<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1134-928X</journal-id>
<journal-title><![CDATA[Gerokomos]]></journal-title>
<abbrev-journal-title><![CDATA[Gerokomos]]></abbrev-journal-title>
<issn>1134-928X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Enfermería Geriátrica y Gerontológica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1134-928X2018000300141</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Los detritos en el proceso de cicatrización y su eliminación para una correcta preparación del lecho de la herida]]></article-title>
<article-title xml:lang="en"><![CDATA[The detritus in the healing process and its elimination for a correct preparation of the wound bed]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Perdomo Pérez]]></surname>
<given-names><![CDATA[Estrella]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A6"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Rodríguez]]></surname>
<given-names><![CDATA[María Francisca]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Benítez Gil]]></surname>
<given-names><![CDATA[María Daisy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz Perdomo]]></surname>
<given-names><![CDATA[Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Jaén  ]]></institution>
<addr-line><![CDATA[Jaén ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Servicio Canario de la Salud Unidad de Heridas Complejas de Atención Primaria de Gran Canaria ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af6">
<institution><![CDATA[,GNEAUPP (Grupo Nacional para el Estudio y Asesoramiento de Úlceras por presión y otras heridas) Comité Director ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Las Palmas de Gran Canaria  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af7">
<institution><![CDATA[,Servicio Canario de la Salud Hospital Dr Negrín de Las Palmas de Gran Canaria Unidad de Heridas y Supervisora Área Funcional de unidades de hospitalización quirúrgicas]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Servicio Canario de la Salud  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af4">
<institution><![CDATA[,Animalia Centro Veterinario área de medicina felina, medicina interna, cirugía y dermatología ]]></institution>
<addr-line><![CDATA[Las Palmas de Gran Canaria ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<volume>29</volume>
<numero>3</numero>
<fpage>141</fpage>
<lpage>144</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1134-928X2018000300141&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1134-928X2018000300141&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1134-928X2018000300141&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La cicatrización es un proceso endógeno que se produce para reparar el tejido epidérmico y dérmico perdido, donde interactúan numerosos tipos de células. Uno de los objetivos iniciales de algunas de estas células es tratar de eliminar de la herida la carga de detritos que puede impedir el avance de las etapas de cicatrización y que además puede convertirse en el sustrato apropiado que favorece el desarrollo de fenómenos complejos asociados a la carga bacteriana: infección local, presencia de biofilm, etc. Con este artículo queremos abordar la importancia que tiene la retirada de forma continuada a través de una correcta limpieza de los detritos presentes en las heridas, técnica que no debe confundirse con la eliminación de tejido inviable (necrosis, esfacelos, etc.) que pueda también estar presente en el lecho ulceral y que se realizará con las diferentes técnicas de desbridamiento para completar la preparación del lecho de la herida. Ambos procedimientos no pueden excluirse, sino que deben sumarse en el abordaje de las lesiones crónico-complejas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Scarring is an endogenous process that occurs to repair lost epidermal and dermal tissue where numerous types of cells interact. One of the initial objectives of some of these cells is to try to eliminate from the wound the debris load that can impede the progress of the healing stages and that can also become the appropriate substrate that favors the development of complex phenomena associated with the bacterial load: local infection, presence of biofilm, etc. With this article we want to address the importance of continuous withdrawal through a proper cleaning of face debris in wounds, a technique that should not be confused with the elimination of unviable tissue (necrosis, sloughs...) that may also be present in the ulceral bed and that will be done with the different debridement techniques to complete the wound bed preparation. Both procedures can not be excluded, but on the contrary they must be added in the approach of chronic-complex lesions.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cicatrización de heridas]]></kwd>
<kwd lng="es"><![CDATA[detritos]]></kwd>
<kwd lng="es"><![CDATA[limpieza]]></kwd>
<kwd lng="es"><![CDATA[desbridamiento]]></kwd>
<kwd lng="es"><![CDATA[preparación del lecho de la herida]]></kwd>
<kwd lng="en"><![CDATA[Wound healing-detritus]]></kwd>
<kwd lng="en"><![CDATA[cleaning and debridement in the wound bed preparation]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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