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Mark G Rippon1, Alan A Rogers2, Karen Ousey1,3,4

  • 1Huddersfield University, Reino Unido.

Journal of Wound Care
|September 24, 2021
PubMed
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Antimicrobial resistance (AMR) is a global threat. Dialkylcarbamyl chloride (DACC)-coated wound dressings physically remove bacteria, supporting antimicrobial stewardship programmes (AMS) without promoting resistance.

Area of Science:

  • Infectious Diseases
  • Wound Care
  • Microbiology

Background:

  • Antimicrobial resistance (AMR) poses a significant global health challenge.
  • Novel strategies are needed as antimicrobial development lags behind resistant microorganisms.
  • Antimicrobial stewardship programmes (AMS) and innovative wound care are crucial.

Purpose of the Study:

  • To emphasize AMS for appropriate antimicrobial use.
  • To evaluate dialkylcarbamyl chloride (DACC)-coated dressings as a tool for AMS.
  • To explore non-antimicrobial approaches to wound infection management.

Main Methods:

  • Literature search of MEDLINE, Cochrane Database of Systematic Reviews, and Google Scholar.
  • Review of studies on AMS and wound dressing efficacy.
Keywords:
antimicrobial resistanceapósitobacterial-bindingdressingfijación bacterianainfeccióninfectionresistencia antimicrobianaulcerúlcera

Related Experiment Videos

  • Focus on dressings reducing bacterial burden without killing microbes.

    • Main Results:

    • Bacterial-binding wound dressings, such as DACC-coated options, physically reduce bioburden.
    • These dressings effectively prevent infection in acute and chronic wounds.
    • Evidence shows no exacerbation of AMR, supporting AMS goals.

    Conclusions:

    • Wound dressings utilizing DACC technology bind and remove intact microorganisms.
    • This physical sequestration mechanism reduces wound bioburden effectively.
    • These dressings are valuable tools for AMS, mitigating infection without driving resistance.