Read Covalon's response as it relates to SurgiClear Dual Antimicrobial Silicone-based wound dressing below, or link to the article here http://e-ditionsbyfry.com/Olive/ODE/RSP/Default.aspx?href=RSP/2011/03/01?
The enormous cost of treating infections and the attention on Healthcare-Associated Infections (HAI) has brought post-surgical wound management under increased scrutiny. The promotion of infection control shouldn’t end when the surgeon closes. Protection of a surgical incision post closure is just as important as properly prepping the site prior to the procedure. Selecting the right cover dressing is crucial.
There is no universal preference by clinicians for managing surgical incisions after close, but there are a number of important factors to be considered when choosing a cover dressing for post surgical procedures to help in the fight of site infections:
• Does the dressing possess antimicrobial capabilities and if so, to what degree is it using the most advanced technology available? For example, does the dressing contain the appropriate antimicrobial(s) to provide as wide a spectrum of activity as possible and are the antimicrobial agents dispersed uniformly throughout the dressing to provide protection not just at the immediate wound site, but also at the peri-wound area to prevent potential migration of opportunistic pathogens to the wound.
• How is the antimicrobial activated? Most antimicrobials need moisture to be activated. If the dressing is a dry dressing and does not promote a moist wound healing environment the antimicrobials will not be effective, so a dressing that maintains a moist environment to ensure the optimal conditions, while still maintaining breathability to avoid any potential for maceration of the wound site should be considered.
• Does the dressing have good contact with the wound site? If the dressing has dead spaces there will be no antimicrobial coverage under the dead space and the risk of infection increases.
• Can the clinician or patient monitor the incision without exposing the site? The clinician should be able to visualize the wound in order to rapidly and easily assess the current state of the healing process, which is useful for determining if an infection is present as might be suggested by the presence of excessive exudate, edema, or erythrema.
• Will the dressing damage the surrounding tissue during dressing changes especially where the patient has fragile skin? Some dressings contain acrylic adhesives that can damage sensitive skin upon removal, while others are more skin-friendly (e.g. those with silicone-based adhesives).
• Does the dressing promote the minimization or prevention of hypertrophic and keloid scarring? A valuable ancillary strategy for reducing excessive scar formation includes the use of semi-occlusive dressings for maintaining a moist wound environment, especially when combined with a wound contact area containing silicone, which is known to play a role in scar management.
Within the last few months, the FDA has cleared SurgiClear™, one of the most significant advancements in infection fighting wound dressing technologies in recent memory. What makes SurgiClear so different is that for the first time, two well known antimicrobials (chlorhexidine and silver) have been integrated into the film dressing’s soft silicone adhesive. The dual antimicrobial silicone adhesive kills 99.99% of bacteria and suppresses re-growth of microbes on the patient’s skin, maintaining a preferred environment for wound healing during the recovery period. The patent-pending technology used in SurgiClear allows the film dressing to remain transparent for site assessment, while being breathable and waterproof with the benefits of soft silicone, making SurgiClear a ‘must have’ dressing for the most compromised or sensitive of skin types, such as pediatric, geriatric or oncology patients.
There are products at a surgeon’s disposal that are antimicrobial, and there are products that are silicone, but until now, SurgiClear is the only choice that answers the key considerations in cover dressing selection in an easy-to-use, patient friendly dressing.