Originally Posted by zakalx14
This is my first post in the this website
I want to start with a burning question!!!
Betadaine & chronic wounds/diabetic wounds
Is there evidence based which says Bedatine should not be used with diabetic wounds
Would be great if u post threads which support the above
Your opinion is very much appreciated
There is no evidence to support the use of Povodine-iodine in the management of diabeic foot ulcers
Hinchliffe RJ; Valk GD; Apelqvist J; Armstrong DG; Bakker K; Game FL; Hartemann-Heurtier A; Löndahl M; Price PE; van Houtum WH; Jeffcoate WJ
Source: Diabetes/Metabolism Research And Reviews [Diabetes Metab Res Rev] 2008 May-Jun; Vol. 24 Suppl 1, pp. S119-44.
More information was needed to confirm the effectiveness and cost-effectiveness of these and other interventions. No data were found to justify the use of any other topically applied product or dressing, including those with antiseptic properties.
Similarly no evidence to support other topical anti-infectives such as Silver Dressings, Codexomer Iodine, Flaminal etc. They have all shown themselves effective in vitro to reduce a bioburden, and even in vivo for most, but no evidence that they affect wound healing outcomes (maybe because the current research has been poor)
We do know that all topical anti infectives not only have an effect on bacteria, but also fibroblasts, which are necassary for healing.
If a wound is frankly infected systemic cover is required and is supported by evidence, if just colonised, you can remove a bioburden with debridement, but again limited evidence.
Personally, I haven't used betadine for a long time. But when I did use it it was more as a wound flush, which I would follow up with saline.
The evidence that does exist points to a moist wound environment, pressure reduction (TCC best) and control of blood sugars etc.
NPWT and more recently in the vascularly compromised HBO also have an evidence base