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Betadine & diabetic wounds

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  #1  
Old 26th May 2011, 04:31 AM
zakalx14 zakalx14 is offline
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Default Betadine & diabetic wounds

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Hi everyone,

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
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  #2  
Old 26th May 2011, 03:43 PM
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Default Re: betadaine & diabetic wounds

Quote:
Originally Posted by zakalx14 View Post
Hi everyone,

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

Quote:
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
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  #3  
Old 26th May 2011, 04:19 PM
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Default Re: betadaine & diabetic wounds

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Originally Posted by Tuckersm View Post
We do know that all topical anti infectives not only have an effect on bacteria, but also fibroblasts, which are necassary for healing.
I thought Flaminal had minimal impact upon fibroblasts. The below quote is from the following link: http://www.flaminal.co.uk/news.php

Quote:
Keratinocyte and fibroblast survival was comparable between Flaminal®, normal growth medium and wound dressings without an antimicrobial agent.
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Old 26th May 2011, 04:26 PM
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Default Re: betadaine & diabetic wounds

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Originally Posted by brekin View Post
I thought Flaminal had minimal impact upon fibroblasts. The below quote is from the following link: http://www.flaminal.co.uk/news.php
Happy to be corrected
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Old 26th May 2011, 08:58 PM
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Default Re: betadaine & diabetic wounds

Related thread:
Betadine and Diabetic Wounds
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Old 1st June 2011, 07:56 AM
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Default Re: Betadine & diabetic wounds

so it looks like betadine is probably not a great option for ulcer esp long term use, is there any other topical prepartion that is ideal in preventing/ridding of infection?
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Old 1st June 2011, 02:34 PM
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Default Re: Betadine & diabetic wounds

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Originally Posted by dragon_v723 View Post
so it looks like betadine is probably not a great option for ulcer esp long term use, is there any other topical prepartion that is ideal in preventing/ridding of infection?
No. They will all have their pros and cons, and you will need to use your clinical judgement. Pretty much all of the antiseptics can cause too much damage to the wound bed to be of any use, especially if used more than once.
Also preventing infection is quite different to ridding infection. A sterile dressing on a clean wound should prevent infection. And you need to definine infection, as a truely infected wound is best treated with systemic agents. A colinised wound though can sometimes benefit from local anti infectives, depending on the wound bed etc.
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Old 1st June 2011, 06:46 PM
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Default Re: Betadine & diabetic wounds

Thx for the clarification Stephen
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Old 5th June 2011, 03:39 PM
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Default Re: Betadine & diabetic wounds

This may make you laugh but I have personally seen Penaten heal diabetic ulcers in geriatrics when nothing else worked. " Penaten Cream is a softening cream infused with Zinc Oxide and Hamamelis Extract to help provide a soothing effect on the skin. How to use Apply to skin as required.Warnings: For... more >>"
Just thought I'd share.
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Old 5th June 2011, 08:07 PM
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Default Re: Betadine & diabetic wounds

I use betadine regularly, particularly on neuropathic wounds.

I work in a sub-tropical area. Infection is the enemy, not a few extra days of wound healing. One could argue that any foot inside a shoe is living in a sub/tropical environment.

Given I have already subjected the wound to serious physical insult via sharp debridement, splashing (liquid) betadine around is of little consequence in the big picture. Dont use ointment/cream - it just makes everything sloughy and too wet.

Treat it like an alternative to antibiotic prophylaxis. I think there is an inordinate amount of hysteria about it.

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  #11  
Old 18th July 2014, 10:40 PM
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Default Re: Betadine & diabetic wounds

Nursing interventions of topical application of betadine on diabetic foot ulcer healing among diabetics
Chandrakala S, Dr. Karunagari Karaline
The Journal of Nursing Trendz Year : 2014, Volume : 5, Issue : 1
Quote:
An experimental study was conducted to find out the effectiveness of nursing interventions and topical application of betadine on diabetic foot ulcer healing among 100 diabetics by simple random sampling technique. The tool used to collect the data was Bates Jensen's wound assessment tool. This study revealed that, although the two groups (Betadine with nursing intervention and betadine dressing alone) samples had improvement in the healing process, yet betadine with nursing intervention had better healing effect than betadine dressing alone. Based on the results of the study, it is recommended that along with betadine dressing, nursing intervention should be used as diabetic foot ulcer management regimen
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