Abstract
Preparation of the wound bed is essential to accelerate endogenous healing of hard to heal wounds and to promote the effectiveness of other therapeutic measures. Dressings are intended to protect the wound, to promote healing, to absorb exudate and stop bleeding, reduce odor, promote the growth of new tissue, avoid trauma during removal on the wound bed and on the perilesional skin. We can classify the medications according to the composition, the mechanism of action of each, and the clinical situation. The characteristics of an ideal dressing are known: permeability for fluid and gas but not for bacteria; thermal insulation; comfort; reduction of the frequency of application; pain management during dressing or during dressing removal. The proper use (best practice) of dressings and adequate prevention result in a reduction of frequency of application and a optimization of the dedicated health personnel, reducing both healing time and costs.
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References
Vermeulen H, Ubbink D, Goossens A, de Vos R, Legemate D. Dressings and topical agents for surgical wounds healing by secondary intention. Cochrane Database Syst Rev. 2004;(2):CD003554. Review.
Chaby G, Senet P, Vaneau M, Martel P, Guillaume JC, Meaume S, Téot L, Debure C, Dompmartin A, Bachelet H, Carsin H, Matz V, Richard JL, Rochet JM, Sales-Aussias N, Zagnoli A, Denis C, Guillot B, Chosidow O. Dressings for acute and chronic wounds: a systematic review. Arch Dermatol. 2007;143(10):1297–304. Review.
MeReC Bulletin evidence-based prescribing of advanced wound dressings for chronic wounds in primary care. 2010;21:01.
Dunk AM, Carville K. The international clinical practice guideline for prevention and treatment of pressure ulcers/injuries. J Adv Nurs. 2015.
Bradley M, Cullum N, Nelson EA, Petticrew M, Sheldon T, Torgerson D. Systematic reviews of wound care management: dressings and topical agents used in the healing of chronic wounds. Health Technol Assess. 1999;3(17 Pt 2):1–35.
Bouza C, Muñoz A, Amate JM. Efficacy of advanced dressings in the treatment of leg ulcers: a systematic review. Wound Repair Regen. 2005;13(3):218–29. Review.
Dini V, Bertone M, Romanelli M. Prevention and management of pressure ulcers. Dermatol Ther. 2006;19(6):356–64.
World Union of Wound Healing Societies. Principles of best practice: wound exudate and the role of dressings: a consensus document. London: MEP Ltd; 2007.
Thomas S, Fear M, Humphreys J, et al. The effect of dressings on the production of exudates from venous leg ulcers. Wounds. 1996;8(5):145–50.
Vowden P, Bond E, Meuleneire F. Managing high viscosity exudate. Wounds Int. 2015;6(1):14–9.
Finnegan S, Percival SL. EDTA: an antimicrobial and antibiofilm agent for use in wound care. Adv Wound Care (New Rochelle). 2015;4(7):415–21. Review.
Schultz GS, Sibbald RG, Falanga V, et al. Wound bed preparation: a systematic approach to wound management. Wound Repair Regen. 2003;11(2):Suppl S1–28.
Maume S, Van De Looverbosch D, Heyman H, Romanelli M, Ciangherotti A, Charpin S. A study to compare a new self-adherent soft silicone dressing with a self-adherent polymer dressing in stage II pressure ulcers. Ostomy Wound Manage. 2003;49(9):44–51.
Brown-Etris M, Milne C, Orsted H, Gates JL, Netsch D, Punchello M, Couture N, Albert M, Attrell E, Freyberg J. A prospective, randomized, multisite clinical evaluation of a transparent absorbent acrylic dressing and a hydrocolloid dressing in the management of Stage II and shallow Stage III pressure ulcers. Adv Skin Wound Care. 2008;21(4):169–74.
Belmin J, Meaume S, Rabus MT, Bohbot S. Investigators of the sequential treatment of the elderly with pressure sores (STEPS) trial. Sequential treatment with calcium alginate dressings and hydrocolloid dressings accelerates pressure ulcer healing in older subjects: a multicenter randomized trial of sequential versus nonsequential treatment with hydrocolloid dressings alone. J Am Geriatr Soc. 2002;50(2):269–74.
Sayag J, Meaume S, Bohbot S. Healing properties of calcium alginate dressings. J Wound Care. 1996;5(8):357–62.
Parish LC, Dryjski M, Cadden S, Versiva XC, Pressure Ulcer Study Group. Prospective clinical study of a new adhesive gelling foam dressing in pressure ulcers. Int Wound J. 2008;5(1):60–7.
Guillén-Solà M, Soler Mieras A, Tomà s-Vidal AM, GAUPP-Expert Panel. A multi-center, randomized, clinical trial comparing adhesive polyurethane foam dressing and adhesive hydrocolloid dressing in patients with grade II pressure ulcers in primary care and nursing homes. BMC Fam Pract. 2013;14:196.
