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| Title |
Suprasorb X is cost effective in daily use. Results of an unpublished German observational study |
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| Author |
Schmitz M, Eberlein T - Germany |
| Publication |
Oral free paper EWMA Conference, Lisbon 2008 and in the L & R Symposium |
| Key Points |
60 patient study |
| Title |
Evaluation of cellulose polyhexamethylene biguanide (Suprasorb X+PHMB) in therapy of infected wounds |
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| 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 |
Critical colonisation and local infection - current therapy by use of polyhexanide |
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| Author |
Eberlein Th. |
| Publication |
Extended abstracts |
| Key Points |
Definitions of contamination, colonisation, critical colonisation and infection |
| Title |
Suprasorb X+PHMB - A unique HB antimicrobial dressing |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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. |
| Title |
Consensus document:PHMB and its potential contribution to wound management |
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| Author |
Consensus panel |
| Publication |
Wounds UK 2010 |
| Key Points |
A panel of diverse clinicians look at managing wound infection and the role of PHMB |