{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T19:21:54Z","timestamp":1790709714109,"version":"4.1.0"},"reference-count":25,"publisher":"Mark Allen Group","issue":"Sup6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Community Nurs"],"published-print":{"date-parts":[[2019,6,1]]},"abstract":"<jats:p> Community nurses often care for patients with sloughy venous leg ulcers. Slough is viewed as a potential infection source and an impediment to healing, but it is unclear if active debridement of slough promotes healing. Using a clinical scenario as a contextual basis, this literature review sought research evidence to answer this clinical question. A strategy based on the \u20184S\u2019 approach was used to identify research evidence. The retrieved evidence included one systematic review, three clinical guidelines and six qualitative and quantitative studies. The analysis suggested that there is no robust evidence to support the routine practice of active debridement of venous leg ulcers to promote healing, and that debridement is associated with increased pain. Since autolytic debridement can be achieved through the application of graduated compression therapy, active debridement may offer no additional benefit. <\/jats:p>","DOI":"10.12968\/bjcn.2019.24.sup6.s24","type":"journal-article","created":{"date-parts":[[2019,6,5]],"date-time":"2019-06-05T18:43:48Z","timestamp":1559760228000},"page":"S24-S29","source":"Crossref","is-referenced-by-count":9,"title":["Active debridement of venous leg ulcers: a literature review to inform clinical practice"],"prefix":"10.12968","volume":"24","author":[{"given":"Lucy","family":"Hall","sequence":"first","affiliation":[{"name":"PhD Student, School of Healthcare University of Leeds"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Una","family":"Adderley","sequence":"additional","affiliation":[{"name":"Director, National Wound Care Strategy Programme; Lecturer in Community Nursing, School of Healthcare University of Leeds"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5130","reference":[{"key":"B2","doi-asserted-by":"publisher","DOI":"10.3310\/hta18570"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04348.x"},{"key":"B5","first-page":"CD001177","volume":"4","author":"Briggs M","year":"2012","journal-title":"Cochrane Database Syst Rev."},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1177\/0268355514555386"},{"issue":"7702","key":"B8","first-page":"1","volume":"338","author":"Dumville JC","year":"2009","journal-title":"BMJ."},{"key":"B11","first-page":"CD008599","volume":"9","author":"Gethin G","year":"2015","journal-title":"Cochrane Database Syst Rev."},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1801214"},{"key":"B13","volume-title":"How to read a paper","author":"Greenhalgh T","year":"2014","edition":"5"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-009283"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12603"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12814"},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.1136\/ebm.6.2.36"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.12730"},{"issue":"3","key":"B19","first-page":"158","volume":"25","author":"Krasner D","year":"1998","journal-title":"J Wound Ostomy Continence Nurs."},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.1016\/0147-1767(85)90062-8"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.135.8.920"},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12053"},{"key":"B23","doi-asserted-by":"publisher","DOI":"10.1136\/ebmed-2016-110401"},{"key":"B25","first-page":"CD002303","volume":"9","author":"Nelson EA","year":"2014","journal-title":"Cochrane Database Syst Rev."},{"key":"B26","first-page":"CD000265","volume":"11","author":"O'Meara S","year":"2012","journal-title":"Cochrane Database Syst Rev."},{"key":"B27","doi-asserted-by":"publisher","DOI":"10.1111\/ijcp.12635"},{"issue":"12","key":"B28","first-page":"1273","volume":"14","author":"Protz K","year":"2016","journal-title":"J Dtsch Dermatol Ges."},{"issue":"6","key":"B29","first-page":"1421","volume":"21","author":"Scalise A","year":"2017","journal-title":"Eur Rev Med Pharmacol Sci."},{"issue":"7702","key":"B31","first-page":"1","volume":"338","author":"Soares MO","year":"2009","journal-title":"BMJ."},{"key":"B32","doi-asserted-by":"publisher","DOI":"10.1111\/j.1067-1927.2005.130203.x"}],"container-title":["British Journal of Community Nursing"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/bjcn.2019.24.Sup6.S24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T22:34:43Z","timestamp":1653431683000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/bjcn.2019.24.Sup6.S24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,1]]},"references-count":25,"journal-issue":{"issue":"Sup6","published-print":{"date-parts":[[2019,6,1]]}},"alternative-id":["10.12968\/bjcn.2019.24.Sup6.S24"],"URL":"https:\/\/doi.org\/10.12968\/bjcn.2019.24.sup6.s24","relation":{},"ISSN":["1462-4753","2052-2215"],"issn-type":[{"value":"1462-4753","type":"print"},{"value":"2052-2215","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,6,1]]}}}