|
|
|
|
|
|
Antiseptics, bacteria static
& activated carbon
photos: Riepe, Bültemann
 Polihexanide (PHMB) |
 Silver (Ag) |
 fatty acid derivative (DACC) |
DescriptionOctenidine - transparent, as a spray (antiseptic) and as gel.Polihexanid (PHMB = Poly-hexa-methylen-Biguanide) - transparent, as a spray and a gel, also in combination with dressings Silver (Ag) - widely spread in diverse combinations, no evidence for the necessary silver concentration. Dialcyl carbamoyl chloride (DACC) - hydrophobe properties allow bacterial binding Superabsorber - draw water and bacteria out of the exuding wounds into the dressing. IndicationDeployment in case of clinical signs of infection- rubor, calor, dolor, tumor - smell of green colour The products should be gentle to the wound, pain avoiding and transparent in order to allow wound assessment Decission-finding aid for wounds at risk (W.A.R.-Score) LimitationsOctenidine - pain (rare) switch to Polihexanidecartilage, intraabdominal, bladder Polihexanid - cartilage, intraabdominal, bladder Silver (Ag) - pain by removal NotesOctenidine: Do not instillate under pressure, ensure drainageminimal time iof exposure Octenisept®: approx. 2 minutes use within 3 years PHMB: minimal time of exposure for PHMB-solutions: ca. 10 min. use within 6-8 weeks Silver: certain products need moisturising with saline / aqua dest / or drink water. Persistent black pigmentation of skin possible (oxide), removal is painfull. DACC-gauze / tamponade: needs moisture, combination with hydrogel, not with fat. Loose stuffing, visible end, cut ends tend to fluff. Change of dressingIn case of wound infection plan change of dressing individually, tendencially more frequent, for instance with antiseptically soaked gauze. In case of missing remission consider surgical debridement.Link to producers
|
