Recommendations and Rationale What is the best way of debriding a diabetic foot ulcer? Recommendation 1: Clean ulcers regularly with clean water or saline, debride them when possible in order to remove debris from the wound surface and dress them with a sterile, inert dressing in order to control excessive exudate and maintain a warm, moist environment in order to promote healing. (GRADE strength of recommendation: Strong; Quality of Evidence: Low) Recommendation 2: In general remove slough, necrotic tissue and surrounding callus with sharp debridement in preference to other methods, taking relative contra-indications such as severe ischemia into account.
(Strong; Low) Rationale 1 & 2: The term debridement is here defined as the removal of surface debris, slough, necrotic and infected matter with the aim of leaving clean, viable tissue. Even though professional opinion is united in…
