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Gauze vs. plastic for peripheral intravenous dressings: testing a new technology.

The authors conducted a randomized, prospective, controlled trial of three different dressings for peripheral intravenous catheters in 301 acutely ill medical inpatients. Catheters were dressed with dry clean gauze or one of two brands of transparent plastic. The gauze dressings remained in place significantly longer (47 hours median) than either Uniflex (39 hours) of Tegaderm (32 hours) transparent plastic dressings (p = 0.026). Catheters were removed for complications (inflammation, mechanical failure, or infiltration) in 35% of the gauze group, compared with 58% of the Uniflex group and 48% of the Tegaderm group (p = 0.015). Not only were inflamed venipuncture sites seen less often with gauze, inflammation occurred later (p = 0.002) and with lesser severity. Dry gauze dressings resulted in longer catheter life, lower complication rates, and less expense than transparent plastic dressings for peripheral intravenous catheters.

Catheters, Indwelling↗

Treatment of skin graft donor sites with a semipermeable polyurethane dressing.

The use of a semipermeable dressing for skin graft donor sites has been described. It permits patients with healing donor sites to ambulate, shower, and wear clothing with no pain during the healing phase. Healing is easily monitored, and signs of infection can be detected early and treated promptly, preventing involvement of the full thickness of the wound. Patients can be discharged from the hospital while the donor site is still healing. The dressing can be removed painlessly at home or in the office. The SPD appears superior to any of the more conventional dressings currently in use for treating skin graft donor sites.

Female↗

Clinical efficacy of C-View transparent film wound dressing.

This article discusses the use of transparent film dressing in wound management. It focuses on one particular product, C-View (Maersk Medical), determining its efficacy through multiple case study review. C-View was found to be easy to use and cost-effective, both as a primary and secondary wound dressing.

Clinical Nursing Research↗

[Post-discharge surgical wound infection: what is to be done?].

Infection of the laparotomy wound cannot always be prevented--for a variety of reasons including patient-related, disease-related and surgery-related factors. Of importance is the early detection of a wound infection--with confirmation or exclusion of underlying pathology (e.g. anastomotic leakage)--before sepsis develops. As a rule, a laparotomy wound infection can be adequately controlled by re-opening, debridement and moist management. Innovative dressing techniques involving vacuum sealing and suction accelerate healing.

Bandages↗

Hydrogel wound dressings: where do we stand in 2003?

Among the many categories of advanced wound dressing products available today, hydrogels are popular because they are effective, comfortable, easy to use, and cost effective. With proper use, these agents provide control of wound surface hydration, sometimes absorbing excess exudate and often providing moisture. This review describes the chemistry of hydrogels, the physiology of their interaction with the wound surface, and their role in patient care. Hydrogels have been proven effective in facilitating repair of pressure, diabetic, vascular, burn, and other wounds, and they have supplanted saline-moistened gauze for many applications. Clinical evidence suggests that no particular hydrogel is significantly more efficacious than any other, implying that other factors such as cost and ease of use may guide clinician choice of product within this class of wound dressings.

Acrylic Resins↗

[Application of Opsite at donor sites, burns and postoperative wounds (author's transl)].

The article reports on the Opsite foil and its properties. This is a film consisting of polyurethane which is permeable to gas and water vapour. Prolonged skin contact does not produce an allergic reaction. The wound becomes rapidly covered with an epithelium. Opsite is an extremely successful dressing for covering donor areas and wounds from burns, as well as postoperative wounds.

Burns↗

A comparison of skin grafting and healing by granulation, following axillary excision for hidradenitis suppurativa.

The treatment of established hidradenitis suppurativa demands complete excision of the apocrine glands in the affected area. Ten patients undergoing bilateral excision of the axillary skin, had one axilla grafted and the other allowed to heal by granulation utilising Silastic foam dressing, in order to compare the two methods. Split skin grafting resulted in more rapid healing of the excised area than healing by secondary intention. However, Silastic foam dressing resulted in certain healing with a good cosmetic result and avoided the need for immobilisation and a painful donor site. Most patients in this series preferred Silastic foam dressing to skin grafting.

Axilla↗

A randomized prospective study of a hydroactive dressing vs conventional treatment after shave biopsy excision.

BACKGROUND AND DESIGN: Fifty shave biopsy sites were prospectively randomized to treatment with either a hydroactive dressing or conventional therapy (bacitracin plus Band-Aid). Time to complete epithelialization, pain, infection, and convenience of the therapy were assessed. RESULTS: There was no significant difference between the two dressings with regard to time to heal, wound infection rate, or pain. However, patients preferred the hydroactive dressing because of convenience. CONCLUSION: Hydroactive dressings did not accelerate healing compared with conventional therapy, but may facilitate wound management because of convenience and time savings in dressing changes.

Bacitracin↗

Skin bacteria and Op Site chest dressings.

Growth of skin bacteria on the infraclavicular region was studied in two series of male volunteers. In the first, Op Site, a polyurethane adhesive film dressing, was compared with an occlusive polyvinyl chloride (PVC) dressing, on povidone iodine (PVI) prepared skin in 10 volunteers. Bacteria were sampled, using perspex cylinders and buffered Triton X-100 detergent, at 2, 4, 7 and 14 days, cultured aerobically and anaerobically, and colonies counted at 24 and 48 h respectively. Colony counts under Op Site were less than for undressed (control) skin and under PVC, at all days sampled, the difference being statistically significant at 2 and 14 days for controls and 4 days for PVC. In the second, four regimens of skin preparation, with Op Site dressings were compared in 12 volunteers, skin being sampled 4, 7 and 14 days. Chlorhexidine (CHD) and PVI were compared with and without defatting. Defatting significantly reduced colony counts at 4 and 7 days, whereas no differences were demonstrated between CHD and PVI. The combination of defatting and CHD resulted in colony counts consistently less than 10(3) organisms at 4 and 7 days. Op Site does not potentiate the growth of skin bacteria and is preferable to an occlusive PVC adhesive dressing. Op Site may be left intact on the chest for up to 7 days, colony counts remaining within acceptable limits.

Journal Article↗