The Use of a No-sting Barrier Film Treatment Protocol Compared to Routine Clinical Care for the Treatment of Stage 1 and 2 Pressure Injuries in Long-term Care

Chan, Adrian; Siu, Henry

doi:10.1016/j.jccw.2016.11.001

Cited by 2 publications

(4 citation statements)

References 8 publications

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“…The film layer was applied once per day after milking on Monday, Wednesday, and Friday or on Tuesday, Thursday, and Saturday. The coating or film protects the skin from contamination and irritation by dirt in the environment (feces, urine, bedding, and so on) and reduces friction (Cameron et al, 2005;Holroyd and Graham, 2014;Chan and Siu, 2016).…”

Section: Study Protocolmentioning

confidence: 99%

“…Therefore, the aim of our study was to perform a randomized clinical trial to assess the clinical effectiveness of 2 different topical treatments, one for mild and one for severe UCD lesions, compared with untreated control groups. None of treatments contained antibiotics and the choice of treatments was based on evidencebased research in human medicine (Cameron et al, 2005;Beele et al, 2012;Chan and Siu, 2016). The topical treatment for mild UCD lesions consisted of a nonalcoholic film layer and focused on the protection of the lesion from moisture and dirt.…”

Section: Introductionmentioning

confidence: 99%

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A randomized clinical trial of topical treatments for mild and severe udder cleft dermatitis in Dutch dairy cows

Werven

Wilmink

Sietsma³

et al. 2018

Journal of Dairy Science

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Udder cleft dermatitis (UCD) is a skin lesion in dairy cows affecting the anterior parts of the udder, with the lesions often needing a long time to heal. The lesions can be characterized as mild or severe. The etiology of UCD is not fully understood and studies on the effectiveness of topical treatments have not been published. The objective of this study, therefore, was to conduct a randomized clinical trial to investigate the effectiveness of 2 different topical treatments, one for mild and one for severe UCD lesions, compared with untreated control groups. The treatment and control groups were randomized within herd for mild and severe UCD. The treatments were applied for a maximum period of 12 wk on 8 Dutch dairy farms. Mild UCD lesions were treated once a d 3 times a week on fixed days with a non-sting barrier film. Severe UCD lesions were first stratified into class A (lesion length <5 cm) or class B (lesion length ≥5 cm) and then randomly allocated to treatment or control groups within herd. Both severe lesion classes were treated once per day every day with an enzyme alginogel. Every week, the lesions of affected animals were inspected and photographed by the investigator. These photographs were reviewed weekly by an external wound expert who classified the lesions as mild, severe class A, severe class B, or healed. Based on this classification, the investigator judged weekly whether the lesions had improved compared with their classification of the previous week. For mild UCD lesions, improvement was defined as occurring when lesions were healed. For severe UCD lesions, improvement was defined as a transition from class B to class A, transition from any severe UCD lesion (class A or B) to a mild UCD lesion, or when the lesion was defined as healed. Data were analyzed using a discrete time survival analysis with time to first improvement as dependent variable. In total, data from 214 animals were analyzed to estimate the effectiveness of treatment. Results showed that treatment of mild UCD lesions had no influence on improvement compared with untreated lesions. Treated severe lesions, however, showed 3.4 times more improvement compared with the untreated controls. Improvement varied between herds, and cows with a parity of 5 or higher showed significantly less improvement than first parity animals. Early identification of severe UCD lesions followed by prompt treatment with an enzyme alginogel supports the healing process.

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Section: Study Protocolmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A randomized clinical trial of topical treatments for mild and severe udder cleft dermatitis in Dutch dairy cows

Werven

Wilmink

Sietsma³

et al. 2018

Journal of Dairy Science

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“…1 One observational study reported that the application of a commercial no-sting barrier film was associated with reductions in the healing time of stage I and II pressure injuries in patients receiving long-term care. 6 The authors note, however, that the treatment protocol included informal educational and mentoring components, thus making it difficult to differentiate the preventive effect of the skin barrier film from that of the other intervention components. Given that the data regarding the effectiveness of skin barrier films are unclear, we decided to conduct a project to determine the effectiveness of a skin barrier film in preventing skin blisters in surgical patients at our institution.…”

mentioning

confidence: 99%

“…Previous research generally supports using a silicone or liquid skin barrier film as a protective interface between the skin and an adhesive dressing to reduce the risk of skin blistering . One observational study reported that the application of a commercial no‐sting barrier film was associated with reductions in the healing time of stage I and II pressure injuries in patients receiving long‐term care . The authors note, however, that the treatment protocol included informal educational and mentoring components, thus making it difficult to differentiate the preventive effect of the skin barrier film from that of the other intervention components.…”

mentioning

confidence: 99%

The Effect of a Skin Barrier Film on the Incidence of Dressing‐Related Skin Blisters After Spine Surgery

Cole¹,

Smith²,

Vlad³

et al. 2020

AORN Journal

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Tension blisters from adhesive dressings may lead to pain and delayed surgical wound healing for surgical patients and cause an institutional cost burden. Commercial skin barrier film products may reduce dressing-related postoperative skin blistering in surgical patients. Project investigators at an orthopedic specialty hospital randomized 185 surgical spine patients to receive either a standard wound dressing (ie, control group) or a dressing with the addition of a skin barrier film applied beneath it (eg, treatment group). During the first postoperative dressing change, the participants' skin was assessed for redness, soreness, blistering, or tearing. Approximately 15% of participants in the treatment group and 15% of participants in the control group developed a postoperative skin injury (P = .98). Multivariable analyses did not indicate the skin barrier film provided a protective effect. Additionally, there was no association between patient-specific characteristics and skin blisters among the participants. These results do not support the use of a skin barrier film in surgical spine patients.

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The Use of a No-sting Barrier Film Treatment Protocol Compared to Routine Clinical Care for the Treatment of Stage 1 and 2 Pressure Injuries in Long-term Care

Cited by 2 publications

References 8 publications

A randomized clinical trial of topical treatments for mild and severe udder cleft dermatitis in Dutch dairy cows

A randomized clinical trial of topical treatments for mild and severe udder cleft dermatitis in Dutch dairy cows

The Effect of a Skin Barrier Film on the Incidence of Dressing‐Related Skin Blisters After Spine Surgery

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