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WOUND MANAGEMENT FORMULARY - NHS North Somerset

WOUND MANAGEMENT FORMULARY - NHS North Somerset

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Dressing Type Indications and Tips Product Choice<br />

Antimicrobial<br />

Dressings<br />

High bacterial burden<br />

(critical colonisation) in a<br />

wound is a barrier to<br />

healing.<br />

Antimicrobial dressings<br />

should be used when<br />

there are clinical signs of<br />

critical colonisation<br />

present which are<br />

preventing the wound<br />

from healing.<br />

NB. Patients with diabetes<br />

do not always have<br />

obvious signs of wound<br />

infection and extra care<br />

should be taken with this<br />

group.<br />

Antimicrobials may reduce the bacterial<br />

burden and prevent further development<br />

of infection. Where cellulitis is present a<br />

swab should be taken and systemic<br />

antibiotics commenced.<br />

Cadexomer Iodine, Silver and Honey are<br />

effective against MRSA<br />

Iodoflex, and Silvercel are not suitable for<br />

dry or wounds with little exudate.<br />

NB: Iodine dressings should be used with<br />

caution with patients who have thyroid or<br />

renal disease. They should not be used on<br />

patients who are receiving Lithium or<br />

pregnant woman. The amount and time used<br />

must adhere to the manufacturers’<br />

guidelines.<br />

Cutimed Sorbact binds bacteria to it and<br />

should be considered as an alternative to<br />

silver on patients who require frequent<br />

treatments with silver dressings. It is suitable<br />

for long-term use.<br />

If considering using an antimicriobial<br />

dressing, please see additional<br />

information in appendix one and two<br />

Inadine<br />

5cm x 5cm<br />

9.5 x 9.5cm<br />

Urgotul SSD<br />

10 x12cm<br />

15cm x 20cm<br />

Iodoflex<br />

5g,10g<br />

Iodosorb<br />

10g tube<br />

Silvercel<br />

5 x 5cm<br />

11 x11cm<br />

10 x 20cm<br />

Rope<br />

2.5 x 30cm<br />

Cutimed Sorbact<br />

Swab<br />

4 x 6cm<br />

7 x 9cm<br />

Ribbon<br />

2 x 50cm<br />

Pad<br />

7 x 9cm<br />

10 x10cm<br />

NSCP and <strong>NHS</strong> NS Wound Management Formulary Version 2. June 2012<br />

18

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