The Use of Antimicrobial Dressings for the Management of Diabetic Foot Ulcers: A Survey of Podiatrists in Aotearoa New Zealand

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aut.relation.articlenumbere12032
aut.relation.issue2
aut.relation.journalJournal of Foot and Ankle Research
aut.relation.volume17
dc.contributor.authorFrecklington, Mike
dc.contributor.authorMa, Skye
dc.contributor.authorStewart, Sarah
dc.date.accessioned2024-06-20T04:32:08Z
dc.date.available2024-06-20T04:32:08Z
dc.date.issued2024-06-17
dc.description.abstractIntroduction Diabetic foot ulcers (DFUs) are commonly contaminated with pathogenic organisms and precede most diabetes-related amputations. Antimicrobial dressings are used in the treatment of DFUs; however, recent guidelines do not support their use. There are no data describing the experience of antimicrobial dressing use among podiatrists in Aotearoa New Zealand (AoNZ). This study aimed to (i) determine which antimicrobial dressings podiatrists in AoNZ use for the management of diabetic foot ulcers; and (ii) determine what factors influence AoNZ podiatrists' use of antimicrobial dressing when managing DFUs. Methods An anonymous cross-sectional web-based survey was undertaken. Participants were AoNZ registered podiatrists who managed DFUs in their practice. The survey included questions relating to personal and professional demographic characteristics and DFU management and dressing practices. Descriptive statistics were computed to address the research aims. Results Responses from 43 AoNZ podiatrists were included. Participants reported both cadexomer iodine and silver dressings were the most common antimicrobial dressings used, with honey dressings being the least frequently used. The most influential factors in choosing antimicrobial dressings when managing DFUs were the presence of current infection, ulcer exudate and ability to prevent future infection. The least influential factors in choosing antimicrobial dressings when managing DFUs were patient preferences, cost of dressings and comfort of dressing/pain on removal. Conclusions AoNZ podiatrists managing DFUs primarily use antimicrobial dressings containing cadexomer iodine or silver as active ingredients, while lower-cost options, such as honey and povidone iodine are less often used. Current recommendations highlight the lack of evidence to support positive outcomes from any particular antimicrobial dressing over another and advocate that exudate control, comfort and cost be prioritised in decision-making. As cost has been an increasing burden to our healthcare funding, clinicians and organisations may consider this before purchasing and stocking expensive dressings.
dc.identifier.citationJournal of Foot and Ankle Research, ISSN: 1757-1146 (Print); 1757-1146 (Online), BMC, 17(2). doi: 10.1002/jfa2.12032
dc.identifier.doi10.1002/jfa2.12032
dc.identifier.issn1757-1146
dc.identifier.issn1757-1146
dc.identifier.urihttp://hdl.handle.net/10292/17676
dc.publisherBMC
dc.relation.urihttps://onlinelibrary.wiley.com/doi/10.1002/jfa2.12032
dc.rights© 2024 The Author(s). Journal of Foot and Ankle Research published by John Wiley & Sons Australia, Ltd on behalf of Australian Podiatry Association and The Royal College of Podiatry. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, pro-vided the original work is properly cited.
dc.rights.accessrightsOpenAccess
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subject1103 Clinical Sciences
dc.subject1104 Complementary and Alternative Medicine
dc.subject1106 Human Movement and Sports Sciences
dc.subject3202 Clinical sciences
dc.subject4201 Allied health and rehabilitation science
dc.subject4207 Sports science and exercise
dc.titleThe Use of Antimicrobial Dressings for the Management of Diabetic Foot Ulcers: A Survey of Podiatrists in Aotearoa New Zealand
dc.typeJournal Article
pubs.elements-id557276
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