The management of wounds using Silvercel hydroalginate
نویسندگان
چکیده
Normal wound healing in adults follows an ordered progression of events, which ultimately results in wound closure. In some cases, however, wound closure may not occur. There are many reasons why a wound will fail to heal, including both local (e.g. the presence of a foreign body or infection) and systemic (e.g. malnutrition or diabetes) factors. In a slow-healing or non-healing wound, it is important for the practitioner to consider all underlying pathologies and to treat them appropriately. While it is recognised (Kingsley, 2002) that no single dressing can provide all the answers to the problems and requirements of a wound throughout its life, effective treatments can be prescribed for wounds that become infected or critically colonised with micro-organisms. Micro-organisms are very likely to be present in all wounds but will vary in both type and quantity. Non-healing chronic wounds, e.g. leg ulcers and pressure ulcers are usually colonised with a number of species, many of which can be potential pathogens (Scanlon and Dowsett, 2002). When the microflora of the wound become imbalanced, the normal wound healing process is interrupted, resulting in a non-healing and deteriorating wound, which can ultimately lead to systemic infection if left untreated. Unfortunately, with increasing resistance, the treatment of infected wounds with antibiotics is becoming more and more problematic. It is possible, however, to reduce the wound bioburden to avoid systemic infection by the use of topical antibacterial agents such as silver and iodine (White et al, 2001).
منابع مشابه
Case series evaluation of a silver non-adherent dressing
Aims: To evaluate the efficacy of Silvercel® Non-Adherent dressings on various wound types. Methods: Silvercel Non-Adherent was applied to 26 patients with either systemic or locally infected wounds, critically colonised wounds or wounds at high risk of developing infection, i.e. those with a history of recurrent infection or known associated comorbidities. The dressing was applied for up to 12...
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