Understanding What Wound Care Products Do

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GAUZE ROLLS & GAUZE SPONGES

ANTIMICROBIAL GAUZE WRAP – ANTIMICROBIAL GAUZE SPONGE

Roll gauze impregnated with an antimicrobial substance to prevent contamination of a wound site.

Examples:
Bioguard roll gauze
Bioguard gauze sponge
Kerlix AMD 

Indicated for
Use on any wound site to prevent infection from entering the wound site from the outside

Action
Prevents infection by eliminating bacteria

Contraindications
None known


 

ANASEPT SPRAY

Anasept is an extremely safe and gentle antimicrobial skin and wound cleanser with exceptionally rapid broad-spectrum bactericidal, fungicidal and virucidal properties.  It is a pure, colorless, isotonic, tissue-compatible solution and has a two-year shelf life.

Anasept will eliminate bacteria and fungi within 2 minutes or less including resistant strains such as MRSA, VRE, Pseudomonas, Candida albicans and Aspergillus niger.  There is no known microbial resistance to Anasept.

This product may be used as a wound cleanser and to prepare sites for IV fluids, dialysis, central lines and more.


CALCIUM ALGINATE DRESSINGS
Secondary dressing should be used to cover 

Hydrophilic, non-woven fiber dressings that are derived from seaweed and when contacted by wound exudate form a gel mass in the wound.  These come in a sheet or rope form and are absorbent.

Examples:
Algicel
Melgisorb
Reliamed 

Indicated for
Partial thickness and full thickness wounds having moderate to heavy exudate, Infected wounds, Filling cavities, tracts andunderminingPartial thickness and full thickness wounds

Action
Absorbs excess exudate while maintaining a moist wound environment Facilitates autolytic debridement of loose, necrotic tissue

Contraindications
Dry wounds


CALCIUM ALGINATE WITH SILVER
Secondary dressing should be used to cover 

Same composition and indications as calcium alginate with silver added for antimicrobial benefits.

Examples:
Silverlon CA
Algicel AG
Reliamed AG-CMC (hydrofiber)

Indicated for
Draining wounds with signs of infection Filling cavities, tracts and undermining

Action
Absorbs excess exudate while maintaining a moist wound environment Facilitates autolytic debridement of loose, necrotic tissue Decreases or eliminates bacterial load in an infected wound

Contraindications:
Do not use with hydrogels
Should not be used with products that create an ionic exchange in the wound site
Cannot be used with enzymes (ie Santyl Collagenase)


CALCIUM ALGINATE WITH HONEY
Secondary dressing should be used to cover

Active Leptospermum Honey impregnated into a calcium alginate pad.  As wound exudate is absorbed, the alginate forms a gel to assist in maintaining a moist wound environment for optimal wound healing.  Alginate is removable in one piece.

Example:
Medihoney 

Indicated for diabetic foot ulcers, leg ulcers, pressure ulcers
1st and 2nd degree partial thickness burns
donor sites
traumatic and surgical wounds

Action Cleanses and debrides lowers overall wound pH promotes a moisture-balanced environment eliminates bacteria and multi-resistant bacteria with natural honey


COLLAGEN DRESSINGS

These dressings come in pads, gels or particles and promote the deposit of newly formed collagen in the wound bed. They can be used on any type of wound with any type of drainage. Some specific brands require the wound to be free of necrotic tissue.

Examples:
pads – Promogran Prisma, Promogran Matrix (collagen with silver), BioPad, Fibracol Plus (alginate/collagen combination)
gel – Stimulen Gel
powder – Stimulen 

Indicated for
Any type of wound with minimal, moderate or heavy drainage Some specific brands require the wound to be free of necrotic tissue

Action
Provides a moist healing environment
Some brands reduce destructive elements in wound fluid to “kick-start” healing while allowing the patient’s growth factors to effectively heal the wound Promotes tissue granulation and epithelialization Burns Grafts

Contraindications
none known


HYDROCOLLOID DRESSINGS
Can be either a primary or a secondary dressing 

Wafer-type dressings that contain hydroactive particles which, when in contact with wound exudate, form a fluid/gel environment over the wound bed.  They can be self-adhering  with a surface that repells water, bacteria and other outside contaminants.  They are considered occlusive or semi-occlusive.

Examples:
Tegaderm Thin
Reliamed border sacral
Reliamed beveled
Flexicol bordered
Medihoney sheet (hydrocolloid with honey)
Medihoney tube  

Indicated for
partial thickness to shallow full thickness wounds

Action
maintains a moist wound environment provides protection and insulation to a healing wound facilitates autolytic debridement

Contraindications for use
infected wounds
wounds with heavy exudate, deep cavities, sinus tracts (unless used as a secondary dressing over packing)
Burns
Grafts


HYDROFERA BLUE
Foam impregnated with Methylene Blue and Gentian Violet

Indicated for
Wounds containing bacteria, yeast and fungus

Action
Provides a protective, bacteriostatic cover which may help prevent infection

When used under an occlusive dressing, product will create a mild negative pressure that will reduce an epiboly (rolled edge).