Bale S, Squires D, Varnot T, Walker A, Benbow M, Harding KG. A comparison of two dressings in pressure sore management. J Wound Care. 1997;6(10):463–6.
Philbin S. Pressure ulcer management using sodium carboxymethylcellulose hydrofiber® foam dressings. Ostomy Wound Manage. 2013;59(3):10–2.
Tickle J. Effective management of exudate with AQUACEL extra. Br J Community Nurs. 2012;Suppl:S38. S40–6.
Dumville JC, Stubbs N, Keogh SJ, Walker RM, Liu Z. Hydrogel dressings for treating pressure ulcers. Cochrane Database Syst Rev. 2015;(2). https://doi.org/10.1002/14651858.CD011226.pub2.
Matzen S, Peschardt A, Alsbjørn B. A new amorphous hydrocolloid for the treatment of pressure sores: a randomised controlled study. Scand J Plast Reconstr Surg Hand Surg. 1999;33(1):13–5.
Baxter H. A comparison of two hydrocolloid sheet dressings. Br J Community Nurs. 2000;5(11):572. 574, 576–7
Singh A, Halder S, Menon GR, Chumber S, Misra MC, Sharma LK, Srivastava A. Meta-analysis of randomized controlled trials on hydrocolloid occlusive dressing versus conventional gauze dressing in the healing of chronic wounds. Asian J Surg. 2004;27(4):326–32.
Dutra RA, Salomé GM, Alves JR, Pereira VO, Miranda FD, Vallim VB, de Brito MJ, Ferreira LM. Using transparent polyurethane film and hydrocolloid dressings to prevent pressure ulcers. J Wound Care. 2015;24(6):268. 270–1, 273–5
Bergman-Evans B, Cuddigan J, Bergstrom N. Clinical practice guidelines: prediction and prevention of pressure ulcers. Todays OR Nurse. 1994;16(6):33–40.
Ratliff CR, Tomaselli N. WOCN update on evidence-based guideline for pressure ulcers. J Wound Ostomy Continence Nurs. 2010;37(5):459–60.
Waycaster C, Milne C. Economic and clinical benefit of collagenase ointment compared to a hydrogel dressing forpressure ulcer debridement in a long-term care setting. Wounds. 2013;25(6):141–7.
Vermeulen H, van Hattem JM, Storm-Versloot MN, Ubbink DT. Topical silver for treating infected wounds. Cochrane Database Syst Rev. 2007;(1):CD005486.
Trial C, Darbas H, Lavigne JP, Sotto A, Simoneau G, Tillet Y, Téot L. Assessment of the antimicrobial effectiveness of a new silver alginate wound dressing: a RCT. J Wound Care. 2010;19(1):20–6.
Leaper DJ, Durani P. Topical antimicrobial therapy of chronic wounds healing by secondary intention using iodine products. Int Wound J. 2008;5(2):361–8.
Sibbald RG, Coutts P, Woo KY. Reduction of bacterial burden and pain in chronic wounds using a new polyhexamethylenebiguanide antimicrobial foam dressing-clinical trial results. Adv Skin Wound Care. 2011;24(2):78–84.
Yapucu Güneş U, Eşer I. Effectiveness of a honey dressing for healing pressure ulcers. J Wound Ostomy Continence Nurs. 2007;34(2):184–90.
Cutting K, McGuire J. In vitro and clinical experience of Cutimed Sorbact: the evidence base. J Wound Care. 2015;24(Suppl 5a):S6–S30.
Sornakumar L, Kalarani M, Srinivas CR. Activated charcoal dressing in malodorous leg ulcers. Indian J Lepr. 2010;82(3):147–8.
Xakellis GC, Chrischilles EA. Hydrocolloid versus saline-gauze dressings in treating pressure ulcers: a cost-effectiveness analysis. Arch Phys Med Rehabil. 1992;73(5):463–9.
Nisi G, Brandi C, Grimaldi L, Calabrò M, D’Aniello C. Use of a protease-modulating matrix in the treatment of pressure sores. Chir Ital. 2005;57(4):465–8.
Drew P, Posnett J, Rusling L, Wound Care Audit Team. The cost of wound care for a local population in England. Int Wound J. 2007;4(2):149–55.
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Janowska, A., Macchia, M., Paggi, B. (2018). Advanced Dressings in Pressure Ulcers. In: Romanelli, M., Clark, M., Gefen, A., Ciprandi, G. (eds) Science and Practice of Pressure Ulcer Management. Springer, London. https://doi.org/10.1007/978-1-4471-7413-4_12
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DOI: https://doi.org/10.1007/978-1-4471-7413-4_12
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