| 242 |
Case Study
|
Experience using an oxidized regenerated cellulose/collagen matrix dressing containing silver Tracy Oliver, BSc(Hons), Toronto General Hospital, Toronto, Ontario Objective. The objective of this poster is to document the improved healing outcomes of wounds on the legs and feet of dialysis patients after treatment with a new silver cellulose/collagen matrix dressing*. Protease-modulating matrix dressings have been shown to increase the rate of complete wound healing. However, if an infection was present or suspected adjunct treatment with an appropriate antimicrobial was required. The recommended topical antimicrobial dressings were those containing silver as they deliver a broad spectrum antimicrobial action, have developed little to no bacterial resistance and require infrequent dressing changes. Methods. All patients had diabetes mellitus complicated by ESRD, and were receiving dialysis treatment. In all cases ulcers had been present for more than 3 months. All ulcers had different etiologies. In one case the ulcer cultured heavy growth of MRSA. In all cases the ulcer was cleansed with sterile water, debrided of slough and periwound callus if present. The silver cellulose/collagen dressing was cut to size, moistened with sterile water and covered with a foam dressing Findings. In Case 1 the ulcer healed in 7 weeks with the application of silver cellulose/collagen dressing. In Case 2 the ulcer healed in 9 weeks with the application of silver cellulose/collagen dressing. Case 3 has shown significant improvement with the application of silver cellulose/collagen dressing and application of this dressing in Case 3 is ongoing at the time of this submission Conclusion. Use of the new silver cellulose/collagen matrix dressing* appears to improve wound healing outcomes. Silver cellulose/collagen matrix dressing* is user friendly and more studies are needed to prove cost efficacy *Promogran Prisma Matrix, Johnson and Johnson Medical Ltd, Gargrave, Skipton, UK.. |
|