[en] The pathogenesis of venous ulcers is complex. A critical bacterial colonization may play a harmfull role. The use of topical antibiotics is unwise, and that of antiseptics is still a matter of debate. Some authors contend that antiseptics mitigate wound healing through a toxic effect upon keratinocytes and fibroblasts. However, sound arguments support the paradoxical concept of beneficial cytotoxicity of antiseptics in the treatment of chronic venous ulcers.
Disciplines :
Dermatology
Author, co-author :
Henry, Frédérique ; Centre Hospitalier Universitaire de Liège - CHU > Dermatopathologie
Franchimont, Claudine ; Centre Hospitalier Universitaire de Liège - CHU > Dermatopathologie
Pierard, Gérald ; Centre Hospitalier Universitaire de Liège - CHU > Dermatopathologie
Language :
French
Title :
Ulcère veineux chronique et colonisation bactérienne critique. Quand antiseptique rime avec cytotoxicité bénéfique.
Halbert AR, Stacey MC, Rohr JB, Jopp-McKay A.: The effect of bacterial colonization on venous ulcer healing. Australas J Dermatol, 1992, 33, 75-80.
HERMANNS JF, PAQUET P, ARRESE JE, PIÉRARD-FRANCHIMONT C, PIÉRARD GE.: La cytotoxicité bénéfique des antiseptiques. Une antinomie paradoxale et controversée du traitement des plaies cutanées chroniques. Rev Med Liège, 1999, 54, 600-605.
BROOK I, FRAZIER EH.: Aerobic and anaerobic microbiology of chronic venous ulcers, Int J Dermatol, 1998, 37, 426-428.
PIÉRARD-FRANCHIMONT C, PIÉRARD GE.: Comment je traite ⋯ un ulcère cutané en ambulatoire. Rev Med Liege, 1998, 53, 1-6.
FUMAL I, BRAHAM C, PAQUET P, PIÉRARD-FRANCHIMONT C, PIÉRARD GE.: The beneficial toxicity paradox of antimicrobials in leg ulcer healing impaired by a polymicrobial flora: a proof-to-concept study. Dermatology, 2002, 204, suppl 1, 79-85.
PIÉRARD-FRANCHIMONT C, PAQUET R, ARRESE JE, PIÉRARD GE.: Healing rate and bacterial necrotizing vasculitis in venous leg ulcers. Dermatology, 1997, 194, 383-387.
WOLKENSTEIN P, VAILLANT L.: Les antiseptiques en peau lésée. Ann Dermatol Venereol, 1996, 123, 343-348.
FLEISCHER W, REIMER K.: Povidone-iodine in antisepsis. State of the art. Dermatology,1997, 195, suppl 2, 3-9.
NIEDNER R.: Cytotoxicity and sensitization of povidone-iodine and other frequently used anti-infective agents. Dermatology, 1997, 195, suppl. 2, 89-92.
NIEDNER R.: Cytotoxicity and sensitization of povidone-iodine and other frequently used anti-infective agents. Dermatology, 1997, 195, suppl. 2:89-92.
COOPER ML, LAXER JA, HANSBROUGH JF.: The cytotoxic effects of commonly used topical antimicrobial agents on human fibroblasts and keratinocytes. J Trauma 1992, 31, 775-784.
KAUTZKY F, HARTINGER A, KÖHLER LD, VOGT HJ.: In vitro cytotoxicity of antimicrobial agents to human keratinocytes. J Eur Acad Dermatol, 1996, 6, 159-166.
HELLEWELL TB, MAJOR DA, FORESMAN PA, RODEHEAVER GT.: A cytotoxicity evaluation of antimicrobial and nonantimicrobial wound cleansers. Wounds, 1997,9, 15-20.
NIEDNER R, SCHOPF E.: Inhibition of wound healing by antiseptics. Br J Dermatol, 1986, 115, suppl 31, 41-44.
GOLDENHIEM PD.: An appraisal of povidone-iodine and wound healing. Postgrad Med J, 1993, 69, suppl 3, 97-105.
MAYER DA, TSAPOGAS MJ.: Povidone-iodine and wound healing: a critical review. Wound, 1993, 5, 14-23.
KJOLSETH D, FRANK JM, BARKER JH, et al.: Comparison of the effects of commonly used wound agents on epithelialization and neovascularization. J Am Coll Surg, 1994, 179, 405-312.
