Case Studies & Papers
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Activa publication
| Title |
Local infected wounds - from evidence to algorithm for the therapy - with regard to polyhexanide and silver |
Download File |
| Author |
Strohal R |
| Publication |
L & R literature |
| Key Points |
19 patients with ulcers/multipathogenic wounds Staphylococcus streptococcus comparison with Povidone. Iodine: topical antibiotics: honey: silver. All antimicrobials -14 -21 day use; changed 1 -3 days |
| Title |
PHMB Quick Fact Card |
Download File |
| Author |
Activa publication |
| Publication |
Activa publication |
| Key Points |
Quick guide to the use of PHMB antimicrobial in wound care |
Case study
| Title |
The management of Pseudomonas Aeruginosa in a hard to heal arterial leg ulcer |
Download File |
| Author |
Natalie Doble |
| Publication |
Poster Presentation, TVS Conference, 2010 |
| Key Points |
The management of a lady with long-standing, chronic arterial leg ulcer heavily infected with Pseudomonas aeruginosa - a frequently isolated pathogen within chronic wounds. The wound was 100% green/yellow thick slough and the lady had a VAS score at worst of 8/10. There were high levels of odour and exudate. Previous treatment included iodine and silver sulphadiazine cream with reduced compression. |
| Title |
In vitro evaluation of polihexanide - biocompatible and effective |
Download File |
| Author |
Wiegand et al |
| Publication |
Poster Presentation, TVS Conference, 2010 |
| Key Points |
Infection is a main cause of delayed wound healing and formation of chronic wounds. PHMB has had a positive effect on wound closure in individual clinical cases and in animal models. |
| Title |
Evaluation of Suprasorb X+PHMB across a primary care organisation: A clinical & financial perspective |
Download File |
| Author |
Jackie Stephen-Haynes |
| Publication |
Poster presentation, Wounds UK Harrogate, November 2010 |
| Key Points |
The management of infection is currently high on the government agenda and has a high impact on patient morbidity and mortality. A UK PCT reviewed the management of infected wounds and concluded that availability and evidence to support the introduction of PHMB into the UK market was strong enough to evaluate Suprasorb X+PHMB, its HydroBalance and antimicrobial properties. |
| Title |
I just want to be able to swim with my grandchildren |
Download File |
| Author |
Prof. Linda Rafter |
| Publication |
Poster presentation, Wounds UK Harrogate, November 2010 |
| Key Points |
The management of a 71 year old gentleman with a long standing (18 years), non-healing venous leg ulcer in a complex wound clinic. He had a BMI of 42 and worked part time in a supermarket from Friday to Sunday Previous treatment included a hydrofibre and foam dressing under compression. |
| Title |
A clinical case study of a venous leg ulcer using Suprasorb X+PHMB |
Download File |
| Author |
Joanna Swan |
| Publication |
Poster presentation, Wounds UK Harrogate, November 2010 |
| Key Points |
The management of a 49 year old lady who is morbidly obese and has a 14 year history of venous leg ulceration to her left leg. This lady suffered with recurrent cellulitis, severe pain, multiple sensitivities and the condition of the surrounding skin due to eczema and psoriasis. It was decided to evaluate Suprasorb X+PHMB for its pain relieving and antimicrobial properties. |
| Title |
Treatment of a patient with hard-to-heal leg ulcers |
Download File |
| Author |
Silva, Filipe, Cardoso |
| Publication |
Poster presentation, Wounds UK Harrogate, November 2010 |
| Key Points |
The management of a 56yr old, morbidly obese man with bilateral circumferential leg ulcers. He had an extensive past medical history and the aim of treatment was to address the bacteria within the wound, address the multiple pathologies, reduce the oedema in his legs and heal the leg ulcers, thus improving his quality of life. |
| Title |
A real life clinical practice study on the efficacy of a polyhex containing biocell.dressing in the treatment of biofilms in wounds |
Download File |
| Author |
E Lenselink and A Andriessen |
| Publication |
Poster presentation, Wounds UK Harrogate, November 2010 |
| Key Points |
