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Hydrotherapy in burn care: A survey of hydrotherapy practices in the UK and Ireland and literature review
Authors:Jenna Langschmidt  Paul L. Caine  Christopher M. Wearn  Amy Bamford  Yvonne T. Wilson  Naiem S. Moiemen
Affiliation:1. Warwick Medical School, The University of Warwick, Coventry CV4 7AL, UK;2. University of Birmingham Medical School, Edgbaston, Birmingham B15 2TT, UK;3. Burns & Plastic Surgery Department, University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital, Birmingham B15 2WB, UK;4. Birmingham Children''s Hospital NHS Foundation Trust, Steelhouse Lane, Birmingham B4 6NH, UK
Abstract:

Introduction

Hydrotherapy is widely used in burns management however there are risks associated with its use, in particular cross-infection. Data regarding indications and techniques in common use is deficient. This study aimed to investigate hydrotherapy practices in the UK and Ireland.

Methods

A survey of the hydrotherapy practice of major burn care providers was performed by e mail and where necessary, follow up telephone contact.

Results

The survey included 28 burn care providers. 27 reported using hydrotherapy. Only 11 (41%) had defined indication criteria with 4 (15%) implementing a specific protocol. Variations in hydrotherapy practice were seen.

Conclusion

Hydrotherapy is used nationwide, however considerable variation in practice exists. One area worthy of further consideration is the need for appropriate standards of infection control.
Keywords:Hydrotherapy   Burns wounds   Pseudomonas   Review   Survey   Cross infection   Wound cleansing
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