{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T16:38:17Z","timestamp":1780763897822,"version":"3.54.1"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2022,6,9]],"date-time":"2022-06-09T00:00:00Z","timestamp":1654732800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,6,9]],"date-time":"2022-06-09T00:00:00Z","timestamp":1654732800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100017590","name":"Universit\u00e4tsklinikum Essen","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100017590","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Dermatologie"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Blasen an der Haut k\u00f6nnen durch sehr unterschiedliche Krankheitsbilder verursacht werden. Daher handelt es sich hierbei um eine interdisziplin\u00e4r und interprofessionell relevante Herausforderung. Im klinischen Alltag werden derzeit verschiedene lokaltherapeutische Vorgehensweisen praktiziert. Entweder wird die Blase belassen oder die Blase wird punktiert und das Blasendach wird belassen, alternativ wird das komplette Blasendach abtragen. Jede dieser Vorgehensweisen hat potenzielle Vor- und Nachteile. Es erfolgte die Durchsicht der aktuellen Literatur und Konsensfindung durch die Expert*innen der Initiative Chronische Wunden (ICW) e.\u202fV. Folgende Vorgehensweisen werden empfohlen: unkomplizierte Blasen ohne Druckschmerz: Blasen belassen; druckschmerzhafte sowie palmar und plantar lokalisierte Blasen: Blase punktieren und Dach belassen; rupturierte Blasen ohne klinische Infektionszeichen: Reste des Blasendachs belassen; rupturierte Blasen mit klinischen Infektionszeichen: Reste des Blasendachs abtragen; Blasen bei Verbrennungen ab Grad\u00a02a oder bei unklarer Verbrennungstiefe oder bei chemischer Verbrennung: Blasendach abtragen. Anschlie\u00dfend erfolgt jeweils die Anlage eines sterilen Wundverbandes. Beim Auftreten von Blasen an der Haut gibt es nicht die eine richtige lokaltherapeutische Vorgehensweise. Bei der Planung eines Behandlungskonzepts sollte die Genese der Blasen gekl\u00e4rt werden, ggf. sollte eine kausale Behandlung erfolgen. Die Lokaltherapie orientiert sich dann an verschiedenen individuellen Faktoren. Somit kann das gemeinsam mit den Patient*innen gew\u00e4hlte Vorgehen interindividuell sehr unterschiedlich sein.<\/jats:p>","DOI":"10.1007\/s00105-022-05013-5","type":"journal-article","created":{"date-parts":[[2022,7,5]],"date-time":"2022-07-05T11:09:06Z","timestamp":1657019346000},"page":"795-800","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Lokaltherapeutisches Vorgehen bei Blasen der Haut: Ein Positionspapier der Initiative Chronische Wunden (ICW) e.\u202fV.","Local therapeutic procedure for blisters of the skin: a position paper of the Initiative Chronic Wounds (ICW)"],"prefix":"10.1007","volume":"73","author":[{"given":"Joachim","family":"Dissemond","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anke","family":"B\u00fcltemann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronika","family":"Gerber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Motzkus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"M\u00fcnter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cornelia","family":"Erfurt-Berge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,6,9]]},"reference":[{"key":"5013_CR1","volume-title":"Blickdiagnose Dermatologie","author":"M Moelleken","year":"2021","unstructured":"Moelleken\u00a0M, Dissemond\u00a0J (2021) Blickdiagnose Dermatologie. Urban & Fischer, M\u00fcnchen"},{"key":"5013_CR2","first-page":"413","volume":"118","author":"NV Beek","year":"2021","unstructured":"Beek\u00a0NV, Zillikens\u00a0D, Schmidt\u00a0E (2021) Bullous autoimmune dermatoses\u2014clinical features, diagnostic evaluation, and treatment options. Dtsch Arztebl Int 