Hydrofiber dressing with silver for the management of split-thickness donor sites: A randomized evaluation of two protocols of care

Blome-Eberwein, Sigrid A; Johnson, R Michael; Miller, Sidney F.; Caruso, Daniel M.; Jordan, Marion H.; Milner, Stephen M.; Tredget, Edward E.; Sittig, Kevin; Smith, L. H.

doi:10.1016/j.burns.2009.06.193

Cited by 27 publications

(18 citation statements)

References 15 publications

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“…Ease of application and available resources/formularies are further aspects to consider. Many types of dressings have been studied for use in donor site wounds but none seem to fulfill all of these requirements ideally [2,3,4,5,6,7,8,9,10,11,12]. Furthermore, the results of these trials are not unanimous and sometimes even contradicting.…”

Section: Introductionmentioning

confidence: 92%

Management of Split-Thickness Skin Graft Donor Sites: A Randomized Controlled Trial of Calcium Alginate versus Polyurethane Film Dressing

et al. 2013

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Background: Split-thickness skin graft (STSG) donor sites sometimes cause more postoperative morbidity for patients than the wound covered with the graft. Yet, there is no consensus on which dressings are best suited to treat these donor sites. Objective: To evaluate two commonly used modern wound dressings in the postoperative healing of STSG donor sites in a prospective randomized controlled trial. Methods: 38 patients were randomly assigned to treatment of an STSG donor site with an alginate dressing or a polyurethane film dressing. The primary outcome measures were postoperative pain scores, secondary outcome variables were time to epithelialization, dressing changes and complications. Results: Postoperative pain on day 1 was significantly lower in the polyurethane film group (2.05 vs. 0.79, p = 0.035) as compared to the alginate group. This difference was not detected on day 5 (0.89 vs. 0.53, p = 0.52). Time to epithelialization did not differ significantly between the two dressing groups. There were more dressing changes in the polyurethane film group and problems with leakage. Conclusion: Whereas film dressings resulted in initially lower pain scores, alginate dressings caused fewer additional dressing changes and less leakage.

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Section: Introductionmentioning

confidence: 92%

Management of Split-Thickness Skin Graft Donor Sites: A Randomized Controlled Trial of Calcium Alginate versus Polyurethane Film Dressing

et al. 2013

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“…Six studies did not identify the type of secondary dressing used by researchers. Eight studies used semi‐occlusive film dressings as secondary dressings . Seven studies concluded that the experimental dressing in combination with a film dressing was effective in reducing pain and discomfort in comparison with a dry dressing approach.…”

Section: Resultsmentioning

confidence: 99%

An evidence‐based review of split‐thickness skin graft donor site dressings

Brown

Holloway

2018

International Wound Journal

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This evidence-based review aimed to identify and evaluate current existing evidence relating to the efficacy of dressing materials for spit-thickness skin graft donor site wounds in relation to promoting rapid healing and reducing patient pain. A comprehensive systematic search of the literature between 2006 and 2016 identified 35 publications that were included in the review. Based on the results of the review, it was found that moist wound-healing products have a clear advantage over non-moist products in the reduction of pain and increased healing rates. This review concluded that moist wound-healing products are more effective than non-moist wound-healing products in reducing pain and promoting healing in split-thickness skin graft donor site wounds. A recommendation based on this review is that further research examine the role of secondary dressing usage in donor site wound management, and the consideration of using more than one primary dressing product during the donor site wound-healing process should be undertaken.

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“…3 The use of antimicrobial dressing products for donor sites has been explored with several studies supporting the use of these products. 11,22,33,34 However, donor site infection is not a common occurrence in children in our unit and one must balance the benefit of using antimicrobial products on children against the potential risks of sensitivity or percutaneous absorption of the active agents in the dressings.…”

Section: Discussionmentioning

confidence: 98%

Management of Pediatric Skin-Graft Donor Sites

Brenner

Hilliard

Peel

et al. 2015

Journal of Burn Care & Research

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Skin grafts are used to treat many types of skin defects in children, including burns, traumatic wounds, and revision of scars. The objective of this prospective randomized controlled trial was to compare the effectiveness of three dressing types for pediatric donor sites: foam, hydrofiber, and calcium alginate. Children attending a pediatric Burns & Plastics Service from October 2010 to March 2013, who required a split-skin graft, were recruited to the trial. Patients were randomly assigned to the two experimental groups, foam or hydrofiber, and to the control group, calcium alginate. Data were gathered on the management of exudate, assessment of pain, time to healing, and infection. Fifty-seven children aged 1 to 16 years (mean = 4.9 years) were recruited to the trial. Fifty-six patients had evaluable data and one participant from the control group was lost to follow-up. Most children required skin grafting for a burn injury (78%). The median size of the donor site was 63.50 cm (8-600 cm). There was a statistically significant difference in time to healing across the three dressing groups (x [2, n = 56] = 6.59, P = .037). The calcium alginate group recorded a lower median value of days to healing (median = 7.5 days) compared to the other two groups, which recorded median values of 8 days (hydrofiber) and 9.5 days (foam). The greatest leakage of exudate, regardless of dressing type, occurred on day 2 after grafting. No statistically significant difference was found in leakage of exudate, pain scores, or infection rates across the three groups. Calcium alginate emerged as the optimum dressing for pediatric donor site healing in this trial.

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Hydrofiber dressing with silver for the management of split-thickness donor sites: A randomized evaluation of two protocols of care

Cited by 27 publications

References 15 publications

Management of Split-Thickness Skin Graft Donor Sites: A Randomized Controlled Trial of Calcium Alginate versus Polyurethane Film Dressing

Management of Split-Thickness Skin Graft Donor Sites: A Randomized Controlled Trial of Calcium Alginate versus Polyurethane Film Dressing

An evidence‐based review of split‐thickness skin graft donor site dressings

Management of Pediatric Skin-Graft Donor Sites

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