Know Your Dressings: Antimicrobial Foams

Although not well known, an estimated 6.7 million Americans are living with chronic wounds, impacting approximately 1 in 4 families.1,2 Caring for a chronic wound may include the use of absorbent dressings to manage wound drainage. Because chronic wounds often have higher levels of bacteria, they may also benefit from the use of an antimicrobial dressing as part of the overall plan of care.3 Studies have shown reduced signs of infection and bacterial contamination when using an antimicrobial dressing.4

Foam Dressings
Foam is an easy-to-use type of absorbent wound dressing. Foam can absorb moderate to heavy amounts of wound drainage, keeping moisture at the right level for a wound to heal. A foam dressing can provide other benefits as well, by insulating, cushioning and protecting a wound. Foam dressings come in a variety of forms, including adhesive, non-adhesive and antimicrobial versions. Most foam dressings can stay in place for several days at a time.

Antimicrobial Dressings
“Antimicrobial” describes the ability of an agent to kill, inactivate, or slow the growth of microbes such as bacteria and fungi.3 Antimicrobial dressings help in the prevention and management of wound infection by preventing the growth of bacteria within the dressing.3 Some of the antimicrobial agents used in foam dressings include silver, methylene blue and gentian violet. Runze et al. found that combining safe doses of silver and methylene blue is more effective at killing bacteria than either agent acting alone.5

DermaBlue+Foam™ and DermaBlue+Foam Transfer™ are flexible, ready-to-use absorbent foam dressings infused with Methylene Blue, Gentian Violet, and Silver. The combination of these three antimicrobial agents provides broad spectrum antimicrobial and antifungal protection within a highly absorbent foam dressing.

The DermaBlue+Foam™ Dressing Advantage

  • Three effective ingredients, Methylene Blue, Gentian Violet, and non-cytotoxic silver provide broad-spectrum antimicrobial activity.
  • Absorbent foam supports moist wound healing.
  • The flexible foam may be cut to fit, and may be used for wounds with tunneling or undermining. Either side may be placed in contact with the wound.
  • Ready to use and easy to apply – no need to wet the product before use.
  • Gentle and effective for use during all phases of wound healing.
  • Safe for use with current enzymatic debriding agents.8

Learn More

In addition to the DermaBlue+Foam dressings, DermaRite offers a full line of antimicrobial silver dressings:

References:

  1. 1) L.E.K. Consulting 2014 Market Analysis “Market Sizing and Assessment of Outsourced Outpatient Wound Care”
  2. 1) US Census data
  3. 1) Antimicrobials Made Easy. Wounds International 2011; Volume 2; Issue 1: Available from http://www. woundsinternational.com
  4. Mosti G, Magliaro A, Mattaliano V, et al. Comparative study of two antimicrobial dressings in infected leg ulcers: a pilot study. J Wound Care. 2015;24(3):121–2;124–7.
  5. Runze Li, Jie Chen, Thomas C. Cesario, Xin Wang, Joshua S. Yuan, Peter M. Rentzepis Synergistic reaction of silver nitrate, silver nanoparticles, and methylene blue against bacteria https://doi.org/10.1073/PNAS.1611193113
  6. International consensus. Appropriate use of silver dressings in wounds. An expert working group consensus. London: Wounds International, 2012.
  7. Edwards K.(2016). New Twist on an Old Favorite: Gentian Violet and Methylene Blue Antibacterial Foams. Advances in Wound Care, 5(1), 11-18.
  8. http://kenerichealthcareeu.com/rtd-wound-dressing/where-to-buy/; https://www.santyl.com/hcp/compatibility

Deeper Dive

Want to learn more about this topic? In addition to the reference links above, here are some great articles and resources that you can explore.

  1. Sibbald R. Gary, Elliott James A., et. al. Update: Topical Antimicrobial Agents for Chronic Wounds. ADVANCES IN SKIN & WOUND CARE & VOL. 30 NO. 10, 438-450.
  2. International consensus. Appropriate use of silver dressings in wounds. An expert working group consensus. London: Wounds International, 2012.
Posted in Clinical Insights Newsletter

Know Your Dressings: Hydrogels

Wounds require adequate moisture to heal. Without sufficient moisture, the wound bed may become dry or desiccated, leading to necrotic wound tissue, which can result in a larger, deeper wound.1 Achieving optimal moisture in the wound is a balancing act, a wound bed that is too wet can result in delayed wound healing and periwound maceration, which can increase wound size.2 Modern wound care is individualized; it is based on assessment, which includes the evaluation of moisture levels in the wound.


