References

Barrett S, King B. A clinical evaluation of 20 patients when using a new absorbent silicone foam wound dressing: Cutimed Siltec B. Wounds UK. 2018; 14:(3)76-81

BSN Medical. Cutimed Siltec: closing wounds together. Product information booklet. 2018. http://tinyurl.com/y3upjqp9 (accessed 10 June 2019)

Cutting KF. Exudate: composition and functions. In: White R (ed). Salisbury: Quay Books; 2004

Dowsett C, Davis L, Henderson V, Searle R. The economic benefits of negative pressure wound therapy in community-based wound care in the NHS. Int Wound J. 2012; 9:(5)544-552 https://doi.org/10.1111/j.1742-481X.2011.00913.x

Gray TA, Rhodes S, Atkinson RA Opportunities for better value wound care: a multiservice, cross-sectional survey of complex wounds and their care in a UK community population. BMJ Open. 2018; 8 https://doi.org/10.1136/bmjopen-2017-019440

Guest JF, Ayoub N, McIlwraith T Health economic burden that wounds impose on the National Health Service in the UK. BMJ Open. 2015; 5:(12) https://doi.org/10.1136/bmjopen-2015-009283

Guest JF, Vowden K, Vowden P. The health economic burden that acute and chronic wounds impose on an average clinical commissioning group/health board in the UK. J Wound Care. 2017; 26:(6)292-303 https://doi.org/10.12968/jowc.2017.26.6.292

Hurd T. Reducing wound care costs and improving quality: a clinician's perspective. In: Flanagan M (ed). Chichester: Wiley; 2013

Mudge EJ. Recent accomplishments in wound healing. Int Wound J. 2015; 12:(1)4-9 https://doi.org/10.1111/iwj.12230

National Collaborating Centre for Women's and Children's Health. Surgical site infection: prevention and treatment of surgical site infection. Full version of NICE clinical guideline 74. 2008. http://tinyurl.com/y5zgnsno (accessed 18 June 2019)

Ousey K, Atkin L. Optimising the patient journey, Made Easy. Wounds UK. 2013; 9

Posnett J, Franks PJ. The costs of skin breakdown and ulceration in the UK. In: Pownall M (ed). Hull: Smith & Nephew Foundation; 2007

Posnett J, Gottrup F, Lundgren H, Saal G. The resource impact of wounds on health-care providers in Europe. J Wound Care. 2009; 18:(4)154-161 https://doi.org/10.12968/jowc.2009.18.4.41607

Queen D, Harding K. Dressings: The Healing Revolution. In: Flanagan M (ed). Chichester: Wiley; 2013

Romanelli M, Vowden K, Weir D. Exudate management made easy. Wounds International. 2010; 1:(2)

Seckam A. Evidence based wound care: integrating specialist and patient perspectives (Unpublished doctoral thesis).: Cardiff Metropolitan University; 2016

Vowden K, Vowden P. Understanding exudate management and the role of exudate in the healing process. Br J Community Nurs. 2003; 8:S4-S13 https://doi.org/10.12968/bjcn.2003.8.Sup5.12607

Vuolo J. Wound care made incredibly easy. 1st UK edn.London: Lippincott Williams & Wilkins; 2009

Principles of best practice: Wound exudate and the role of dressings.London: MEP Ltd; 2007

Wounds International. Optimising wellbeing in people living with a wound. An expert working group review. (International consensus document). 2012. http://tinyurl.com/y3n86zon (accessed 18 June 2019)

Best practice statement: Improving holistic assessment of chronic wounds. 2018. http://tinyurl.com/yatpg8or

A multicentre, observational evaluation of the product characteristics of two absorbent foam dressings

27 June 2019
12 min read
Volume 28 · Issue 12

Abstract

Wound healing is an intrinsic and dynamic process. Wound exudate is a normal feature of wound healing; however, when there is insufficient or excessive production, or the composition of the exudate is harmful, wound healing may be compromised with resulting psychosocial and financial implications. Therefore, the management of exudate is essential for improved patient outcomes and in the prevention of future complications. The purpose of these studies, carried out in Germany and Poland, was to observe and to evaluate the clinical performance of Cutimed® Siltec® and Cutimed Siltec B on patients' wounds. Three visits (initial visit, dressing change visit and final visit) were scheduled and documented. In all, 129 patients took part in these studies and 150 wounds were treated. The results were pooled. Positive attributes of using these dressings included a decrease in exudate, intact wound margins and a decrease in pain during dressing changes. Clinicians and patients were satisfied with the product and rated the following parameters as ‘good’ to ‘very good’: wearing comfort, ease of application and removal, absorption and retention capacity, adaptability to the affected body part, absorption and retention capacity under compression. The results from this study suggest that Cutimed Siltec and Cutimed Siltec B absorbent dressings are beneficial in wound management due to the positive attributes, and clinicians and patients showed satisfaction with these dressings.

Wound care assessment, treatment and management are intrinsic and dynamic processes (Seckam, 2016; Wounds UK, 2018). Additionally, living with acute or chronic wounds has psychosocial consequences (Wounds International, 2012; Wounds UK, 2018). Guest et al (2015) suggested that the annual NHS cost of managing 2.2 million patients with wounds in 2012/2013 after adjusting for comorbidities was around £4.5–5.1 billion. Gray et al (2018) also proposed that expenditure might increase by more than 50% over the next 5 years. Guest et al (2017) also suggested that wound healing must increase by 1% per annum across all wound types to slow down the prevalence. If wound healing does not increase it has been estimated that an average clinical commissioning group/health board would spend £50 million on managing approximately 23 200 wounds and associated comorbidities (Guest et al, 2017). Subsequently, there are also financial implications for patients, wound care specialists and healthcare providers (Seckam, 2016). Treatment for surgical site infection in the UK has previously been estimated to cost between £814 and £6626 per patient (National Collaborating Centre for Women's and Children's Health, 2008). Hurd (2013) and Queen and Harding (2013) also highlighted the various global wound care dressing costs (Table 1).

Register now to continue reading

Thank you for visiting British Journal of Nursing and reading some of our peer-reviewed resources for nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • Unlimited access to the latest news, blogs and video content