In non-healing & critically colonised wounds 65-80% is associated with biofilms leading to chronic inflammation and delayed wound healing. Interim results of a clinical study using Suprasorb X+PHMB applied to 16 infected wounds containing a biofilm. Clinical sign of a biofilm was a shiny, translucent, slimy layer on a non-healing wound surface. |
| Title |
The treatment of young children with heel injuries after imnplementation of a clinical pathway using a HydroBalance dressing |
Download File |
| Author |
Alblas et al |
| Publication |
Poster presentation, Wounds UK Harrogate, November 2010 |
| Key Points |
In the Netherlands parents use their bicycles as a mode of transport for their toddlers. Accidents often happen, causing very painful heel flap injuries. A study of 20 children with these wounds, using Suprasorb X+PHMB covered with a foam dressing fixed with a retention bandage |
| Title |
An individual patient study using an antimicrobial dressing in a Community Hospital |
Download File |
| Author |
Debbie Keelor |
| Publication |
Poster presentation, Wounds UK Harrogate, November 2010 |
| Key Points |
The management of an 83 year old lady with bilateral leg ulcers following bilateral angioplasty and surgical debridement and a category 4 pressure ulcer to her heel. She has a medical history of tablet controlled diabetes. The wounds were clinically infected, highly exuding, painful and contained devitalised tissue. |
| Title |
Case study evaluating the effectiveness of a chronic hard to heal wound using Suprasorb X+PHMB |
Download File |
| Author |
Alison Johnstone |
| Publication |
Poster presentation, Wounds UK Harrogate, November 2010 |
| Key Points |
The management of a chronic hard to heal infected venous leg ulcer with Suprasorb X+PHMB in an elderly patient. Previous dressings had been unsuccessful. |
| Title |
The use of a HydroBalanced antimicrobial wound dressing in the debridement and management of an infected cannula site - a case study |
Download File |
| Author |
Susan Mason |
| Publication |
Poster Presentation, Harrogate Wounds UK 2011 |
| Key Points |
A 6 year old child, severely immunocompromised with infected, necrotic cannula site. Wary of using a silver dressing on a child SuprasorbX+PHMB was used. |
| Title |
Reduction in SSI's of children undergoing cardiac surgery |
Download File |
| Author |
Witter et al |
| Publication |
EWMA May 2011 |
| Key Points |
A 4 step plan was devised to reduce SSIs in this high risk group. The plan which included the use of Suprasorb X+PHMB achieved a significant reduction. |
| Title |
The role of the Tissue Viability Nurse in the management of diabetic foot ulceration |
Download File |
| Author |
P Scott |
| Publication |
Harrogate Wounds UK 2009 |
| Key Points |
SuprasorbX+PHMB was used on infected, painful wounds. Amputation had been mentioned but the wounds went on to healing. |
| Title |
Comparison of the antimicrobial effect of two superabsorbent polymer-containing wound dressings in vitro |
Download File |
| Author |
Department of Dermatology, University Medical Center Jena, Germany |
| Publication |
Poster presentation Harrogate 2012 |
| Key Points |
The study concludes that in vitro SAP-containing wound dressings show distinct antibacterial and antifungal properties. |
| Title |
Protective effect of polyhexanide on HaCaT keratinocytes in co-culture with staphylococcus aureus. |
Download File |
| Author |
Wiengand, Abel, Ruth, Hipler |
| Publication |
Poster Presentation, Wounds UK Harrogate, November 2008 |
| Key Points |
Laboratory trial - showing effectiveness against MRSA and safety to healthy cells. |
| Title |
Approaches to therapy and an outlook on improving the clinical data situation, with a special focus on the polihexanide-containing Suprasorb X+PHMB HydroBalanced dressing. |
Download File |
| Author |
Eberkin T, Wild T |
| Publication |
Extended abstracts of presentations at EWMA Conference, Lisbon, 2008 - L&R Publication |
| Key Points |
Suprasorb X+PHMB - 1 unpublished Clinical case study - Wounds and MRSA treated for 5 days with daily dressing changes. Suprasorb X+PHMB followed by Suprasorb X for 3 days |
| Title |
Reducing Bacterial Loading & the Effect on Wound Healing with Suprasorb X+PHMB |
Download File |
| Author |
Sylvia Hampton |
| Publication |
Poster Presentation: EWMA Conference, Helsinki - May 2009 |
| Key Points |
Ongoing work investigating the reduction of pH and bacteria levels in wounds using Suprasorb X+PHMB. wound 0.5cm depth. Wound resistant to most previous antimicrobials. |
| Title |
