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 Polihexanide
cartilage, intraabdominal, bladder
Polihexanid - cartilage, intraabdominal, bladder
Silver (Ag) - pain by removal
NotesOctenidine: Do not instillate under pressure, ensure drainage
minimal 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