Moist wound healing concepts have replaced the old one-dressing-fits-all approach of dry gauze dressings.1 Evidence shows that an appropriate moisture balance in the wound bed speeds wound healing, facilitates autolytic debridement, promotes cell growth and proliferation, speeds angiogenesis and wound contraction.2 Moist wound healing also reduces pain and decreases scar formation.2

Moisture can be controlled in a wound using dressings to enhance healing. Hydrogel dressings provide moisture and are appropriate for wounds that are small or large, full or partial thickness. They can also be used in wounds with necrotic or infected tissue. Hydrogel dressings consist of approximately 90% water in a gel suspension.3 Properties that make hydrogel dressings the “ideal” dressing for an appropriate wound are their ability to promote healing, cost effectiveness, ease of application and their ability to soothe and reduce pain.1 Some hydrogel dressings are infused with antimicrobial silver to reduce bacteria in the wound environment.

Hydrogels for autolytic debridement

Removing slough or necrotic tissue from the wound bed is a critical element in wound bed preparation. Autolysis is a form of debridement that allows the body’s natural and selective abilities to liquify devitalized tissue.4 Autolytic debridement is safe and painless. Hydrogel dressings provide a supportive environment that can facilitate the autolytic debridement process.4

Hydrogels to reduce pain

The high concentration of water in a hydrogel dressing makes it comfortable and soothing. Hydrogel dressings do not irritate tissue, and provide a cooling effect that can be soothing to wounded tissue.6 The non-adhesive nature of hydrogel minimizes pain, especially with dressing changes.5

Types of hydrogel dressings

Hydrogel dressings are available as amorphous gels available in spray bottles, tubes or packets, impregnated into gauze, sponge or rope material or as a sheet dressing that maintains its shape. Each type has unique qualities that provide options for wound hydration.3

Designed for effectiveness and ease of use, DermaRite has a complete line of advanced hydrogel products.

hydrogel dressingAquaDerm™ is a hydrogel sheet wound dressing with a waterproof backing. Cool and soothing, it reduces local pain in superficial wounds and absorbs moisture from wounds with minimal drainage.

Hydrogel Wound DressingDermaSyn™ is an amorphous hydrogel wound dressing enriched with vitamin E. DermaSyn donates moisture to dry or minimally draining wounds for an optimal moist environment.

Antimicrobial Silver Wound GelDermaSyn/Ag™ is a water-based gel wound dressing which contains ionic silver which has been shown to inhibit the growth of microorganisms.

hydrogel dressingDermaGauze™ is a hydrogel impregnated gauze dressing. Convenient for gentle packing of dry to minimally draining wounds.

References:

  1. Hydrogel Wound Dressings: Where Do We Stand in 2003?. Retrieved from https://www.o-wm.com/content/hydrogel-wound-dressings-where-do-we-stand-2003
  2. Swezey, L., (2017, March 23). Moist Wound Healing. Retrieved from https://woundeducators.com/wound-moisture-balance/
  3. Thomas, L. (2018, April 25). Hydrogel Dressings. Retrieved from https://www.news-medical.net/health/Hydrogel-Dressings.aspx
  4. Wound Management and Node Group, (2013). Wound management: Debridement-autolytic. The Johanna Briggs Institute, 21(1), 94-95. Retrieved August 3, 2018, from http://www.woundsaustralia.com.au/journal/2102_10.pdf
  5. What is Hydrogel Wound Dressing – How and When to use it. Retrieved August 1, 2018 from http://woundcaresociety.org/hydrogel-wound-dressing-use
  6. Boateng, J. S., Matthews, K. H., Stevens, H. N., & Eccleston, G. M. (2008). Wound Healing Journal of Pharmaceutical Sciences,97(8), 2892-2923. doi:10.1002/jps.21210 https://onlinelibrary.wiley.com/doi/epdf/10.1002/jps.21210

Deeper Dive

Want to learn more about this topic? In addition to the reference links above, here are some great articles and resources that you can explore.