Case study: The care of a patient with a large & chronic venous ulcer using a highly absorptive dressing and an antimicrobial dressing |
Download File |
| Author |
Martin Tadej and Anna Colbourne |
| Publication |
Activa Publication |
| Key Points |
Case study of a middle aged, obese, poorly mobile, employed lady with previously highly exuding ulcer. Exudate managed with Flivasorb. Following this regime, aim was to eliminate and control the proliferation of bacteria in the wound. The use of Suprasorb X+PHMB resulted in the removal of devitalised tissue. |
| Title |
Use of superabsorbent and antimicrobial dressings under compression |
Download File |
| Author |
Agnes Collarte & Zoe Lear St Charles Hospital, TV Department |
| Publication |
Poster Presentation, Wounds UK Conference, Harrogate - November 2010 |
| Key Points |
All three patients had severe pain and were suffering from maceration damage from high levels of exudate.Pain reduction and healing was achieved. |
| Title |
Use of an ionic hydrogel dressing on fungating wounds: Two Case Studies |
Download File |
| Author |
Marina Maund Private Nursing Practitioner |
| Publication |
Poster Presentation: WASA Conference, Johannesburg - May 2008 |
| Key Points |
Actiformcool improved quality of life in fungating breast wounds and copiously exuding, malodorous sinus through pain relief and exudate management. |
| Title |
The role of the patient in managing wound pain to achieve wound improvement |
Download File |
| Author |
Bernadette Byrne Tissue Viability Nurse Specialist |
| Publication |
Wounds UK Conference, Harrogate, November 2008 |
| Key Points |
2 case studies. Excrutiatingly painful leg ulcer with amputation considered due to the pain, Actiformcool reduced pain and ulcer healed in 5 months. An infected non healing biopsy site, wound and pain improved with Actiformcool. |
| Title |
The use of Flivasorb in a highly exuding wound |
Download File |
| Author |
Annette Dee and Lyndsey Dalby |
| Publication |
Poster presentation at Wounds UK Conference, Harrogate - November 2009 |
| Key Points |
90 yr old lady with circumferential extensive recurring leg ulcer of mixed aetiology. Previous wound swab indicated pseudomonas and heavy haemolytic Strep G, later developed cellulitis. Initially dressings being changed twice daily and strikethrough apparent within few hours of dressing change. |
| Title |
Efficacy of different wound dressings on artificial plaques of fibrin |
Download File |
| Author |
Korber, Seipp, Hofmann - Germany (Laboratory) |
| Publication |
Poster Presentation, EWMA Conference, Lisbon - May 2008 |
| Key Points |
Biofilms, Fibrin Plaques. Comparison with foam, alginate, alginate with silver. Lowest fibrin reduction was shown in foam, PHMB dressing significantly better at fibrin- rest reduction b) Biofilm fibrin resistances – antibacterial measures with focus on polihexamide. |
| Title |
New HydroBalanced wound concept study in primary sector |
Download File |
| Author |
Nygaard R, Jorgensen SF |
| Publication |
EWMA Conference, Lisbon, May 2008 |
| Key Points |
40 patient study with critically colonised/infected wounds. Looking at wound bed preparation, ease of use, bioburden and pain. |
| Title |
First Italian experience with a polyhexanide containing HydroBalanced wound dressing in hospitalised patients with critically colonised or infected chronic wounds. |
Download File |
| Author |
Mosti, Mattaliano, Schmitz, Abel |
| Publication |
Poster Presentation, Wounds UK Harrogate, November 2008 |
| Key Points |
18 patients (30 wounds) with critically-colonised/infected wounds. Parameters – wound bed preparation time, ease of use, bioburden, pain, side-effects. |
| Title |
Successful therapy of critically-colonised or locally-infected wounds with a new hydrobalanced biocellulose-based wound dressing with polyhexanide on outpatients |
Download File |
| Author |
Mosti, Mattaliano, Schmitz, Abel |
| Publication |
Poster Presentation, Wounds UK Harrogate, November 2008 |
| Key Points |
60 patients (11 with critically colonized or locally infected wounds), antimicrobial action, donation and absorption, use under compression ,ulcer healing, bacterial burden, pain, and periwound skin. |
| Title |
Efficacy of different wound dressings on artificial plaques of fibrin |
Download File |
| Author |
Korber, Seipp, Hofmann |
| Publication |
Poster Presentation, EWMA Conference, Lisbon - May 2008 |
