Successful and safe use of 2 min cold atmospheric argon plasma in chronic wounds: results of a randomized controlled trial.

作者: G. Isbary , J. Heinlin , T. Shimizu , J.L. Zimmermann , G. Morfill

DOI: 10.1111/J.1365-2133.2012.10923.X

关键词: Plasma treatmentIn vivoSurgeryPhases of clinical researchProspective cohort studyRandomized controlled trialTreatment outcomeMedicinePlasma medicineAnesthesiaBacterial colonization

摘要: Background The development of antibiotic resistance by microorganisms is an increasing problem in medicine. In chronic wounds, bacterial colonization associated with impaired healing. Cold atmospheric plasma innovative promising tool to deal these problems. Objectives 5-min argon treatment has already demonstrated efficacy reducing numbers infected wounds vivo. this study we investigated a 2-min the same device and next-generation device, assess safety reduction load, regardless kind bacteria their level wounds. Methods Twenty-four patients were treated prospective randomized controlled phase II 2 min cold every day: 14 MicroPlaSter alpha 10 beta (next-generation device) addition standard wound care. patient acted as his ⁄her own control. Bacterial species detected swabs load semiquantitative count on nitrocellulose filters. settings previous which exposed for 5 plasma. Results Analysis 70 treatments revealed significant (40%, P <0 AE016) plasmatreated bacteria. 137 showed highly (23AE5%, AE008) load. No side-effects occurred was well tolerated. Conclusions A either two devices safe, painless effective technique decrease

参考文章(26)
X. Kurz, U. Baccaglini, D. Clement, J. A. Dormandy, J. H. Scurr, John P. Cooke, S. R. Kahn, G. R. Fowkes, L. Norgren, A. Berard, D. L. Lamping, M. Depairon, I. Durand-Zaleski, H. Partsch, F. Zuccarelli, A. Cornu-Thenard, L. Abenhaim, Chronic venous disorders of the leg: epidemiology, outcomes, diagnosis and management. Summary of an evidence-based report of the VEINES task force. Venous Insufficiency Epidemiologic and Economic Studies. International Angiology. ,vol. 18, pp. 83- 102 ,(1999)
Martin C. Robson, WOUND INFECTION: A Failure of Wound Healing Caused by an Imbalance of Bacteria Surgical Clinics of North America. ,vol. 77, pp. 637- 650 ,(1997) , 10.1016/S0039-6109(05)70572-7
J M Craythorn, A G Barbour, J M Matsen, M R Britt, R A Garibaldi, Membrane filter contact technique for bacteriological sampling of moist surfaces. Journal of Clinical Microbiology. ,vol. 12, pp. 250- 255 ,(1980) , 10.1128/JCM.12.2.250-255.1980
J Heinlin, G Isbary, W Stolz, G Morfill, M Landthaler, T Shimizu, B Steffes, T Nosenko, JL Zimmermann, S Karrer, Plasma applications in medicine with a special focus on dermatology Journal of The European Academy of Dermatology and Venereology. ,vol. 25, pp. 1- 11 ,(2011) , 10.1111/J.1468-3083.2010.03702.X
Suzanne Kilmer, Natalie Semchyshyn, Geeta Shah, Richard Fitzpatrick, A pilot study on the use of a plasma skin regeneration device (Portrait® PSR3) in full facial rejuvenation procedures Lasers in Medical Science. ,vol. 22, pp. 101- 109 ,(2007) , 10.1007/S10103-006-0431-9
Melissa A. Bogle, Kenneth A. Arndt, Jeffrey S. Dover, Evaluation of plasma skin regeneration technology in low-energy full-facial rejuvenation. Archives of Dermatology. ,vol. 143, pp. 168- 174 ,(2007) , 10.1001/ARCHDERM.143.2.168
Warren C. Breidenbach, Stuart Trager, Quantitative culture technique and infection in complex wounds of the extremities closed with free flaps. Plastic and Reconstructive Surgery. ,vol. 95, pp. 860- 865 ,(1995) , 10.1097/00006534-199595050-00015
Georg Isbary, Gregor Morfill, Julia Zimmermann, Tetsuji Shimizu, Wilhelm Stolz, Cold atmospheric plasma: a successful treatment of lesions in Hailey-Hailey disease. Archives of Dermatology. ,vol. 147, pp. 388- 390 ,(2011) , 10.1001/ARCHDERMATOL.2011.57
John A. Heit, Venous thromboembolism epidemiology: implications for prevention and management. Seminars in Thrombosis and Hemostasis. ,vol. 28, pp. 3- 13 ,(2002) , 10.1055/S-2002-32312