Jwc ewma final indd

J O U R N A L  O F WO U N D  C A R E   Vo l   2 2 .  N o   1 .  E W M A   D o c u M E N t   2 0 1 3

Appendices

Appendix1. literature review of debridement methods

This literature was undertaken as a prelude to a Position paper on debridement to be published by the 

European Wound Management Association (EWMA). In order to achieve this, three databases were 

interrogated: Medline, Embase and Cochrane Database. 

A search strategy was instigated to allow for the identification of a broad range of methods and results of 

using different techniques in the debridement of wounds

The search terms used were as follows

1  Debridement

2  Gauze or Wet-to-Dry

3  Dressings or alginate or hydrofiber or hydrofibre or hydrocolloid or Granuflex or Tegasorb or Aquacel or 

Combiderm or Duoderm

4  Hydrogel or Intrasite or Sterigel or Granugel or Nugel or Purilon or Vigilon

5  Zinc oxide

6  Hypochlorite or Hydrogen peroxide

7  Malic acid or benzoic acid or salicylic acid or propylene glycol

8  Iodoflex or Iodosorb

9  Dextranomer or Cadexomer or Xerogel or Eusol or Debrisan

10  Dakin

11  Collagenase or fibrinolytic or proteolytic or Trypsin or streptokinase or Varidase

12  Papain

13  Honey

14  Maggot or larva

15  Jet lavage (Versajet or fluidjet)

16  Ultrasound

17  Negative pressure or vacuum assisted closure

18  Laser

19  Electrical stimulation

20  Surgical or sharp

21  Pain

22  Granulation

23  Cost

Each search term (2–23) was combined with search term 1 and outputs were identified from the databases. 

Where there were a large number of outputs (> 500) these were restricted to clinical trials.

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