| Key Points |
Biofilms, Fibrin plaques comparison with foam, alginate, alginate with silver. Lowest fibrin reduction was shown in foam, PHMB dressing significantly better at fibrin- rest reduction effect on organisms: Pseudomonas, Staphylococcus Aureus. |
| Title |
Hydrobalanced cellulose based wound dressing with polyhexanide in surgical wounds (test with 20 patients) |
Download File |
| Author |
Anna Marie Nielsen |
| Publication |
Poster presentation at Wounds UK, Harrogate - November 2009 |
| Key Points |
20 patient study of Suprasorb X+PHMB applied to surgical wounds directly post operative and reviewing after 24 hrs. 80% of patients were diabetic. Operations included 11 amputations, 3 abscesses and 6 wounds with infection and osteomyelitis. |
| Title |
The management and treatment of an MRSA leg ulcer in a Raynaud’s patient |
Download File |
| Author |
Lynda Thomson |
| Publication |
Poster presentation at Wounds UK, Harrogate - November 2009 |
| Key Points |
59 year old lady with Raynauds disease and scleroderma pulmonary hypertension who sustained a friction wound to lateral gaiter aspect. Wound ulcerated, MRSA positive and pain score 4-6 VAS. Suprasorb X+PHMB applied under reduced compression. After 7 wks, routine MRSA swab returned negative. |
| Title |
Treatment of a skin flap laceration with Suprasorb X+PHMB |
Download File |
| Author |
Karen Hetherington |
| Publication |
Poster presentation at Wounds UK, Harrogate - November 2009 |
| Key Points |
Mixed aetiology traumatic leg ulcer 17cm x 20cm, large amounts of slough, clinical signs of infection including increased exudate, pain and erythema. Patient refused antibiotics. Suprasorb X+PHMB applied with a foam. After 3 days patient had no pain, visible signs of granulation and decreased redness. |
| Title |
The use of Suprasorb X+PHMB on a recurring leg ulcer |
Download File |
| Author |
Fiona Kelly |
| Publication |
Poster presentation at Wounds UK, Harrogate - November 2009 |
| Key Points |
24 year old gentleman with a recurring ulcer wound following previous trauma. Patient previously suffered with cellulitis and osteomyelitis. Recurring wound was infected, malodorous, highly exuding, delay in healing and pain score 5/10 VAS. Suprasorb X+PHMB applied with a foam dressing. |
| Title |
The management of maceration in a Nursing Home environment |
Download File |
| Author |
Anna Paule |
| Publication |
Poster presentation at Wounds UK, Harrogate - November 2009 |
| Key Points |
72 year old paraplegic lady in a nursing home with 3 yr old grade 4 pressure ulcer with high levels of exudate. Wound initially dressed with Suprasorb A+Ag and Flivasorb three times a day. Suprasorb X+PHMB then used to pack wound and Flivasorb to cover. After 6 months patient no longer bed bound and goes out for lunch with friends. |
| Title |
Implementation of Actico for patients with mixed aetiology ulceration |
Download File |
| Author |
Jan Prytherch, Jane Pike, Jill Tongue |
| Publication |
Poster presentation Wounds 2003 UK conference Harrogate November 2003 |
| Key Points |
Need for constant review and change in treatment provision inline with national guidelines. Training issue Trust wide policies. |
| Title |
No resistance after 100 days repeated incubation of staphylococcus aureus with polyhexanide |
Download File |
| Author |
Wiegand C¹, Abel M², Ruth P², Hipler C¹ - ¹Dept of Dermatology, Jena, Germany ²L&R, Rengsdorf, Germany |
| Publication |
Poster presentation at Wounds UK, Harrogate - November 2009 |
| Key Points |
No resistance after 100 days repeated incubation of staphylococcus aureus with polyhexanide .Antiseptics have a lower potency to induce bacterial resistance than antibiotics. Study carried out to measure the resistance capacity of Staphylococcus aureus to polyhexanide and silver nitrate. |
| Title |
Case study: 100 year old lady with leg wound |
Download File |
| Author |
Sian Fumarola |
| Publication |
EWMA Congress Brochure - Helsinki, 2009 |
| Key Points |
100 year old lady with leg wound resulting from a skin tear and leading to Klebsiella infection, necrotic tissue, malodorous, exposed tendon and VAS score 8/10. Suprasorb X+PHMB applied with occlusive foam. |
Journal
| Title |
PHMB: a well tolerated antiseptic with no reported toxic effects |
Download File |
| Author |
S Gilliver |
| Publication |
Journal of Wound Care Supplement - November 2009 |
