The T.I.M.E.R.S approach recognizes the importance of debridement not only for the wound bed, but also for the wound edges and the periwound area, allowing the removal of barriers to healing such as biofilm, odour, exudate and infection as well as stimulating the re-epithelialization process. By acting on all these elements, barriers to healing are removed and patients’ quality of life improved.
It aims to provide the clinician with concrete guidance for wound care. The acronym reminds us which elements to eliminate, as they are unfavorable to the resolution of the lesion.
Bacterial biofilms can cause or complicate chronic wounds. Recommendations for managing a biofilm-laden wound include cleaning, debridement, and applying an appropriate dressing to keep the number of microorganisms to a minimum. Debridement should be initiated and undertaken on a regular basis. Poloxamer surfactant has been shown to prevent, break down and remove biofilm allowing for effective and thorough wound cleansing and debridement.
How:
Mechanically clean and debride the wound and periwound area
Apply an antimicrobial dressing
Repeat three times a week
Non Medicated Wound Dressing
As a consequence of resistance developed in microorganisms, new and alternative methods are needed for the management of wound infections. Recent progress in dressing development, design and chemistry have led to the improvement of dressings which do not contain active ingredients, but are capable of displacing the wound bioburden without the use of an active component but physically acting on the bacteria.
NMWDs are able to effectively reduce the bacterial load of the wound, without having to select organisms resistant to antimicrobials. These are non-medicated dressings, impregnated with a specially developed solution. The combination of the active solution together with the mechanical debridement process allow an effective and complete treatment of acute and chronic wounds.
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