Here - EWMA 2013

POSTER PRESENTATIONS
P 360
Poster: Case Study
A 10 Patient Evaluation Of A New Silver Alginate Foam Backed
Dressing
Sue Johnson 1 , Denise Ridsdale 1 , Kathy Leak 1
1 Doncaster and Bassetlaw NHS Foundation Trust (Doncaster, United Kingdom).
Aim: An evaluation of a silver dressing was undertaken as the use of silver based
dressings is now integral to managing infected wounds. The challenge for clinicians is to
find a product which is effective in managing the wound bioburden, the increased
exudate levels and be acceptable for the patient, as well as considering the cost
effectiveness of the dressing.
Method: The dressing was evaluated on 10 patients. All patients had wounds which
were assessed as suitable for a silver dressing and the dressing was used according to
Trust Guidelines. It was evaluated at each dressing change, and an overall evaluation of
performance was undertaken at the end of the evaluation period against pre-set criteria.
Results: The dressing was evaluated as to its ability to absorb exudate, reduce the
clinical signs of infection, its conformability, adhesion to the wound and its acceptability
to the patient. Cost effectiveness was evaluated with regard to cost per treatment
episode.
Discussion: It is acknowledged that topical silver is an important tool in wound care but
with the spiraling costs of such products cost effectiveness and evidence base play an
important roles in clinician choice for these products.The dressing performed well during
the evaluation, and was highly acceptable for the patients.
Conclusion: The evaluated dressing was found to be as clinically effective as the
current silver product in use but with a lower cost per unit and a lower secondary
dressing cost per unit with no increase in nursing time or dressing changes.
POSTER: CASE STUDY
P 361
Poster: Case Study
MANAGEMENT OF LOWER LEG BURNS WITH A SILVER-IMPREGNATED FOAM
DRESSING
Salma Khuraibet 1
1 MOH (Kuwait).
Aim: This abstract presents a case study outlining the management of a patient with
Type II diabetes who suffered 1st and 2nd degree burns to both lower legs
Method: A 65 years-old male patient presented to the diabetic foot clinic in October
2012 with blistering of both legs above the ankles caused by immersion in hot water.
The left leg had both 1st and 2nd degree circumferential burns involving the heel on the
medial aspect. The right leg had patches of 1st degree burn with peeled skin. Serous
fluid was oozing from the wounds (Figure 1***). Both legs were acoustically debrided,
then a white hydrophilic cream containing silver sulphadiazine (0.01 g/gram)* applied.
After 2 days, the wounds were reviewed and a silver-impregnated foam dressing**
applied. The wounds were dressed with the silver-impregnated foam dressing twice a
week for one week, then once a week thereafter for seven weeks.
Results: Over an eight week treatment period, the wound on the right leg healed
completely. The wound on the left leg healed apart from a small area (Figures 2). The
patient was able to manage dressing changes himself, found it easy to use and
comfortable.
Conclusion: The silver-impregnated foam dressing was an ideal choice for the patients
wound as it managed all exudate, was easy to apply and remove and prevented the
wound from becoming infected.
*Flamazine
**Mepilex Ag
***Figures not available in abstract book
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