| Key Points |
Aim to review the in vitro and in vivo evidence of Suprasorb X+PHMB on its safety, tolerability and efficacy. Also looks at cost savings in clinical practice. |
| Title |
Role of topical antimicrobials |
Download File |
| Author |
Georgina Gethin |
| Publication |
Journal of Wound Care Supplement - November 2009 |
| Key Points |
Gives explanation of the bioburden continuum and the role of bacteria in wounds within it. Gives recommendations on the best use of antimicrobials and describes the difference between antibiotics and antiseptics. |
| Title |
Hydrogel sheet dressings and short-stretch cohesive bandaging: case study |
Download File |
| Author |
Gail Powell Clinical Nurse Specialist |
| Publication |
British Journal of Community Nursing 15(3 Supp): S42 - S46 (Mar 2010) |
| Key Points |
Case study of an 88 year old lady with 10 month history of a traumatic leg ulcer measuring 9cm x 6cm, 100% slough,VAS pain score 9/10. Terrible night pain reduced to 0/10 with Actico and Actiformcool. Leg ulcer healed. |
| Title |
PHMB the clinical evidence |
Download File |
| Author |
Deborah Glover and Gill Wicks |
| Publication |
Journal of Wound Care Supplement - November 2009 |
| Key Points |
Paper discussing the clinical evidence and the effectiveness of Suprasorb X+PHMB in reducing pain and infection. Paper gives concise literature reviews on clinical evidence and pain. 4 week evaluation on 15 patients using Suprasorb X+PHMB including non-healing wounds, history of recurrent infections, wounds with devitalised tissue requiring debridement. |
| Title |
PHMB action in a new wound dressing |
Download File |
| Author |
Kingsley et al |
| Publication |
Wounds UK Journal, 2009:Vol.5:No.7 |
| Key Points |
There is currently a rising prevalence of MRSA and much criticism around the indiscriminate use of antibiotics, and evidence of bacterial resistance to some antiseptics such as silver. Topical antimicrobials are probably the best way to reduce levels of bioburden in critically colonised wounds to facilitate wound healing. |
| Title |
PHMB to prevent wound infection |
Download File |
| Author |
Moore and Gray |
| Publication |
Wounds UK Journal, 2007:Vol.5,No.2 |
| Key Points |
Article reviews the evidence for efficacy and cost-effectiveness of anti-microbial dressings in the prevention of surgical site infections, when routinely used in standard wound care protocols. Multiple clinical papers reviewed. Definition and explanation given of the Infection Continuum. |
| Title |
Understanding Wound Infection Skills for Practice |
Download File |
| Author |
John Timmons et al |
| Publication |
Wounds UK 2009 |
| Key Points |
A booklet of case studies and papers where Suprasorb+PHMB has been used |
| Title |
Polyhexamethylene Biguanide (PHMB): An Addendum to Current Topical Antimicrobials |
Download File |
| Author |
Mulder, GD Cavorsi, JP Lee, DK |
| Publication |
Wounds 2007;19(7):173-182 |
| Key Points |
Literature review advised that more evidence for silver efficacy is required and examined the effectiveness of gauze-based PHMB products. PHMB does not have a history of cytotoxicity. |
| Title |
Bacterial Management in Modern Wound Care |
Download File |
| Author |
Martyn Butcher |
| Publication |
Wound Essentials, Volume 5, 2010;119-126 |
| Key Points |
Successful management of bacteria in the wound is a complex issue. The role of bacterial management is therefore of great importance, particularly for those with a compromised immune response. |
| Title |
Clinical evaluation of a PHMB impregnated biocellulose dressing on paediatric lacerations |
Download File |
| Author |
J.G. Alblas,1 PA, A. Andriessen,2 PA , PhD et al. |
| Publication |
Journal of wound care vol 2 0 , no 6 , june 2 0 1 1 |
| Key Points |
SuprasorbX+PHMB was used on 20 Dutch children with painful heel injuries from being caught in bicycle spokes. |
| Title |
A cohort study on the efficacy of a polyhexanide-containing biocellulose dressing in the treatment of biofilms in wounds |
Download File |
| Author |
E. Lenselink, RN, MA, A. Andriessen, PA , PhD |
| Publication |
Journal of wound care vol 2 0 , no 1 1 , Novemb er 2 0 1 1 |
| Key Points |
The results suggest that continuous application of SuprasorbX+PHMB reduced biofilm in the stagnating wounds in the study. |
| Title |
Comparison of PHMB-containing dressing and silver dressings in patients with critically colonised or locally infected wounds |
