Use of a TLC-Ag dressing on 2270 patients with wounds at risk or with signs of local infection: an observational study

Abstract

Objective: A description of wounds treated with a poly-absorbent silver dressing (with technology lipido-colloid with silver ions, TLC-Ag), and evaluation of the short-term clinical impact of the dressing on the wound healing process, under real-life conditions. Method: A large, prospective, multicentre, observational study of patients in 81 centres in Germany, presenting with an exuding wound at risk or with clinical signs of local infection for whom the evaluated TLC-Ag dressing (UrgoClean Ag, Laboratoires Urgo, France) has been prescribed. Main outcomes included: reduction in number of wound infections diagnosed and clinical signs of local infection, wound healing rate, clinical assessment of wound healing progression, relative wound area reduction (RWAR), local tolerability, handling and acceptance of the dressing. Results: A total of 2270 patients with acute and chronic wounds of various aetiologies were treated with the evaluated dressing for a mean duration of 22±13 days. All clinical signs of local infection and the diagnosed wound infections were substantially reduced at two weeks after the treatment initiation. All wound infection parameters continued to reduce until the last visit. In the meantime, clinical improvement in wound healing was reported in 98.9% of acute wounds, with a wound closure rate of 68.5%. In chronic wounds, a median RWAR of 57.4% was achieved, with an improvement in healing process documented by clinicians in 90.6% of cases, stabilisation in 6.1% and worsening in 3.2%. Similar results were reported, regardless of exudate level and proportion of sloughy and granulation tissues in the wound bed at baseline. The dressing was well tolerated and well accepted by both patients and health professionals. Conclusion: These results, documented in a large cohort of patients treated in current practice, support and complete the clinical evidence on the healing properties and safety profile of the TLC-Ag dressing in the management of wounds at risk or with clinical signs of local infection, regardless of wound and patient characteristics. Declaration of interest: This study was supported by a grant from Laboratoires Urgo. UM, EB, LT and SB are employees of Laboratoires Urgo. JD, KCM and MD provided advisory and speaking services to pharmaceutical and other healthcare organisations including, but not limited to, Laboratoires Urgo. Data management and statistical analyses were conducted independently by INPADS GmbH, Germany.

RETRACTED: Metallic Ions Encapsulated in Electrospun Nanofiber for Antibacterial and Angiogenesis Function to Promote Wound Repair

“…Therefore, reducing the use of antibiotics and finding an effective alternative are important for clinical practice. Ag is an attractive alternative to antibiotics because of its excellent property against a wide range of pathogens (Zheng et al, 2019) and has been widely used in medical products, such as wounds dressing and catheters, to inhibit the bacteria growth (Rtimi et al, 2016;Dissemond et al, 2020). As shown in Figures 3A,B, GT/PCL groups with Ag (including GT/PCL-Ag and GT/PCL-Ag-Mg membranes) significantly inhibited the growth of E. coli and S. aureus.…”

Silver dressing in the management of an infant's urachal anomaly infected with methicillin-resistant Staphylococcus aureus: A case report

“…Other varieties of silver dressings have also been reported in treating skin breakdown in preterm infants and have achieved a good effect[ 25 , 26 ]. According to the manufacturer’s instructions, it is recommended to change dressings as often as required, at least once 1 wk, depending on the clinical status of the wound and exudate volume[ 27 ]. Some scholars have suggested that silver dressing use should be limited to no longer than 2 consecutive weeks because of silver toxicity.…”

Therapeutic Index for Local Infections score validity: a retrospective European analysis

“…The therapy and prevention of wound infections with antiseptics have a high priority in modern therapeutic concepts due to the development of antibiotic resistance, the risks of allergic and anaphylactic side-effects with topical antibiotic application, and the availability of highly effective antiseptics with good tolerability. [17][18][19] Various treatment options are available for antiseptic wound therapy. 20 Whenever possible, the systemic administration of antibiotics should be avoided or should be used for the detection of systemic infections only.…”