4/5 strongly agree1/5 agree | Yes |
| 21 | If epithelialization fails to progress for 21 days in partial-thickness wounds, autologous skin grafts need to be considered | 100% | 5/5 strongly agree | Yes |