Revista Latino-Americana de Enfermagem (Jun 2015)

Effectiveness of papain gel in venous ulcer treatment: randomized clinical trial

  • Ana Luiza Soares Rodrigues,
  • Beatriz Guitton Renaud Baptista de Oliveira,
  • Débora Omena Futuro,
  • Silvia Regina Secoli

DOI
https://doi.org/10.1590/0104-1169.0381.2576
Journal volume & issue
Vol. 23, no. 3
pp. 458 – 465

Abstract

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OBJECTIVE: to assess the effectiveness of 2% papain gel compared to 2% carboxymethyl cellulose in the treatment of chronic venous ulcer patients.METHOD: randomized controlled clinical trial with 12-week follow-up. The sample consisted of 18 volunteers and 28 venous ulcers. In the trial group, 2% papain gel was used and, in the control group, 2% carboxymethyl cellulose gel.RESULTS: the trial group showed a significant reduction in the lesion area, especially between the fifth and twelfth week of treatment, with two healed ulcers and a considerable increase in the amount of epithelial tissue in the wound bed.CONCLUSION: 2% papain gel demonstrated greater effectiveness in the reduction of the lesion area, but was similar to 2% carboxymethyl cellulose gel regarding the reduction in the amount of exudate and devitalized tissue. Multicenter research is suggested to evidence the effectiveness of 2% papain gel in the healing of venous ulcers. UTN number: U1111-1157-2998

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