Evidências sobre o uso de cadexômero de iodo no tratamento de lesões cutâneas

Abstract

Infection in a wound is a serious problem for the healing process because it results in delays in treatment, pain for the patient, increased hospitalization and additional costs. Iodophors are antiseptic of wide antimicrobial spectrum, available in various formulations. Iodine cadexômero available in the domestic and international markets, which is a healing in the form of ointment, sterile, which releases iodine 0.9% in the wound bed slowly from modified starch pellets. This study aimed to establish evidence-based recommendations for the use of cadexomer iodine in the treatment of skin lesions. For this, we used the integrative review as a method. Published article sought to 1990-2015, in the databases MEDLINE and Cochrane Library through the controlled descriptors: iodophors (iodophors, Yodoforos); occlusive dressings (oclusives dressings, dressings ocluivos); infection of wounds (Wound infection, infección de la herida), and the descriptor uncontrolled cadexomer iodine (cadexomer iodine, cadexômero yodo). The sample consisted of two studies that met the inclusion criteria. The results allowed us to establish two recommendations for application of cadexomer iodine in skin lesions, with level of evidence I and IV. We conclude therefore that this review allowed us to establish recommendations on the use of cadexomer iodine for treatment of skin lesions and that these recommendations may support the clinical practice of health professionals, with the cadexomer iodine as curative option in the treatment of wounds.