Wound Products

Throughout some of my posts, you’ll see I have recommended certain products.

Here you will find products for wound care that I personally use and do not see a patient without having in my case.

Antimicrobial Products

I use these products on a regular basis, and I highly recommend them as antimicrobial agents to:

  • Prevent infection
  • Reduce bacterial load in the wound bed
  • Prevent odour
  • Protect the surrounding skin

If there are early signs of an infection starting, this is the best time to start using these products as it may reduce the risk of developing infection and reducing the likelihood of systemic antibiotics.

As always, please consult with your health care professional prior to initiating any treatment different from your treatment plan.

The best anti-microbial dressing products

Here is a list of my favourite antimicrobial products. They are in no particular order, and they all have their own advantages and disadvantages.

Iodosorb (Iodinated cadexomer)

Iodosorb is one of the more common products seen in my line of work. This product is used in chronic ulcers (older than 4 weeks).

Perfect to reduce wound bacterial load and cleaning up a wound. This produce slowly releases an antimicrobial into the wound over 2-4 days.

Iodosorb by smith and nephew cadexomer iodine gel

Pros:

  • Has a long shelf life of 2 years
  • Reduces bacterial count and reduces rates of wound infection
  • Has a broad-spectrum effect on the wound for up to 72 hours
  • Removes the yellow/white slough off the wound bed
  • Promotes advanced healing due by providing a moist healing environment
  • It comes in a paste and powder.

Cons:

  • People may experience stinging when they first apply the product, but this should resolve
  • Not recommended for dry non-exudating wounds
  • Can cause maceration to the periwound (skin surrounding the wound). I recommend using a barrier wipe around the wound to protect the good skin from damage. Cavilon Barrier wipes are the best I have ever used and can provide protection to your good skin for up to 72 hours.

There are some precautions to take into account before using this product. They include:

  • If your pregnant or breastfeeding
  • If you have an allergy to iodine-based products
  • Have thyroid disease
  • Shouldn’t be used for longer than 3 months

Aquacel Ag

Aquacel ag has hydro fibre technology with impregnated silver (Ag+). The fibres are interwoven and meshed together, and when exposed to fluid, they swell and form a cohesive gel that is removed in one piece. The gel itself holds in any bacteria and cells that is removed when the dressing is removed.

This dressing his highly absorbent turns into a gel that is removed easily and has a broad-spectrum effect on microorganisms within the wound bed. Ionic silver is a proven antimicrobial that kills a broad spectrum of pathogens, including MRSA, VRE, S. aureus, P. aeruginosa, C. krusei, A. niger and B. fragils

This is a fantastic dressing if your wound is starting to show signs of an imbalance and signs of infection. It comes in a sheet for larger wounds, or in a ribbon for wounds with depth. This is a fantastic option for wounds that need to be packed as it is easily removed, comes out in one peice and doesnt not leave behind any fibres.

Aquacel ag hydrofibre with silver. A fantastic dressing for infected wounds

Pros:

  • Atraumatic removal due to it being gel-forming
  • High absorption
  • Conforms beautifully to the wound bed
  • Broad-spectrum antimicrobial activity
  • Supports a moist wound healing environment
  • Due to its capacity to retain wound ooze, reduces the risk of the surrounding skin breaking down
  • reduced pain during dressing times
  • Long antimicrobial effect of up to 7 days

Cons:

  • If applied to a dry wound, can stick and be difficult to remove and require soaking
  • Due to the Ag + component, it is a little more expensive than other dressing types. But this is counteracted by the amount of time it is active in the wound bed.
  • Aquacel Ag should not be used in patients with a known sensitivity to any of the dressing components.

Mepilex Ag

This is another one of my favourites that I will not leave without having in my case. This antimicrobial silver dressing is Mepilex ag, and it is a foam dressing that contains Ag.

Its perfect for low to moderately exuding wounds.

Mepilex ag for the treatment and prevention of infection

Pros:

  • Antimicrobial action that reduces the bacterial load in the wound
  • Minimal pain upon removal
  • Maintains a moist wound healing environment
  • Can be cut to size and conforms well around joints
  • Feedback from patients is that it is very comfortable
  • Can last up to 7 days in low exudating wounds
  • Reduces wound odour
  • Can be used under compression garments

Cons:

  • Not suitable for heavily oozing wounds
  • not suitable for people who are allergic to ingredients within the dressing
  • Expensive

Povidone-iodine

As a wound nurse, I never see a patient without having some of this on hand!

Povidone-iodine is a great first line of defense for superficial infections. Great for use in wounds your trying to keep dry such as necrotic toes.

Pros:

  • Broad-spectrum activity against pathogens
  • Helps dry out wounds
  • Beneficial to use on wounds that are overhealing (hypergranulated)
  • Very effective for abrasions and cuts and grazes

Cons:

  • Some people may have an allergy to povidone-iodine
  • Needs to be kept out of the reach of children
  • Should be used with caution in people with thyroid disease
  • Should not be used in large wounds due to uptake of the iodine into the bloodstream

I hope you found this list of my favourite antimicrobial dressings helpful. I will add more soon.

Barrier Products

Often in wound care, we are so focused on the wound itself we forget about the skin area around the wound (peirwound). Often this area gets wet (macerated) and breaks down, which may cause the wound to enlarge.

The use of barrier wipes, sprays and creams to protect that good surrounding skin is essential! With every patient, I ALWAYS use a barrier product to ensure that skin is protected.

By far, my favourite brand is Cavilon. I personally use the Cavilon barrier wipes, but there are other options to suit all needs.

Medihoney Wound Products

Medihoney is an interesting wound product. Please click below to see more about Medihoney wound products for wound care.