Download File |
| Author |
T. Eberlein et al. |
| Publication |
Journal of wound care vol 2 1 , no 1 , January 2 0 1 2 |
| Key Points |
Both SuprasorbX+PHMB were effective in reducing pain and bacterial burden. However, SuprasorbX+PHMB was significantly faster and better in removing the critical bacterial load. |
| Title |
PHMB: an effective antimicrobial in wound bioburden management |
Download File |
| Author |
Martyn Butcher |
| Publication |
British Journal of Nursing, Vol 21, No 12 |
| Key Points |
PHMB seems to meet the criteria for an ideal dressing as described by Drosou et al (2003) |
| Title |
Managing the 'at risk' patient: minimizing the risk of wound infection |
Download File |
| Author |
Trudie Young, Andrew Kingsley, Claire Acton |
| Publication |
British Journal of Nursing Supplement - November 2010 |
| Key Points |
Looking at patients deemed at risk of infection |
| Title |
A clinical audit of Suprasorb X+PHMB |
Download File |
| Author |
S Fumarola, M Butcher, P Cooper, D Gray, F Russell, S Stringfellow, M Bertram, K Duguid, G Pirie, |
| Publication |
Wounds UK Journal 2010, Vol.6, No.3 |
| Key Points |
Looking at efficacy of SuprasorbX+PHMB |
| Title |
Wound Assessment Made Easy |
Download File |
| Author |
Wounds UK, June 2012 |
| Publication |
Wounds UK, June 2012 |
| Key Points |
A guide to recognising wound types and importance of a full holisitic assessment to provide optimum wound care |
| Title |
Wound cleansing: is it necessary, or just a ritual? |
Download File |
| Author |
Menna Lloyd Jones |
| Publication |
Nursing and Residential Care, August 2012 |
| Key Points |
The article aims to consider if wound cleansing is useful and how and why to do it. |
| Title |
Demystifying the complexities of wound healing |
Download File |
| Author |
Andrew Sharpe,Michael Concannon |
| Publication |
Wounds UK 2012 vol:12 |
| Key Points |
Article by 2 specialist podiatrists on treating problem foot wounds. including "at risk" and infected wounds. |
| Title |
SuprasorbX+PHMB made easy |
Download File |
| Author |
Kingsley A, Kiernan M |
| Publication |
Wounds UK |
| Key Points |
Discussing the role of SuprasorbX+PHMB, focusing on pain reduction in infected wounds. |
| Title |
The Missing Link - the key to improved wound assessment |
Download File |
| Author |
British Journal of Nursing |
| Publication |
British Journal of Nursing supplement |
| Key Points |
Clinicians discuss using Debrisoft to improve wound assessement, quality of life and cost effectiveness. |
| Title |
Exudate assessment and management |
Download File |
| Author |
Patricia Davies |
| Publication |
Wound Care, March 2011 |
| Key Points |
Looking at types of exudate, assessing exudate levels, appropriate care and impact on the patient |
| Title |
Consensus guidance for the use of debridement techniques in the UK |
Download File |
| Author |
David Gray et al. |
| Publication |
Wounds UK 2010 vol.6 no 4 |
| Key Points |
Looking at range of debridement techniques available in the UK and the skills required for each, who should use which method and when to refer. |
| Title |
The effect of a new debridement technique on the patient wellbeing |
Download File |
| Author |
Fumarola S |
| Publication |
Wounds UK 8(4) 84-89 |
| Key Points |
• Case study demonstrates Debrisoft being used in an extensive circumferential loss of |
| Title |
Examining the multifactorial nature of wound infection |
Download File |
| Author |
June Jones |
| Publication |
Wound Essentials 2012 |
| Key Points |
The article discusses the difficulties of diagnosing wound infection |
Other
| Title |
Consensus document:PHMB and its potential contribution to wound management |
Download File |
| Author |
Consensus panel |
| Publication |
Wounds UK 2010 |
| Key Points |
A panel of diverse clinicians look at managing wound infection and the role of PHMB |
| Title |
Critical colonisation and local infection - current therapy by use of polyhexanide |
Download File |
| Author |
Eberlein Th. |
| Publication |
Extended abstracts |
| Key Points |
Definitions of contamination, colonisation, critical colonisation and infection |
| Title |
Evaluation of cellulose polyhexamethylene biguanide (Suprasorb X+PHMB) in therapy of infected wounds |
Download File |
| Author |
Bruckner, Schwarz, Otto, Heillinger, Wild |
| Publication |