Contraindications
None known


HYDROGEL DRESSINGS
Must be covered with a secondary cover dressing

Vary in composition but most are non-occlusive and water or glycerin based, depending on manufacturer.  This product comes in sheets, impregnated in gauze and in gel form.

Examples:
hydrogel sheets – Spand-Gel, Avogel
amorphous hydrogel – Normlgel 

Indicated for
Any type of wound needing additional moisture
Burns
Grafts
Sheet form can be used for quicker healing of cosmetic procedures and/or scar reduction

Action
Adds moisture to dry wounds
Maintains a moist wound environment
Facilitates autolytic debridement.
Avogel sheets provide a barrier to prevent heat and water loss through the skin which aids in scar reduction

Contraindications
Because of the moist nature of these dressings, care must be taken to observe the wound edges and protect from maceration.


HYDROGEL – ANTIMICROBIAL

Amorphous hydrogel combined with sodium hypochlorite for elimination of bacteria, multi-resistant bacteria, viruses and fungi.

Example:
Anasept

Indicated for
Any wound needing additional moisture and infection protection
Dry wounds with signs of infection
Burns
Grafts

Action
Provides moisture to a wound site while eliminating or preventing infection Biocompatible with other dressings

Contraindications
None known


HYDROGEL WITH SILVER

Hydrogel with silver added for antimicrobial benefits

Examples:
SilverSept
Elta silver hydrogel 

Indicated for
Wounds needing additional moisture and infection protection
Dry wounds with evidence of infection

Action
Provides moisture in a wound site while eliminating or preventing infection
Absorbs a small amount of wound exudate

Contraindications:
Should not be utilized in conjuction with Tegaderm Matrix as deactivation of both dressings will result


HYPERTONIC DRESSINGS

Available in impregnated gauze and gel form, these dressings provide a high sodium chloride level to eliminate necrotic tissue.

Examples:
Hypergel – gel used to break down eschar of necrotic tissue
Mesalt– dry sheet or strip (used to wick infection out of tunneling areas)
Curasalt – moist hypertonic tape

Indicated for
autolytic debridement of necrotic tissue fills wound space to wick drainage out of a tunnel or undermining provides or encourages a moist environment

Action
creates osmotic changes in the wound environment to encourage debridement

Contraindications:
cannot apply to granulation tissue as it can cause a burning sensation


FOAM DRESSINGS, BORDERED FOAM DRESSINGS, FOAM DRESSINGS WITH SILVER
May be used as a primary or secondary dressing

Available as self-adhering or non-adherent (though some may have adhesive border). Polyurethane foam dressings which have an absorbent wound contact surface and most have a moisture-repellant outer surface which is non-occlusive.  Ability to absorbexudate is dependant upon thickness and density of the dressing.

Examples:
Mepilex (with Safetac technology)
Mepilex Border (water resistant with Safetac technology)
Polymem
Polymem Dot (with silver)
Reliamed

Indicated for
Partial and full thickness wounds
To cover wounds containing packing material

Action
Absorbs excess exudate to prevent maceration
Provides a moist wound environment
Insulation and protection

Contraindications
Wounds with dry eschar
No or minimal exudate


MOISTURE REGULATION
Requires a secondary dressing to cover it

An inert breathable polymer combined with a nonwoven medium which provides fluid balance at the wound surface instead of within the dressing.

Example:
TheraGauze 

Indicated for:
partial and full thickness wounds of any type
grafts
burns

Action:
Controls moisture and facilitates healing by releasing or absorbing moisture based on wound conditions
Prevents maceration
High oxygen permeability
Compatible with most other medications
One-piece removal

Contraindications:
Wet wounds unless fenestrated


MMP REDUCTION
Requires a secondary dressing to cover it

Cellulose impregnated with potassium, zinc, calcium and rubidium.

Examples
Tegaderm Matrix
EpiMax

Indicated for
All types of wounds including burns, grafts and incisions
“Kick-starting” stalled wounds

Action
Corrects the MMP balance in the wound site enabling the patient’s growth factors to heal the wound
Creates a moist wound environment while preventing maceration

Contraindications
Use with silver products will cause deactivation of both products.


TRANSPARENT FILM DRESSINGS

Semipermeable membranes which are self-adhering, thin and waterproof. They allow gaseous exchange between the wound bed and the environment, but water, bacteria or other contaminants cannot penetrate the dressing

Examples:
Mepore
ReliaMed Transparent Thin film dressings

Indicated for:
partial thickness wounds
stage II ulcers
dry, necrotic wounds requiring debridement

Action
helps to maintain a moist wound surface
facilitates autolytic debridement.

Contraindications for use:
heavy exudating wounds
deep cavities, sinus tracts or undermining (unless used as a secondary dressing) or wounds with friable skin in the periwound area.

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