  1. Dressings for superficial or partial thickness wounds. Retrieved August 7, 2018, from https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD002106.pub4/full
  2. Madaghiele, M., Demitri, C., Sannino,A., & Ambrosio, L., Burns & Trauma 2014 2:200401 https://doi.org/10.4103/2321-3868.143616 , Retreived August 7, 2018.
  3. Burd, A., Evaluating the Use of Hydrogel Sheet Dressings in Comprehensive Burn Wound Care. Ostomy Wound Management 2007; 53(3):52-62.
Posted in Clinical Insights Newsletter

Know Your Dressings: Collagen Dressings For Wound Healing

Wound healing occurs as the body naturally restores damaged tissue. Wound healing is a complex series of events and interactions that result in an orderly process with 3 overlapping, yet distinct stages.
Collagen Dressings

What interferes with wound healing?
Unfortunately, there are times when the wound fails to progress through the orderly wound healing process. This is commonly the result of an extended inflammatory phase, often caused by increased matrix metalloproteases (MMP’s) in the wound. 2 MMP’s are necessary to break down damaged tissue, however too many can destroy the healthy extracellular matrix and impede wound healing. Bioburden, or the presence of biofilm in the wound, can also delay the wound healing process. 5 When delayed wound healing occurs, collagen dressings can restart the wound healing cascade. Read more ›

Posted in Clinical Insights Newsletter

Know Your Dressings: Calcium Alginates, CMC, and Gelling Fibers

Successful wound care involves selecting the appropriate dressing to optimize the wound healing environment. Dressing selection plays an important role in supporting autolytic debridement and promoting wound healing. 1 Wounds with heavy drainage require dressings that are absorptive, yet still maintain a moist wound environment to promote healing, such as calcium alginate or carboxymethylcellulose (CMC) gelling fiber dressings.

What is a calcium alginate dressing?
Calcium alginate dressings are made from sodium alginate extracted from brown seaweed and processed with calcium salts into nonwoven biodegradable dressings. 2 Alginate dressings can be found in sheet or rope form. The dressings uniquely gel as they come in contact with wound exudate to provide a moist wound environment that facilitates autolytic debridement. The dressings can fill wound dead space and absorb up to 20 times their weight in exudate depending on the manufacturer’s process. 3
What is a CMC gelling fiber dressing?
Carboxymethylcellulose (CMC) dressings are highly absorptive textile fiber dressings derived from natural cellulose sources and are commonly known as CMC gelling fiber dressings. 9 CMC dressings form a transparent moist gel as they bind wound exudate into the dressing. 9 The exudate cannot reenter the wound bed and inflammatory cells, especially neutrophils, are sequestered which helps to hasten wound healing. 4 CMC dressings are available in rope and sheet form and the fiber strength of these dressings makes them suitable for loosely packing sinus cavities. 4 CMC dressings do provide a moist wound environment, supporting autolytic debridement as the dressing gels and traps exudate.
Calcium alginate and CMC gelling fiber dressings: Read more ›

Posted in Clinical Insights Newsletter

Choosing The Right Wound Dressing

A wide variety of advanced wound care products are available to treat wounds, from simple dressing materials to sophisticated products. Selecting a wound dressing requires the clinician to be knowledgeable in both the process of tissue repair during wound healing and the intended use of the dressing product selected to treat the wound.1

Dressings are used to:

  • facilitate healing
  • reduce pain
  • contain wound drainage
  • provide adequate moisture for wound healing
  • maintain normothermia in the wound bed
  • minimize bioburden
  • provide a cosmetic covering for the wound

The correct dressing will improve outcomes for wound healing. Dressing selections should be based on a complete clinical assessment addressing wound characteristics, clinical efficacy, and cost of the dressing.1

Wound Characteristics
Dressing selections should be based on the type of tissue present in the wound, wound drainage, bacterial burden, condition of the periwound skin and the wound location.2 Read more ›

Posted in Articles, Clinical Insights Newsletter

DermaRite Industries Appoints Barbara Osborne as Chief Commercial Officer

North Bergen, New Jersey – June 2017 – DermaRite Industries, LLC (“DermaRite”) announced it has named Barbara J. Osborne as Chief Commercial Officer of the company. In her role, Ms. Osborne will be responsible for driving the company’s sales and commercialization efforts.

Ms. Osborne is an experienced healthcare industry executive. Most recently, she served as the U.S. Division President and CEO of LEO Pharma. Previously, Ms. Osborne served as the President of Mölnlycke Health Care’s U.S. Wound Care business.

Ms. Osborne has a broad background encompassing sales, marketing, finance, accounting, business development and R&D. During her tenure in the healthcare industry, she also held senior leadership positions at C.R. Bard, Microtek Medical, and Covidien.

“Ms. Osborne is joining the company at a key stage in our development,” says Naftali Minzer, Chief Executive Officer of DermaRite. “Her extensive experience in the wound care industry and her proven success leading and growing similar size organizations will be a strong addition to our business as we position the company for future growth.”

