aaaaaggggggghhhhhhhhh!!!!!!
Why do so many do this:

Why are they so scared to compare new wound dressings to "standard" treatments and not "saline solutions"??? Who actually uses saline solutions for wound management???

 

Craig,

The use of Saline moistened Gauze as the control is the fault of the American Diabetes Association who in 1996 published (not available in electronic form)

American Diabetes Association: Foot care in patients with diabetes mellitus (Position Statement). Diabetes Care 19 (Suppl. 1): S23–S24, 1996

that established saline gauze as the primary treatment of dibetic foot wounds due to in part not clear winner fron other dressing types at the time and cost.

This has been corrected in a more recent publication

American Diabetes Association: Consensus Development Conference on Diabetic Foot Wound Care: 7– 8 April 1999, Boston, Massachusetts. Diabetes
Care 22:1354–1360, 1999

 

I work in a high risk foot clinic: who thinks we should use this therapy based on the evidence of a sample trial on 24 ulcers?
Our clinic has treated at least 25 patients with ulcers this week and most of them have PAD and many have infections as per the usual presentations of diabetic foot ulcers.
Noone does daily dressings unless they are inpatients and I agree with Craig that we don't use saline as a dressing option.

"We are hoping that diabetic foot clinics will adopt some of this, and use it as a sort of adjunctive therapy when some of the other therapies that they are using don't work," she concluded."

What sort of dreamworld are these people living in? If they didn't have PVD, etc we would heal them all in 4 weeks if controlling for pressure relief!

There is more evidence for using honey on wounds than this.

Why are they publishing this stuff???