Simple and Effective Approach for Wound-Bed Preparation by Topical Citric Acid Application
Summary: Empirical study (n=24 chronic wounds ≥10 cm, unresponsive >3 weeks) used 2% citric acid ointment daily post-saline irrigation. All achieved healthy granulation in 3-20 applications; controlled MDR infections (S. aureus 37.5%, P. aeruginosa 25%) without systemic antibiotics (unless systemic signs). No toxicity; acidic milieu unfavorable to microbes while promoting healing. Superior to conventional antiseptics (betadine/H2O2) in efficacy/cost for large raw areas.
Key Highlights:
- Wounds: Large raw areas; MDR isolates dominant.
- Outcomes: Granulation in all; ready for grafting/secondary healing.
- Safety: No local/systemic toxicity.
- Vs Standard: Faster preparation, economical, non-toxic to cells.
Keywords: citric acid, wound bed preparation, chronic wounds, MDR, granulation