HANSSON C, FAERGEMANN J.: The effect of antiseptic solutions on microorganisms in venous leg ulcers. Acta Dermatol Venereol, 1995, 75, 31-33.
HANSSON C.: The effects of cadexomer iodine paste in the treatment of venous leg ulcers compared with hydrocolloid dressing and paraffin gauze dressing. Int J Dennatol, 1998, 37, 390-396.
BLECH MF, MARTIN C, PICHON M, BORRELLY J, HARTEMANN P.: Evolution clinique et bactériologique des plaies en fonction de différents protocoles d'antisepsie locale. Rev Chir Orthoped, 1990, 76, 55-61.
GOTTARDI W.: The uptake and release of molecular iodine by the skin: chemical and bactericidal evidence of residual effects caused by povidone-iodine preparations. J Hosp Infect, 1995, 29, 9-18.
TRAORÉ O, FOURNET FAYARD S, LAVERAN H.: An in vitro evaluation in the activity of povidone-iodine against nosocomial bacterial strains. J Hosp Infect, 1996, 34, 217-222.
KUNISADA T, YAMADA K, ODA S, HARA O.: Investigation of the efficacy of povidone-iodine against antiseptic resistant species. Dermatology, 1997, 195, suppl 2, 14-18.
HELLEWELL TB, MAJOR DA, FORESMAN PA, RODEHEAVER GT.: A cytotoxicity evaluation of antimicrobial and nonantimicrobial wound cleansers. Wounds, 1997, 9, 15-20.
MIYACHI Y, IMAMURA S.: Use of sugar and povidone-iodine in the treatment of refractory cutaneous ulcers. J Dermatol Treat, 1990, 1, 191-193.
MOORE K, THOMAS A, HARDING KG.: Iodine released from the wound dressing iodosorb modulates the secretion of cytokines by human macrophages responding to bacterial lipopolysaccharide. Int J Biochem Cell Biol, 1997, 29, 163-171.
HANSSON C.: The effects of cadexomer iodine paste in the treatment of venous leg ulcers compared with hydrocolloid dressing and paraffin gauze dressing. Int J Dermatol, 1998, 37, 390-396.
REIMER K, VOGT PM, BROEGMANN B, HAUSER J, ROSSBACH O, KRAMER A, RUDOLPH P, BOSSE B, SCHREIER H, FLEISCHER W.: An innonvative topical drug formulation for wound healing and infection treatment: in vitro and in vivo investigations of a povidone-iodine liposome hydrogel. Dermatology, 2000, 201, 235-241.
MORAND JJ.: Détersion ou greffe d'ulcères chez les malades qui ont une prothèse articulaire. Ann Dermatol Venereol, 1999, 126, 91-95.
DELEIXHE-MAUHIN F, PIÉRARD GE, PIERARD-FRANCHIMONT C, CORNIL F, GOFFIN F.: A morphometric analysis of the healing rate of ulcerations on atrophie blanche during simple nursing care. Eur J Dermatol, 1991, 1, 101-104.
PIÉRARD GE, PIÉRARD-FRANCHIMONT C.: Planimetry of the healing rate of leg ulcers. Eur J Dermatol 1995, 5, 257-262.
PIÉRARD GE, ARRESE ESTRADA J, PIÉRARD-FRANCHIMONT C, DELEIXHE-MAUHIN F: Is there a link between dendrocytes, fibrosis and sclerosis? Dermatologica, 1990, 181, 264-265.
This website uses cookies to improve user experience. Read more
Save & Close
Accept all
Decline all
Show detailsHide details
Cookie declaration
About cookies
Strictly necessary
Performance
Strictly necessary cookies allow core website functionality such as user login and account management. The website cannot be used properly without strictly necessary cookies.
This cookie is used by Cookie-Script.com service to remember visitor cookie consent preferences. It is necessary for Cookie-Script.com cookie banner to work properly.
Performance cookies are used to see how visitors use the website, eg. analytics cookies. Those cookies cannot be used to directly identify a certain visitor.
Used to store the attribution information, the referrer initially used to visit the website
Cookies are small text files that are placed on your computer by websites that you visit. Websites use cookies to help users navigate efficiently and perform certain functions. Cookies that are required for the website to operate properly are allowed to be set without your permission. All other cookies need to be approved before they can be set in the browser.
You can change your consent to cookie usage at any time on our Privacy Policy page.