Hydrotherapy in burn care: a survey of hydrotherapy practices in the UK and Ireland and literature review

Burns. 2014 Aug;40(5):860-4. doi: 10.1016/j.burns.2013.11.006. Epub 2013 Dec 11.

Abstract

Introduction: Hydrotherapy is widely used in burns management however there are risks associated with its use, in particular cross-infection. Data regarding indications and techniques in common use is deficient. This study aimed to investigate hydrotherapy practices in the UK and Ireland.

Methods: A survey of the hydrotherapy practice of major burn care providers was performed by e mail and where necessary, follow up telephone contact.

Results: The survey included 28 burn care providers. 27 reported using hydrotherapy. Only 11 (41%) had defined indication criteria with 4 (15%) implementing a specific protocol. Variations in hydrotherapy practice were seen.

Conclusion: Hydrotherapy is used nationwide, however considerable variation in practice exists. One area worthy of further consideration is the need for appropriate standards of infection control.

Keywords: Burns wounds; Cross infection; Hydrotherapy; Pseudomonas; Review; Survey; Wound cleansing.

Publication types

  • Review

MeSH terms

  • Burns / rehabilitation*
  • Cross Infection / prevention & control*
  • Humans
  • Hydrotherapy / methods*
  • Infection Control / methods*
  • Ireland
  • Patient Selection
  • Practice Patterns, Physicians' / statistics & numerical data*
  • United Kingdom
  • Wound Infection / prevention & control*