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Maceration often occurs with the application of a bandage to a wound, regardless of its mildness or severity, particularly if the bandage prevents water from evaporating from the surface of the skin. This occurs because the skin under the bandage becomes wet due to perspiration, urine or other bodily fluids, or contact with other liquids. The ...
The dressing should be changed and the wound irrigated with normal saline at least twice each day. [4] In addition, it is recommended to administer an antibiotic active against staphylococci and streptococci, preferably vancomycin when there is a risk of methicillin-resistant Staphylococcus aureus . [ 4 ]
It recommended that concentration be adopted as a "modified Dakin's solution" for wound dressing. [20] Currently, various concentrations are sold for wound cleansing including Anasept (0.057%), [ 21 ] 1/4 strength Dakin's (0.125%), and Di-Dak-Sol or Dakin's Wound Cleanser (0.0125%) which is 1/40 strength.
A dressing or compress [1] is a piece of material such as a pad applied to a wound to promote healing and protect the wound from further harm. A dressing is designed to be in direct contact with the wound, as distinguished from a bandage, which is most often used to hold a dressing in place. Modern dressings are sterile.
Ideally, wound dressings should be changed daily to promote a clean environment and allow for daily evaluation of wound progression. Highly exudative wounds and infected wounds should be monitored closely and may require more frequent dressing changes. [33] Negative pressure wound dressings can be changed less frequently, every 2–3 days. [42]
Alginate dressings are useful for moderate to heavily exuding wounds. In the form of fibres trapped in a wound, alginate is readily biodegradable [15] and can be rinsed away with saline irrigation. Subsequent removal therefore, does not destroy granulation tissue, making dressing change virtually painless.
It is a wet-to-dry technique but is not recommended for infected areas. This type of dressing can last up to 7 days with a close eye and must be removed with care. [26] Biologically based dressings: Integra LifeSciences’ artificial skin is placed on a wound where burned or scarred skin has been removed. Comprised of two-layers, an under layer ...
As the iodine is used up, the dressing loses colour and becomes white. [5] It is typically held in place using gauze and then bandage material. [6] The polyethylene glycol provides a moist environment allowing the iodine to reach the wound. [4] After a few days the dressing has a tendency to dry out, and must be changed often.