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Holistic approach in wound infection prevention and management

 
Wound infection can cause pain and psychological stress, and often results in delayed healing. Diagnosing and managing such infection presents many challenges to the practitioner  1 . Moreover, wound infection is the likeliest single cause of stalled wound healing in chronic wounds healing by secondary intention. If neglected it can progress from contamination to colonisation and local infection through to systemic infection, sepsis and multiple organ dysfunction syndrome, and it can be life-threatening. Infection in chronic wounds is not as easy to define as in acute wounds, and is complicated by the presence of biofilms. Control of biofilm is a key part of chronic wound management.  2 

Management and prevention

'A holistic approach to individuals with, or at risk of, active wound infection remains essential to best practice in prevention, identification and management of wound infection. This is of particular importance in the context of increasing antibiotic resistance.', as stated by International Wound Infection Institute.  3 

Effective management of a wound infection consists of:  3 
  • Optimising the host response and treating the underlying pathology
  • Reduce wound microbial load
  • Promote environmental and general measures such as clean work environment and education
In Mölnlycke, we aim to support this holistic approach to promote best patient outcomes. Learn more about how our solutions can support you in wound infection management on this page.
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Cleaning with Granudacyn

Step 2

Antimicrobial strategy

Step 4

Cleansing with Granudacyn

To manage or prevent infection, wounds are recommended to be cleansed thoroughly at each wound dressing change. It is key to cleanse appropriately instead of anointing wounds  3 .

Granudacyn® is an irrigation solution and hydrogel for cleansing and moisturising acute, chronic and contaminated wounds, as well as for first and second degree burns. Hypochlorous acid (HOCl) ensures safe preservation and makes Granudacyn a reliable wound irrigation solution.
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Proven to protect against infection and reduce bioburden

We know that when it comes to challenging wounds, you can’t leave anything to chance. That’s why our silver dressings are always supported by high-quality evidence.

2-a.pngLess pain and trauma – not only at dressing changes

Only Mölnlycke® dressings combine the power of silver with Safetac® , a technology proven to minimise pain to patients and trauma to wounds  4 .

3-a.pngCost-effective treatment

Shorter healing times, shorter hospital stays, fewer dressing changes, a reduced need for analgesia during dressing changes and reduced bioburden  4   5   6 .

The antimicrobial advantage

Antibiotic resistance is a global problem. That’s why many clinicians today advocate for antimicrobial stewardship  7  – a strategy of promoting proper use of antibiotics that includes finding safe, effective alternative methods for managing wound infection.
Evidence shows that antiseptics such as antimicrobial dressings are both potent and rapidly effective  7  – and that the risk of resistance to antimicrobial dressings is less of a threat than the overuse of antibiotics  7 .
The evidence base for silver in wound management is significantly better than commonly perceived. If used selectively, silver not only has antimicrobial effects but is also characterised by an improvement in quality of life and good cost effectiveness  8.

When to use our silver dressings

We believe that the major roles for our antimicrobial dressings are to:
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'References'

  1. White R. Wound infection-associated pain Journal of Wound Care. 2009; 18 (6): 245-9
  2. Leaper D, Assadian O, Edmiston CE, Approach to chronic wound infections Br J Dermatology 2015 Aug;173(2):351-8. Epub 2015 Mar 15.
  3. International Wound Infection Institute (IWII) Wound infection in clinical practice. Wounds International 2016
  4. Gee Kee EL, et al. Randomized controlled trial of three burns dressings for partial thickness burns in children. Burns. 2015;41(5):946-955.
  5. Silverstein P, et al. An open, parallel, randomized, comparative, multicenter study to evaluate the cost-effectiveness, performance, tolerance, and safety of a silver-containing soft silicone foam dressing (intervention) vs silver sulfadiazine cream. J Burn Care Res. 2011;32(6):617-626.
  6. Gee Kee EL et al. Cost-effectiveness of silver dressings for paediatric partial thickness burns: An economic evaluation from a randomized controlled trial. Burns 2017, 43(4):724-732.
  7. Roberts C, Leaper J. Antiseptic resistance: antimicrobial stewardship and silver dressings. Wounds International 2017, Vol 8 Issue 2
  8. Dissemond J et al. Evidence for silver in wound care, meta-analysis of clinical studies from 2000–2015. J Dtsch Dermatol Ges. 2017 May;15(5):524-535.
  9. Lipsky B et al. Antimicrobial stewardship in wound care: a Position Paper from the British Society for Antimicrobial Chemotherapy and European Wound Management Association. J Antimicrob Chemother. 2016 Nov;71(11):3026-3035.
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