118:413\u2013420","journal-title":"Dtsch Arztebl Int"},{"key":"5013_CR3","doi-asserted-by":"publisher","first-page":"17026","DOI":"10.1038\/nrdp.2017.26","volume":"3","author":"M Kasperkiewicz","year":"2017","unstructured":"Kasperkiewicz\u00a0M, Ellebrecht\u00a0CT, Takahashi\u00a0H et\u00a0al (2017) Pemphigus. Nat Rev Dis Primers 3:17026","journal-title":"Nat Rev Dis Primers"},{"key":"5013_CR4","doi-asserted-by":"publisher","first-page":"958","DOI":"10.1016\/j.jaad.2008.07.059","volume":"59","author":"M Durdu","year":"2008","unstructured":"Durdu\u00a0M, Baba\u00a0M, Se\u00e7kin\u00a0D (2008) The value of Tzanck smear test in diagnosis of erosive, vesicular, bullous, and pustular skin lesions. J\u00a0Am Acad Dermatol 59:958\u2013964","journal-title":"J Am Acad Dermatol"},{"key":"5013_CR5","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1053\/j.semvascsurg.2019.02.001","volume":"31","author":"DF Bandyk","year":"2018","unstructured":"Bandyk\u00a0DF (2018) The diabetic foot: pathophysiology, evaluation, and treatment. Semin Vasc Surg 31:43\u201348","journal-title":"Semin Vasc Surg"},{"key":"5013_CR6","doi-asserted-by":"publisher","first-page":"630","DOI":"10.1017\/jme.2021.86","volume":"49","author":"DB Kramer","year":"2021","unstructured":"Kramer\u00a0DB (2021) Mandates for shared decisions: means to which ends? J\u00a0Law Med Ethics 49:630\u2013632","journal-title":"J Law Med Ethics"},{"key":"5013_CR7","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1097\/00006534-197601000-00015","volume":"57","author":"ES Wheeler","year":"1976","unstructured":"Wheeler\u00a0ES, Miller\u00a0TA (1976) The blister and the second degree burn in guinea pigs: the effect of exposure. Plast Reconstr Surg 57:74\u201383","journal-title":"Plast Reconstr Surg"},{"key":"5013_CR8","doi-asserted-by":"publisher","first-page":"e0563","DOI":"10.1097\/MD.0000000000010563","volume":"97","author":"HS Ro","year":"2018","unstructured":"Ro\u00a0HS, Shin\u00a0JY, Sabbagh\u00a0MD et\u00a0al (2018) Effectiveness of aspiration or deroofing for blister management in patients with burns: a prospective randomized controlled trial. Medicine 97:e563","journal-title":"Medicine"},{"key":"5013_CR9","doi-asserted-by":"publisher","first-page":"733","DOI":"10.1007\/s00105-021-04858-6","volume":"72","author":"J Dissemond","year":"2021","unstructured":"Dissemond\u00a0J (2021) Modernes Wundmanagement chronischer Wunden. Hautarzt 72:733\u2013744","journal-title":"Hautarzt"},{"key":"5013_CR10","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1111\/j.1553-2712.2000.tb00511.x","volume":"7","author":"AJ Singer","year":"2000","unstructured":"Singer\u00a0AJ, Thode\u00a0HC, McClain\u00a0SA (2000) The effects of epidermal debridment of partial thickness burns on infection and reepithelialization in swine. Acad Emerg Med 7:114\u2013119","journal-title":"Acad Emerg Med"},{"key":"5013_CR11","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1097\/01.bcr.0000191961.95907.b1","volume":"27","author":"RL Sargent","year":"2006","unstructured":"Sargent\u00a0RL (2006) Management of blisters in the partial-thickness burn: an integrative research review. J\u00a0Burn Care Res 27:66\u201381","journal-title":"J Burn Care Res"},{"key":"5013_CR12","doi-asserted-by":"publisher","first-page":"288","DOI":"10.1111\/wrr.12887","volume":"29","author":"CC Frear","year":"2021","unstructured":"Frear\u00a0CC, Zang\u00a0T, Griffin\u00a0BR et\u00a0al (2021) The modulation of the burn wound environment by negative pressure wound therapy: insights from the proteome. Wound Repair Regen 29:288\u2013297","journal-title":"Wound Repair Regen"},{"key":"5013_CR13","doi-asserted-by":"publisher","first-page":"136","DOI":"10.2165\/00007256-199520030-00002","volume":"20","author":"JJ Knapik","year":"1995","unstructured":"Knapik\u00a0JJ, Reynolds\u00a0KL, Duplantis\u00a0KL, Jones\u00a0BH (1995) Friction blisters. Pathophysiology, prevention and treatment. Sports Med 20:136\u2013147","journal-title":"Sports Med"},{"key":"5013_CR14","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1097\/00005131-199504000-00014","volume":"9","author":"CP Giordano","year":"1995","unstructured":"Giordano\u00a0CP, Koval\u00a0KJ (1995) Treatment of fracture blisters: a prospective study of 53 cases. J\u00a0Orthop Trauma 9:171\u2013176","journal-title":"J Orthop Trauma"},{"key":"5013_CR15","first-page":"CD002106","volume":"3","author":"J Wasiak","year":"2013","unstructured":"Wasiak\u00a0J, Cleland\u00a0H, Campbell\u00a0F, Spinks\u00a0A (2013) Dressings for superficial and partial thickness burns. Cochrane Database Syst Rev 3:CD2106","journal-title":"Cochrane Database Syst Rev"},{"key":"5013_CR16","series-title":"Registrierungsnummer: 013-071","volume-title":"S2k \u2013 Diagnostik und Therapie des Pemphigus vulgaris\/foliaceus und des bull\u00f6sen Pemphigoids","author":"AWMF","year":"2019","unstructured":"AWMF (2019) S2k \u2013 Diagnostik und Therapie des Pemphigus vulgaris\/foliaceus und des bull\u00f6sen Pemphigoids. Registrierungsnummer: 013-071"},{"key":"5013_CR17","series-title":"Registrierungsnummer: 044-001","volume-title":"S2k \u2013 Behandlung thermischer Verletzungen des Erwachsenen","author":"AWMF","year":"2021","unstructured":"AWMF (2021) S2k \u2013 Behandlung thermischer Verletzungen des Erwachsenen. Registrierungsnummer: 044-001"},{"key":"5013_CR18","series-title":"Registrierungsnummer: 006-128","volume-title":"S2k \u2013 Thermische Verletzungen im Kindesalter (Verbrennung, Verbr\u00fchung), Behandlung","author":"AWMF","year":"2015","unstructured":"AWMF (2015) S2k \u2013 Thermische Verletzungen im Kindesalter (Verbrennung, Verbr\u00fchung), Behandlung. Registrierungsnummer: 006-128"},{"key":"5013_CR19","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1159\/000481545","volume":"31","author":"A Kramer","year":"2018","unstructured":"Kramer\u00a0A, Dissemond\u00a0J, Kim\u00a0S et\u00a0al (2018) Consensus on wound antisepsis: update 2018. Skin Pharmacol Physiol 31:28\u201358","journal-title":"Skin Pharmacol Physiol"},{"key":"5013_CR20","doi-asserted-by":"publisher","first-page":"720","DOI":"10.12968\/jowc.2020.29.12.720","volume":"29","author":"J Dissemond","year":"2020","unstructured":"Dissemond\u00a0J, Gerber\u00a0V, Lobmann\u00a0R et\u00a0al (2020) Therapeutic index for local infections (TILI) score\u2014a\u00a0new tool to diagnose local wound infections. J\u00a0Wound Care 29:720\u2013726","journal-title":"J Wound Care"}],"container-title":["Die Dermatologie"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00105-022-05013-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00105-022-05013-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00105-022-05013-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,26]],"date-time":"2022-09-26T15:03:15Z","timestamp":1664204595000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00105-022-05013-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,9]]},"references-count":20,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2022,10]]}},"alternative-id":["5013"],"URL":"https:\/\/doi.org\/10.1007\/s00105-022-05013-5","relation":{},"ISSN":["2731-7005","2731-7013"],"issn-type":[{"value":"2731-7005","type":"print"},{"value":"2731-7013","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,9]]},"assertion":[{"value":"17 May 2022","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 June 2022","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"J.\u00a0Dissemond, A.\u00a0B\u00fcltemann, V.\u00a0Gerber, M.\u00a0Motzkus, C.\u00a0M\u00fcnter und C.\u00a0Erfurt-Berge geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}