“I am honored to be joining DermaRite, and I am looking forward to building on the company’s strong foundation,” commented Ms. Osborne. “It is an exciting time to impact the next growth phase of the company.”

Ms. Osborne holds a Master of Science in Accounting from New York University’s Stern School of Business and received her undergraduate degree from Colgate University.

About DermaRite Industries:
DermaRite Industries has been providing high-quality, clinically effective and cost-effective skin and wound care products to nursing homes, home health agencies, hospice and wound clinics for over 20 years. Based in North Bergen, New Jersey, the company’s Healing In D.E.P.T.H. program provides caregivers with the tools and services needed to assure optimal care.

For more information about DermaRite, visit Dermarite.com.

Please direct all inquiries to Yalitza Hernandez, yalitzah@dermarite.com, 973-569-9000 x113.

Posted in Press Release

Senior Digestive Health

Senior Digestive Health

Many systems of the body change with age, including the digestive system. It’s estimated that 40% of seniors experience digestive changes. 1 Many factors impact bowel health and result in constipation including age, medical conditions, poor diet, medications, lack of fiber, inadequate exercise and frequent laxative use. Constipation or diarrhea, a common complaint for seniors, is a symptom the body sends indicating that something is not right.3

What is Constipation?  Simply stated, constipation is infrequent stool elimination. After eating, food is passed through the intestines by a rhythmic, wavelike movement called peristalsis. Intestinal contraction and rest allows food and liquid to be mixed together and propels fecal matter through the digestive tract for elimination. 4 Humans are creatures of habit, and bowel habits will vary. Bowel movements from 3 times per day to once every other day can be considered “normal”. Infrequent stools become hard, difficult to pass, and can cause damage to the nerves and muscles in the rectal area.4 Read more ›

Posted in Articles, Clinical Insights Newsletter

The Results Are In – Healing Never Tasted This Good!

An independent taste test conducted on November 8, 2016 revealed that over 70% of participants preferred the taste of ProHeal™ Liquid Protein when compared to the leading brand.

The blind taste test comparison occurred on 11/8/16 in a dining room of a post-acute care setting using a sample of convenience that included 20 residents and 5 staff members. The residents were from assisted living, long-term care and rehabilitation. All participants were informed of the taste trial for the 2 cherry flavored products (ProHeal™ and ProStat SF®). No food allergies were reported. The facility’s staff conducted the trial and no manufacturer representative was present during the taste test. The samples were unlabeled and the identities of the products were known only to the testers. The subjects reported their preference based on taste after sampling both products.

Results:  

Staff reported preference (n=5):  Prostat=1 (20%); ProHeal=4 (80%).

Residents reported preference (n=20):  Prostat=5 (25%); ProHeal=14 (70%); no preference=1 (5%). Statistical analysis using one sample t-test between the percents shows a statistically significant (p=.031) difference in test preference in favor of ProHeal.

Cumulative staff & residents (n=25):  Prostat=6 (24%); ProHeal=18 (72%); no preference=1 (4%). Statistical analysis using one sample t-test between the percents shows a statistically significant (p=.010) difference in test preference in favor of ProHeal.

This product has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.

Click here for more information

Posted in Press Release

Palliative Wound Care

Palliative Wound CarePalliative care is defined by the World Health Organization (WHO) as an “approach that improves quality of life in patients and their families facing the problems associated with life-threatening illnesses”. 1 Palliative care focuses on prevention and relief from suffering, providing pain control, spiritual support and symptom control, done with respect for cultural differences and individual needs. Care decisions should be made through a process that involves open dialogue between patient, family and caregivers. 1 Read more ›

Posted in Articles, Clinical Insights Newsletter

FDA Bans Antimicrobial Soaps – What Does It Mean For You?

The U.S. Food & Drug Administration (FDA) published a final ruling last week regarding Consumer Antiseptic (antimicrobial)Washes. As a manufacturer of antiseptic hand and body washes, DermaRite would like to address this ruling and assure you that you can continue to use any of our hand and body washes as usual.

Women washing hands in white sink good suds

THE RULING

The FDA presented a Proposed Rule on Consumer Antiseptic (Antimicrobial) Washes in December of 2013. Following several years of research and consultation with manufacturers and industry leaders, the FDA has concluded that “there isn’t enough science to show that over-the-counter (OTC) antibacterial soaps are better at preventing illness than washing with plain soap and water. To date, the benefits of using antibacterial hand soap haven’t been proven. In addition, the wide use of these products over a long time has raised the question of potential negative effects on your health.”[1] Read more ›

Posted in Press Release