Recommendation ID
CG119/2
Question
What is the optimum wound-healing environment and what is the optimum dressing to treat diabetic foot ulcers?
Any explanatory notes
(if applicable)
Nearly all patients admitted to hospital with a Diabetic Foot Problem will either already have or shortly following admission have (as a result of a planned intervention) a wound which requires an appropriate wound dressing. Despite numerous articles having been written describing the benefits of a range of interactive wound management materials on a range of wounds, these have generally been on chronic wounds such as leg ulcers and pressure ulcers and have not been specifically tested on patients with diabetic foot wounds. It is therefore difficult to extrapolate any findings to this specific patient group due to the diversity of the concomitant conditions that may be present at the same time as the wound. In addition, these reports have usually been derived from either a single or multiple case study design and have been non-comparative. To date there is little evidence to confirm what is the best environment for healing to take place within a wound on a patients diabetic foot, or to support which is / are the best wound management material(s) to support the natural healing process. Whilst there has been a little research undertaken comparing traditional wound dressings materials (gauze based) with more modern interactive materials (alginates / hydrocolloids) to date this has been inconclusive and generally of poor quality. A randomised clinical trial enrolling only patients with diabetic foot problems receiving an optimal dressing type is required to assess the costs associated with this intervention.

Source guidance details

Comes from guidance
Diabetic foot problems: Inpatient management of diabetic foot problems
Number
CG119
Date issued
March 2011

Other details

Is this a recommendation for the use of a technology only in the context of research? No  
Is it a recommendation that suggests collection of data or the establishment of a register?   No