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[Hydro-colloidal dressings which release hydro-active silver].

N Serra1, O G Torres, M I Romo

  • 1Angiogrup, Clínica Sagrada Familia, Barcelona.

Revista De Enfermeria (Barcelona, Spain)
|April 9, 2005
PubMed
Summary

This study shows that antibacterial hydrocolloid dressings with silver (Comfeel Plata) effectively prepare infected wounds for healing and reduce pain and odor. Once wounds are clean, non-silver dressings promote further healing.

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Area of Science:

  • Wound healing
  • Infectious disease management
  • Biomaterials science

Background:

  • Chronic ulcers often present challenges in healing due to high bacterial load, infection, or malodor.
  • Effective wound management requires strategies to control bacterial burden and prepare the wound bed for regeneration.
  • Silver-containing dressings are utilized for their antimicrobial properties in wound care.

Purpose of the Study:

  • To evaluate the efficacy of an antibacterial hydrocolloid dressing with hydroactivated silver (Comfeel Plata) in managing wounds with high bacterial load, infection, or malodor.
  • To compare the performance of Comfeel Plata with non-silver dressings during the proliferative phase of wound healing.
  • To assess the impact of Comfeel Plata on wound bed preparation, healing time, pain, and malodor.

Main Methods:

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  • A multicentric, prospective, open, and comparative study involving 43 patients with chronic ulcers.
  • Two parallel treatment groups: Group 1 received continuous Comfeel Plata treatment; Group 2 used Comfeel Plata until wound bed preparation, then transitioned to non-silver dressings for the proliferative phase.
  • Evaluation of various study parameters to assess healing progress, bacterial load, infection signs, malodor, and pain.

Main Results:

  • Comfeel Plata effectively prepared the wound bed in infected or colonized wounds, facilitating more rapid healing.
  • The use of Comfeel Plata significantly reduced pain and malodor associated with infected wounds.
  • Transitioning to non-silver dressings designed for the proliferative phase, after achieving a clean wound bed, further facilitated healing.

Conclusions:

  • Antibacterial hydrocolloid dressings with silver are beneficial for preparing infected or colonized chronic wounds.
  • Comfeel Plata demonstrates efficacy in reducing pain and malodor, improving wound bed conditions.
  • A sequential approach, utilizing silver dressings initially followed by non-silver dressings for the proliferative phase, optimizes chronic wound healing.