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Abstract

More than 40 years have passed since Gilje [1], a dermatologist, discovered that leg ulcers covered with tape healed faster than those covered with gauze. His observations not only stimulated wound healing research in general, but also inspired researchers and clinicians to evaluate the effect of topical agents on the healing process. As a result, we now know that almost every aspect of the healing process can be affected by what we put on, or in, a wound [2]. With the realization that dehydration is detrimental to wounds came the development of would care products that “provide a moist environment” and their use in the management of chronic wounds such as decubitus or pressure ulcers. Specifically, clinicians can now choose from more than 70 dressings, wound filler products, gels, and creams designed to be “occlusive, to promote moist wound healing, to prevent unnecessary loss of body fluids or to provide a moist environment” [3]. Unfortunately, neither the definitions of these terms, nor their clinical relevance have been clearly defined.

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References

  1. Gilje O (1948) On taping (adhesive tape treatment) of leg ulcers. Acta Derm Venereol (Stockh) 28:454–467

    CAS  Google Scholar 

  2. Field CK, Kerstein MD (1994) Overview of wound healing in a moist environment. Am J Surg 167(IA):2S–6S

    PubMed  Google Scholar 

  3. Thomas Hess C (1995) Nurse’s clinical guide: wound care. Springhouse, Springhouse

    Google Scholar 

  4. Oxford English dictionary, 26th edn. (1987) Oxford University Press, Oxford

    Google Scholar 

  5. Knighton DR, Silver IA, Hunt TK (1981) Regulation of wound healing angiogenesis — effect of oxygen gradients and inspired oxygen concentration. Surgery 90:262–270

    PubMed  CAS  Google Scholar 

  6. Lydon M J, Hutchinson JJ, Rippon M et al. (1989) Dissolution of wound coagulum and promotion of granulation tissue under Duo DERM. Wounds 1(2):95–106

    Google Scholar 

  7. Hutchinson JJ, McGuckin M (1990) Occlusive dressings: a microbiologic and clinical review. Am J Infect Control 18:257–268

    Article  PubMed  CAS  Google Scholar 

  8. Witkowski JA, Parish LC (1986) Cutaneous ulcer therapy. Int J Dermatol 25:420–426

    Article  PubMed  CAS  Google Scholar 

  9. Bolton LL, van Rijswijk L(1991) Wound dressings: meeting clinical and biological needs. Dermatol Nurs 3:146–161

    PubMed  Google Scholar 

  10. Shelanski MV, Nicholson JE, Shelanski JB, Constantine BE (1989) The influence of moisture vapor transmission rates of polymer dressings on the rate of wound healing and bacterial proliferation on wound surfaces. Wounds 1(2):115–121

    Google Scholar 

  11. Pirone LA, Bolton LL, Monte KA, Shannon RJ (1992) Effect of calcium alginate dressings on partial-thickness wounds in swine. J Invest Surg 5:149–153

    Article  PubMed  CAS  Google Scholar 

  12. Wu P, Fisher AC, Foo PP et al. (1995) In vitro assessment of water vapor transmission of synthetic wound dressings. Biomaterials 16:171–175

    Article  PubMed  CAS  Google Scholar 

  13. Polanksy M, van Rijswijk L (1994) Utilizing survival analysis techniques in chronic wound healing studies. Wounds 6:150–158

    Google Scholar 

  14. Gorse GJ, Messner RL (1987) Improved pressure sore healing with hydrocolloid dressings. Arch Dermatol 123:766–771

    Article  PubMed  CAS  Google Scholar 

  15. Xakellis GC, Chrischilles EA (1992) Hydrocolloid versus saline gauze dressings in treating pressure ulcers: a cost-effectiveness analysis. Arch Phys Med Rehabil 73:463–469

    PubMed  CAS  Google Scholar 

  16. Sebern MD (1986) Pressure ulcer management in home health care: efficacy and cost effectiveness of moisture vapor permeable dressing. Arch Phys Med Rehabil 67:726–729

    Article  PubMed  CAS  Google Scholar 

  17. National Pressure Ulcer Advisory Panel (1989) Pressure ulcers: incidence, economics, risk assessment. Consensus development conference statement. Decubitus 2:24–28

    Google Scholar 

  18. Meehan M (1994) National pressure ulcer prevalence survey. Decubitus 7:27–38

    CAS  Google Scholar 

  19. Turnbull G (1995) Weaving reimbursement of surgical dressings into the plan of treatment. Ostomy Wound Man 41(7A):103S–110S

    CAS  Google Scholar 

  20. Panel for the Prediction and Prevention of Pressure Ulcers in Adults (1992) Pressure ulcers in adults: prediction and prevention. Clinical practice guideline no 3. AHCPR Publ no 92–0047. Agency for Health Care Policy and Research, Public Health Service, US Department of Health and Human Services, Rockville