Oral Presentation, Wounds UK Harrogate, November 2008 |
| Key Points |
40 patient clinical study. Safety, moisture donation and absorption, infection, exudate management |
| Title |
Suprasorb X+PHMB - A unique HB antimicrobial dressing |
Download File |
| Author |
Andrew Kingsley, John Timmons |
| Publication |
Skills for Practice: Understanding wound infection. Wounds UK,Aberdeen,2009 |
| Key Points |
There is little resistance to antiseptics compared to antibiotics probably because they have multiple target sites on the bacteria. Suprasorb X+PHMB is a unique hydrobalance antimicrobial wound dressing. A review of Suprasorb X+PHMB in practice. |
| Title |
Management of an infected burn in a high dependency unit |
Download File |
| Author |
Sian Fumarola |
| Publication |
Skills for Practice: Understanding wound infection. Wounds UK,Aberdeen,2009 |
| Key Points |
The management of a 38 year old lady who had sustained a neurological deficit, resulting in an infected burn to her shoulder. The plastic surgeon had prescribed topical silver sulfadiazine and tulle dressings daily. The wounds were colonised with methicillin resistant Staphlococcus aureus (MRSA). One wound contained 40% necrotic and 10% sloughy tissue and the second wound contained 60% slough. |
| Title |
Management of an infected skin tear |
Download File |
| Author |
Sian Fumarola |
| Publication |
Skills for Practice: Understanding wound infection. Wounds UK,Aberdeen,2009 |
| Key Points |
The management of a 97 year old lady who had sustained a fall leading to multiple lacerations which required suturing. Following this she became unwell and suffered a myocardial infarction. She was referred to a TVN when her medical condition stabilised and when the wound became clinically infected. The lady was in severe pain (VAS 8 out of 10) and was distressed by the thought that others could smell her. |
| Title |
Treating a Dehisced Laparotomy Wound |
Download File |
| Author |
David Gray |
| Publication |
Skills for Practice: Understanding wound infection. Wounds UK,Aberdeen,2009 |
| Key Points |
The management of a 68 year old woman with a history of bowel disease and presenting with a dehisced laparotomy wound following the formation of a stoma. The wound contained 30% slough, there were no signs of clinical infection and she was commenced on topical negative pressure, which continued for 8wks. At this stage the wound appeared critically colonised & was managed with a variety of silver dressings, with no effect. |
| Title |
Treating a non-healing Leg Ulcer |
Download File |
| Author |
David Gray |
| Publication |
Skills for Practice: Understanding wound infection. Wounds UK,Aberdeen,2009 |
| Key Points |
The management of an 87 year old woman with a long standing mixed aetiology leg ulcer. The wound showed signs of hypergranulation, bleeding and maceration of the wound edges. Previously the lady had an unsuccessful split-skin graft, recurrent wound infection and had been treated with a silver dressing, which the lady found painful. |
| Title |
A non-healing surgical.wound in a patient receiving chemotherapy |
Download File |
| Author |
Pam Cooper |
| Publication |
Skills for Practice: Understanding wound infection. Wounds UK,Aberdeen,2009 |
| Key Points |
The management of a 64 year old man with a history of bowel cancer presenting with a non-healing, surgical wound who would require on-going chemotherapy. The wound was initially managed with topical negative pressure and the size of the wound reduced over a 10 week period. The wound progressed further following various wound dressings (despite having a number of treatments of chemotherapy and blood transfusisons), but then became static. |
| Title |
Care of a patient with a large venous leg ulcer |
Download File |
| Author |
Anna Coulborn & Cathie Bree-Aslan |
| Publication |
Skills for Practice: Understanding wound infection. Wounds UK,Aberdeen,2009 |
| Key Points |
The management of a 58 year old obese woman with long-standing bilateral leg ulcers who was mobile with two sticks but spent many hours standing in her job. Her wounds were only being managed and not treated, as she was unable to tolerate full compression therapy and many wound dressings caused her pain. Recent previous management was a silver hydrofibre wound dressing and reduced compression. The wounds were sloughy, malodorous, critically colonised, with high levels of exudate. |
