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Wound care.(Letters)(Letter to the Editor)
Dr. Bruce Flamm's recent clinical pearl on the use of the Waterpik dental device for wound irrigation is without luster ("Gynecology Clinic," Clinical Pearls, May 15, 2004, p. 27).
First, it would seem difficult, after repeated use, to maintain sterility in the reservoir, pump, coiled tubing, and nozzle that comprise the Waterpik apparatus.
Second, and more important, this pearl promulgates the mistaken idea that povidone-iodine and hydrogen peroxide are acceptable irrigating agents for wounds. They are not.
Multiple studies have shown that these agents are in fact cytotoxic, that they destroy fibroblasts, and that they delay wound healing. They may have utility in the debridement of contaminated primary lacerations, but they have no place in the care of chronic wounds.
Jack Edward Wall, M.D.
Duluth, Minn.
Dr. Flamm replies:
- Gynecology clinic.(Clinical Pearls)
- Magazine article from: OB GYN News Flamm, Bruce L. May 15, 2004 700+ words
...already been published in a prior Clinical Pearls column, it gets discarded...Betadine (povidone-iodine) or hydrogen peroxide can be added to the water...Riverside, Calif. Send Us Your Clinical Pearls! Please include your name...
- Gynecology.(Clinical Pearls)
- Magazine article from: OB GYN News Flamm, Bruce L. January 15, 2004 700+ words
...Web site. Just go to www.eobgynnews.com and click on Clinical Pearls in the Archive Collection on the right side of the home...and odor can be unbearable. Dip a large cotton swab into hydrogen peroxide and insert it intravaginally before and after removal of...
- Hydrogen Peroxide Shows Strength Propelled by Surging Paper Market.(Statistical...
- Magazine article from: Chemical Market Reporter JARVIS, LISA February 7, 2000 700+ words
...to be a fully recovered industry, hydrogen peroxide producers are, in turn, enjoying...to remain strong throughout 2000, hydrogen peroxide producers are looking to revaluate...The tight market is pressuring hydrogen peroxide prices, even after successful increases...
- Hydrogen peroxide production and consumption
- Magazine article from: China Chemical Reporter July 10, 1994 700+ words
China started producing hydrogen peroxide in 1958 employing the electrolysis...boosted the output. In 1972, hydrogen peroxide output (calculated on the...Table 1. Table 1 China's hydrogen peroxide output Year Output Annual...
- Hydrogen Peroxide
- Reference information from: Medical Discoveries January 1, 1997 700+ words
Hydrogen peroxide Hydrogen peroxide is a chemical compound of hydrogen and oxygen. (It can...of as water with an extra oxygen atom.) Pure anhydrous hydrogen peroxide is a colorless, syrupy liquid that it rapidly decomposes...
- Hydrogen peroxide. (Industry Profile)
- Magazine article from: Economic Review February 1, 1990 700+ words
Hydrogen peroxide is a basic chemical which is decomposed...technical sources, manufacture of hydrogen peroxide involves relatively sophisticated...technical source indicated that hydrogen peroxide can be manufactured through the...
- Booming hydrogen peroxide industry in China.
- Magazine article from: China Chemical Reporter Qunlai, Chen April 26, 2006 700+ words
Commercial hydrogen peroxide product is usually an aqueous solution with hydrogen peroxide content in the range of 27.5%-70% by weight. Hydrogen peroxide is considered as a green chemical since its decomposition products are only oxygen and...
- Drastic Growth of Hydrogen Peroxide Capacity.
- Magazine article from: China Chemical Reporter September 30, 1999 700+ words
The hydrogen peroxide industry in China has been growing...equivalent to 210.000 t/a 100% hydrogen peroxide) at the end of 1999, and the...expected that the market demand of hydrogen peroxide in China will be 510.000...