Abstract
The Australian Wound Management Association (AWMA), together with international partners in New Zealand, Hong Kong and Singapore, recently presented the Pan Pacific Clinical Practice Guideline for the Prevention and Management of Pressure Injury (Guideline) for public consultation. The Guideline, including a companion algorithm, was made available for external review via the AWMA website. The Guideline was developed using a rigorous methodology that focused on reviewing high-level evidence from existing clinical guidelines and systematic reviews. The following paper outlines the development process and discusses key changes to pressure injury (PI) terminology and staging recommended in the Guideline.

Abstract
Objectives: To review literature and examine the type of economic evaluation conducted alongside compression therapy randomised controlled trials (RCTs) that reported VLU healing outcomes.
Design: We examined types of economic analyses included in compression RCTs, and investigated how economic evaluation methods were utilised and reported alongside RCTs. A systematic review was undertaken on the basis of pre-specified criteria for the assessment of the RCTs for inclusion. The databases searched included: The Cochrane library, MEDLINE, CINAHL, EMBASE, PUBMED, EBM Reviews.
Main outcome measures: Two review authors independently assessed the risk of bias of each included trial against key criteria: random sequence generation; allocation concealment; blinding of participants, personnel and outcomes; incomplete outcome data; selective outcome reporting; and other sources of bias, in accordance with methods recommended by the Cochrane Collaboration.
Results: We reviewed 85 abstracts, excluded 72 that did not fulfil the protocol inclusion criteria. Thirteen full text articles were reviewed, of which five studies met the inclusion criteria and were included in this review. We found little consistency in reporting between studies; in three studies compression treatments description were unclear. All included studies reported direct costs that showed incremental clinical benefit but only study one reported the difference in costs.
Conclusion: Future compression RCTs would benefit from standardised protocol for inclusion of economic evaluation alongside RCTs in wound management to ensure clinical and economic outcomes are measured and reported.

Question
What is the best available evidence regarding the effectiveness of strategies used in the primary prevention of venous leg ulcers?

Abstract
There is a myriad of published research and anecdotal information available regarding wound infection, biofilm and antimicrobials. The author reviewed recent literature on chronic wound infections and has provided a concise and simple breakdown aimed at health professionals dealing with chronic wounds to encourage critical appraisal of their current practice and to guide future practice.

Abstract
The flora of plant life within Saudi Arabia has one of the richest biodiversity systems in the Arabian Peninsula and encompasses a mass of important medicinal herbs, shrubs and plants. According to Al-Yahya1, the Arabian Peninsula is the birthplace of herbal drugs and the use of folk medicine still plays an important role within Saudi Arabian culture. Many patients in Saudi Arabia still seek out alternative forms of therapy such as the use of honey, black seeds, myrrh, fenugreek, kawajawa and other herbs, roots and shrubs, as this rich family tradition and culture is passed down from generation to generation. The use of such alternative forms of medicine, however, can often result in problems with compliance to the modern management of medical conditions such as diabetic foot ulceration, and can expose patients unwittingly to the hazards of traditional remedies and to the hazards of non-adherence to modern medical management.

Abstract