22 January 2022: Clinical Research
A Questionnaire-Based Study to Obtain a Consensus from 5 Polish Burns Centers on Eschar Removal by Bromelain-Based Enzymatic Debridement (Nexobrid) in Burns Following the 2020 Updated European Consensus Guidelines
Tomasz Korzeniowski 12ABCDEFG* , Jerzy Strużyna 13ACDEFG , Anna M. Chrapusta 4ABCDE , Andrzej Krajewski 5ABDE , Marek Kucharzewski 6ABDEF , Krzysztof Piorun 5ABCE , Jakub Nowakowski 7BCDF , Agnieszka Surowiecka 1ACDE , Magdalena Kozicka 12ABDF , Kamil Torres 12BDEGDOI: 10.12659/MSM.935632
Med Sci Monit 2022; 28:e935632
Table 3 Consensus statements and agreement on application of enzymatic debridement.
| No | Statement | Agreement | Likert scale | Consensus |
|---|---|---|---|---|
| 10 | Enzymatic debridement needs to be carried out early, preferably within the first 72 h after the moment the burn occurred | 100% | 4/5 strongly agree1/5 agree | Yes |
| 11 | Late application of Nexobrid (>72 h after the moment the burn occurred) may still be effective and can be considered. However, it calls for a sufficient extent of eligibility verification and wound preparation | 100% | 5/5 strongly agree | Yes |
| 12 | Careful removal or blisters and dead epidermis residue is a prerequisite for enzymatic debridement | 100% | 5/5 strongly agree | Yes |
| 13 | Enzymatic debridement does not work on dry wounds, which is why a moist environment needs to be ensured before the procedure is carried out | 100% | 5/5 strongly agree | Yes |
| 14 | A moist environment can be achieved by means of soaking the wound or applying special dressings (eg, hydrogel) | 100% | 5/5 strongly agree | Yes |