Friday 27 February 2015

Odor management in fungating wounds With metronidazole: a systematic review

Journal of Hospice and Palliative Nursing, Feb 2015, vol. 17, no. 1, p. 73-79
de Castro, Diana L. V., Santos, Vera Lucia C. G.

Odor is one of the main characteristics of malignant fungating wounds and is caused by the interaction of aerobic and anaerobic microbiota that colonizes and infects wounds. Although we did not find strong scientific evidence supporting the efficacy of metronidazole in odor control through randomized clinical studies or meta-analyses, this study provides the best available evidence thus far for the efficacy of 0.75% to 0.8% metronidazole in the odor control of malignant fungating wounds.