Revisão de um protocolo de prevenção e tratamento de feridas baseada em evidências

Abstract

Introduction: The Belo Horizonte (PBH) city created a protocol of prevention and Wound Care for standardization of care, but it is not revised since 2011 and does not consider the levels of evidence of the recommendations proposed. Objective: To analyze the current Wound Prevention and Treatment Protocol of PBH comparing it to international guidelines. Specific objectives: identify necessary updates to Wound Prevention and Treatment Protocol of PBH compared with international guidelines; draw evidence-based recommendations of these guidelines for the said protocol optimization. Methodology: Review study of four international guidelines for prevention and treatment of wounds: arterial, venous, neuropathic and pressure. Results: possible recommendations were selected to be adopted in primary care. All had their identified level of evidence and were classified as covered, partially covered and not covered in the PBH protocol. Discussion: numerous recommendations of international guidelines for the prevention and treatment of wounds are not covered or are partially included in the PBH protocol. Final considerations: the guidelines address the subject studied on an individual basis, taking into account the etiology of the wound, the risk factors and interventions aimed at the topical treatment of injury when for the management of modifiable risk factors and treatment of comorbidities. The PBH protocol requires updates in its content towards a holistic care, systematic and based on scientific evidence.