Here - EWMA 2013

Poster: Dressings
P 276
THE USE OF DACC-COATED DRESSINGS FOR THE TREATMENT OF INFECTED,
COMPLEX ABDOMINAL WOUNDS
Lindsey Bullough 1 , Geraldine Little 1 , Julie Cummings 2 , Janet Hodson 1
1 The Royal Albert & Edward Infirmary (Wigan, United Kingdom).
2 BSN Medical Ltd.
Aim: To manage infected, highly exuding complex abdominal wounds where NPWT is
contraindicated.
Method: DACC-coated antimicrobial swabs* were used as a wound contact layer in
conjunction with absorbent dressings. Dressing changes were initially daily but reducing
to three times per week. The antimicrobial dressings were continued for the duration of
the patients’ hospital stay, initially to treat the infection but also as a prophylactic to
reduce the risk of recurrence.
Results: In each case odour, pain and exudate reduced significantly allowing the wound
to reduce in size and progress, following the initial 2 weeks of treatment there were no
further signs of infection throughout their stay in hospital.
Wound measurements reduced between 6 – 10% per week. One patient went onto heal
but the other patients were discharged into the community and lost to follow up.
Reduction in Wound Size
Patient Percentage Reduction (%)
1 87
2 77
3 81
4 81
The dressings effectively managed devitalised tissue with 100% granulation tissue within
two weeks.
P 277
Poster: Dressings
Clinical comparison of a film surgical dressing versus gauze tape
dressing in the management of post-operative surgical wounds in
orthopedic surgery patients
Joan-Enric Torra i Bou 1 , Ana Abejón Arroyo 2 , Magdalena García Veira 2 ,
Begoña Cabero García 2 , María José González Carbajosa 2 , Laura García Caridad 2 ,
Reyes Abejón Arroyo 2
1 Smith&Nephew Iberia (Sant Joan Despí, Spain);
2 Hospital Clínico de Valladolid (Valladolid, Spain).
Introduction: The waterproof, bacteria proof dressing* is a surgical film dressing that
provides a waterproof, breathable, bacteria barrier for surgical wounds and allows
exudate management. The visible nature of the dressing means that the wound area can
be monitored without removal of the dressing.
Objective: To compare the costs and outcomes associated with the use of a surgical
film dressing compared to standard treatment in the management of post-operative
surgical wounds in orthopedic surgery patients.
Methods: A clinical comparative evaluation was conducted
Results: 196 patients were included in the trial, 80 in the gauze dressing group and 116
in the waterproof, bacteria proof dressing* group. 55 surgical procedures were in knees,
26 in hips and 115 in raquis.
Surgical site infection (SSI) was 3.8% in the gauze dressing group and 0 in the
waterproof, bacteria proof* one (P:0.006). The number of dressing changes per week
were 4.58 +/- 1.43 (SD) in the gauze dressing group versus 1.84 +/- 0.95 (SD) in the
waterproof, bacteria proof* one (p