Recomendações baseadas em evidências sobre produtos com iodo para o tratamento das feridas crônicas

Abstract

There are several alternatives for chronic wounds treatment that infer the requirement of scientific and technical knowledge of the nurse to decide on the most suitable product. For topical treatment of critically colonized or infected wounds, the use of products / coatings with antimicrobial properties is suggested; options are the ones containing iodine. This present research aims to classify topical effects of products with iodine sold in Brazil for chronic wounds treatment and advice for their use.In order to achieve it, it was demonstrated on practices based on evidences to carry out critical analysis of research results.The proposed methodology was the integrative review that obtains responses on the summary of these evidences. The sample of this review is based on eight articles known by the search strategy in the databases LILACS, IBECS, BDENF, MEDLINE, COCHRANE, SciELO and CINAHL and that met the inclusion criteria. Following the analysis of the articles, the results have shown that, if you intend the cure, the control of critical colonization or infection, the PVPI (solution) is less effecient compared to other products; iodine cadexomer is recommended for these situations and PVPI mesh advance debridement of necrotic tissues or slough and heal when there is only granulation tissue. It was concluded that cadexomer iodine and PVPI mesh are options of reliable and effective topical that give clinic professional a wider range in the market. Other experimental studies are required to be compared to other regional products in order to identify cost-effectiveness.