Local Wound Care

Tissue Debridement

Moisture Balance

Bacterial Reduction

Why is Bacterial Bioburden Problematic?

metabolic load Produces endotoxins

and proteases Stimulates a proinflammatory wound environment Wounds dont heal

What are our options ?

Antiseptic
Antibiotic Silver preparation

Antimicrobial Efficacy of Silver

The antimicrobial form of silver is the
silver ion (Ag+)

It works against wide range of

pathogens gram + and gram _

Three mutations are required for

resistance

Silver is anti-inflammatory

Reduction of Pseudomonas aeruginosa and Staphylococcus aureus over 7days

Acquacel

AQUACEL Hydrofiber Dressing

Swelling of Fibers and Trapping of Bacteria

Properties of Hydrofiber Dressing AQUACEL

CMC based needled Hydrofiber dressing-excellent
fluid handling absorbency Gel blocking (locks fluid and bacteria within dressing) Non-wicking (prevents maceration)

Creates a moist wound healing environment Hydrates necrotic tissue / aids debridement

Intimate contact with the wound bed Easy to apply and remove (pain-free)

Aquacel Ag and Fluid Lock

Advantages of Hydrofiber Ag:

low incidence of pain both during application and removal easy to use lack of staining ability to provide exudate management
absorb exudate and provide

fluid lock, often preventing maceration of surrounding skin

ability to decrease surface bacteria.

Recommendations for Use: Aquacel Ag

Wear Time Application Heavily Exudative Wounds 24 hours to seven days usually q2-4days Can be cut to ulcer dimensions or onto normal skin can apply more than one layer. The inner layer is cut to size and the outer overlapped onto normal skin maybe moistened with preferably water or saline after application to the wound Advantageous for small areas, sinuses or deeper packing

Dry Wounds
Ribbon