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New WHO guidelines recommend the use of NPWT to help reduce the risk of Surgical Site Infection

November 22, 2016 4:00 AM EST

LONDON, Nov. 22, 2016 /PRNewswire/ -- Smith & Nephew (LSE: SN, NYSE: SNN), the global medical technology business, welcomes the publication of new global guidelines from World Health Organisation (WHO) outlining strategies to reduce rates of surgical site infection (SSI).1 

Amongst the 27 separate topics, the guidelines recommend the use of (prophylactic) negative pressure wound therapy (NPWT) in adult patients on primarily closed surgical incisions in high-risk wounds.  The WHO guidelines also point towards the adoption of more portable devices to ensure the use of NPWT doesn't prolong hospital stay.

PICO™ is a unique single-use NPWT system and its role in reducing surgical site complications is documented in a recent meta-analysis 2. Through a wealth of clinical evidence, PICO™ is rapidly becoming a leading choice in NPWT and has been shown to have the ability to manage a wide range of wounds at risk of complications in a clinical and cost effective way.2 3 4 5 Since the WHO team reviewed the evidence for NPWT (October 2015) a new RCT has been published demonstrating the ability of PICO to reduce surgical site complications in orthopaedic surgery. 6  Recently an additional randomised study in cardiothoracic surgery also showed reductions in SSI for those patients treated with PICO.7

Dr. Niz Islam, Vice President, Scientific & Medical Affairs, at Smith & Nephew, said: "These new WHO guidelines provide important insights into optimising clinical management strategies for preventing SSIs, which are an increasing concern for healthcare providers and their patients around the world. This is a significant addition to the growing body of literature supporting NPWT as an effective prophylactic treatment option for SSIs.  It follows the recent release of a World Union of Wound Healing Societies Consensus document on the role of negative pressure in the management of Closed Surgical Incisions."

The WUWHS consensus document was published in September 2016 and was supported by an educational grant from Smith & Nephew. These guidelines may be downloaded for free at: http://www.wuwhs2016.com/files/WUWHS_SI_consensus_Web.pdf.

About Smith & NephewSmith & Nephew is a global medical technology business dedicated to helping healthcare professionals improve people's lives. With leadership positions in Orthopaedic Reconstruction, Advanced Wound Management, Sports Medicine and Trauma & Extremities, Smith & Nephew has around 15,000 employees and a presence in more than 100 countries. Annual sales in 2015 were more than $4.6 billion. Smith & Nephew is a member of the FTSE100 (LSE:SN, NYSE: SNN).

For more information about Smith & Nephew, please visit our website www.smith-nephew.com, follow @SmithNephewplc on Twitter or visit SmithNephewplc on Facebook.com.

To learn more about what we do to help reduce surgical site complications, please visit www.closertozero.com

Forward-looking Statements

This document may contain forward-looking statements that may or may not prove accurate. For example, statements regarding expected revenue growth and trading margins, market trends and our product pipeline are forward-looking statements. Phrases such as "aim", "plan", "intend", "anticipate", "well-placed", "believe", "estimate", "expect", "target", "consider" and similar expressions are generally intended to identify forward-looking statements. Forward-looking statements involve known and unknown risks, uncertainties and other important factors that could cause actual results to differ materially from what is expressed or implied by the statements. For Smith & Nephew, these factors include: economic and financial conditions in the markets we serve, especially those affecting health care providers, payers and customers; price levels for established and innovative medical devices; developments in medical technology; regulatory approvals, reimbursement decisions or other government actions; product defects or recalls or other problems with quality management systems or failure to comply with related regulations; litigation relating to patent or other claims; legal compliance risks and related investigative, remedial or enforcement actions; disruption to our supply chain or operations or those of our suppliers; competition for qualified personnel; strategic actions, including acquisitions and dispositions, our success in performing due diligence, valuing and integrating acquired businesses; disruption that may result from transactions or other changes we make in our business plans or organisation to adapt to market developments; and numerous other matters that affect us or our markets, including those of a political, economic, business, competitive or reputational nature. Please refer to the documents that Smith & Nephew has filed with the U.S. Securities and Exchange Commission under the U.S. Securities Exchange Act of 1934, as amended, including Smith & Nephew's most recent annual report on Form 20-F, for a discussion of certain of these factors. Any forward-looking statement is based on information available to Smith & Nephew as of the date of the statement. All written or oral forward-looking statements attributable to Smith & Nephew are qualified by this caution. Smith & Nephew does not undertake any obligation to update or revise any forward-looking statement to reflect any change in circumstances or in Smith & Nephew's expectations.

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References

1.

WHO. Global Guidelines for the Prevention of Surgical Site Infection. Geneva; 2016 http://www.who.int/gpsc/ssi-prevention-guidelines/en/

2.

Hyldig N, Birke-Sorensen H, Kruse M, et al. Meta-analysis of negative-pressure wound therapy for closed surgical incisions. Br J Surg. 2016;103(5):477-486. doi:10.1002/bjs.10084.

3.

Adogwa O, Fatemi P, Perez E, et al. Negative pressure wound therapy reduces incidence of postoperative wound infection and dehiscence after long-segment thoracolumbar spinal fusion: a single institutional experience. Spine J. 2014;14(12):2911-2917. doi:10.1016/j.spinee.2014.04.011.

4.

Matsumoto T, Parekh SG. Use of Negative Pressure Wound Therapy on Closed Surgical Incision After Total Ankle Arthroplasty. Foot ankle Int. 2015;36(7):787-794. doi:10.1177/1071100715574934.

5.

Nherera L. Cost-effectiveness of single use negative pressure wound therapy system (sNPWT*) to reduce surgical site complications (SSC) in routine primary hip and knee replacements. SAWC Fall. 2016;(Poster).

6.

Karlakki SL, Hamad AK, Whittal C, Graham NM, Banerjee RD, Kuiper JH. Incisional negative pressure wound therapy dressings (iNPWT)in routine primary hip and knee arthroplasties: A randomised controlled trial. Bone Joint Res. 2016;5(8):328-337. doi:10.1302/2046-3758.58.BJR- 2016-0022.R1

7.

Witt-Majchrzak A, Żelazny P, Snarska J. Preliminary outcome of treatment of postoperative primarily closed sternotomy wounds treated using negative pressure wound therapy. Pol Przegl Chir. 2015;86(10):456-465. doi:10.2478/pjs-2014-0082.

Note: Some of the studies referenced above used PICO Soft Port, which is not cleared for use in the USA.

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SOURCE Smith & Nephew



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