    Google Scholar 

  21. Maklebust JA, Sieggreen M (1995) Pressure ulcers; guidelines for prevention and nursing management, 2nd edn. Springhouse, Springhouse

    Google Scholar 

  22. Day A, Dombranski S, Farkas C et al. (1995) Managing sacral pressure ulcers with hydrocolloid dressings: results of a controlled, clinical study. Ostomy Wound Man 41:52–64

    CAS  Google Scholar 

  23. Erwin-Toth P (1995) Cost-effective pressure ulcer management in extended care. Ostomy Wound Man 41(7A):64S–68S

    CAS  Google Scholar 

  24. Lawrence JC (1994) Dressings and wound infection. Am J Surg 167(1A):21S–24S

    Article  PubMed  CAS  Google Scholar 

  25. Dawson C, Armstrong MWJ, Fulford SCV et al. (1987) Use of calcium alginate to pack abscess cavities: a controlled clinical trial. J R Coll Surg 37:177–179

    Google Scholar 

  26. Chen WY, Rogers AS, Lydon MJ (1992) Characterization of biologic properties of wound fluid collected during early stages of wound healing. J Invest Dermatol 99:559–561

    Article  PubMed  CAS  Google Scholar 

  27. Grinnell F, Ho CH, Wysocki A (1992) Degradation of fibronectin and vitronectin in chronic wound fluid: analysis by cell blotting, immunoblotting, and cell adhesion assays. J Invest Dermatol 98:410–416

    Article  PubMed  CAS  Google Scholar 

  28. Fowler E, van Rijswijk L (1995) Using wound debridement to help achieve the goals of care. Ostomy Wound Man 41:23S–35S

    Google Scholar 

  29. Mertz PM, Marshall DA, Eaglstein WH (1985) Occlusive wound dressings to prevent bacterial invasion and wound infection. J Am Acad Dermatol 12:662–668

    Article  PubMed  CAS  Google Scholar 

  30. Thomas S, Hay P (1995) Fluid handling properties of hydrogel dressings. Ostomy Wound Man 41:54–59

    CAS  Google Scholar 

  31. Darouiche RO, Landon GC, Klima M et al. (1994) Osteomyelitis associated with pressure sores. Ann Intern Med 154:753–758

    Article  CAS  Google Scholar 

  32. Bowler PG, Delargy H, Prince D, Fondberg L (1993) The viral barrier properties of some occlusive dressings and their role in infection control. Wounds 5:1–8

    Google Scholar 

  33. Lawrence JC, Lilly HA, Kidson A (1992) Wound dressings and the airborne dispersal of bacteria. Lancet 339:807

    Article  PubMed  CAS  Google Scholar 

  34. Terpenning MS, Bradley SF, Wan J Y et al. (1994) Colonization and infection with antibiotic-resistant bacteria in a long-term care facility. J Am Geriatr Soc 42:1062–1069

    PubMed  CAS  Google Scholar 

  35. Dunn LJ, Wilson P (1990) Evaluating the permeability of hydrocolloid dressings to multiresistant Staphylococcus aureus. Pharm J 248:50

    Google Scholar 

  36. Cutting KF, Harding KG (1994) Criteria for identifying wound infection. J Wound Care 3:198–201

    Google Scholar 

  37. van Rijswijk L (1996) Wound assessment and documentation. In: Krasner D (ed) Chronic wound care; a clinical source book for health care professionals, 2nd edn. Health Management, Wayne

    Google Scholar 

  38. Nielsen PG, Madsen SM, Stromberg L (1990) Treatment of chronic leg ulcers with a hydrocolloid dressing. Acta Dermato Venereol (Stockh) 152[Suppl]:2–12

    Google Scholar 

  39. International Committee on Wound Management (ICWM) (1995) An overview of economic model of cost-effective wound care. Adv Wound Care 8:46

    Google Scholar 

  40. Bergstrom N, Bennett MA, Carlson CE et al. (1994) Treatment of pressure ulcers. Clinical practice guideline, no 15. US Department of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, Rockville. AHCPR Publ no 95–0652

    Google Scholar 

  41. van Rijswijk L, Polansky M (1994) Predictors of time to healing deep pressure ulcers. Wounds 6(5):159–165

    Google Scholar 

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© 1997 Springer-Verlag Berlin Heidelberg

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Bolton, L.L., van Rijswijk, L. (1997). Occlusive Dressings. In: Parish, L.C., Witkowski, J.A., Crissey, J.T. (eds) The Decubitus Ulcer in Clinical Practice. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60509-3_13

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  • DOI: https://doi.org/10.1007/978-3-642-60509-3_13

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64436-8

  • Online ISBN: 978-3-642-60509-3

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