Document Detail


Assessing clinical efficacy of a hydrocolloid/alginate dressing on full-thickness pressure ulcers.
MedLine Citation:
PMID:  7546113     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An absorbent hydrocolloid/alginate spiral dressing and a hydrocolloid secondary dressing were used in the management of 30 patients with 30 exuding State III and IV pressure ulcers. After a mean treatment time of 12.9 days (SD 6.5), all wounds had a significant increase in the amount of granulation tissue/epithelium and a decrease in the amount of devitalized tissue (p < 0.05). Wounds that underwent wide surgical debridement prior to the study were covered with 15 percent fibrin slough at study entry versus 39 percent for non-debrided wounds (p < 0.05). The dressing combination facilitated wound contraction and removal of fibrin slough in ulcers that were surgically debrided prior to the study. Ulcers which had not been surgically debrided expanded as autolytic debridement reduced the amount of fibrin slough/necrotic tissue present at the wound bed (Mean: 17.6 percent, p < 0.05). The absorbent spiral dressing helped manage exudate, was easy to use and comfortable for the patients. The average time between dressing changes in these exuding wounds was 1.56 days (SD = 0.95). Use of air-fluidized bed or mattress was found to significantly reduce wear time of the dressing (p < 0.01). Further studies are needed to confirm short-term, and evaluate long-term effects of this dressing combination on healing and debridement.
Authors:
J E Barr; A L Day; V A Weaver; G M Taler
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Publication Detail:
Type:  Clinical Trial; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Ostomy/wound management     Volume:  41     ISSN:  0889-5899     ISO Abbreviation:  Ostomy Wound Manage     Publication Date:  1995 Apr 
Date Detail:
Created Date:  1995-11-09     Completed Date:  1995-11-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8912029     Medline TA:  Ostomy Wound Manage     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  28-30, 32, 34-6 passim     Citation Subset:  N    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Alginates*
Bandages*
Bandages, Hydrocolloid
Colloids*
Debridement
Female
Humans
Male
Middle Aged
Pressure Ulcer / nursing*
Prospective Studies
Chemical
Reg. No./Substance:
0/Alginates; 0/Colloids

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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