Antimicrobials
Action
Antimicrobial dressings are topical wound care products derived from agents such as silver, iodine, and polyhexethylene biguanide. These products combine active ingredients with a dressing to deliver an antimicrobial or antibacterial action to the wound. Silver dressings come in various delivery systems as well as shapes and sizes. The silver is activated from the dressing to the wound’s surface based on the amount of exudate and bacteria in the wound. Silver dressings are available in foams, hydrocolloids, alginates, barriers layers, charcoal cloth dressings, or a combination of different forms. Silver dressings may be used with select topical and adjunctive therapies to, among other things, decrease the bacterial load and manage exudate, and as a result, optimize the appearance of the wound’s granulation tissue.
Gauze products containing antibacterial properties have been designed to provide a barrier to specific organisms but also inhibit the growth of bacteria within the dressing, thus protecting the wound and potential spread of bacteria from the dressed site.
Indications
Antimicrobial dressings are intended for use in draining, exuding, and nonhealing wounds where protection from bacterial contamination is desired. These dressings may be used as primary or secondary dressings to manage various amounts of exudate (minimal, moderate, or heavy) for both acute and chronic wounds, including burns, surgical wounds, diabetic foot ulcers, pressure ulcers, and leg ulcers. Select dressings may also be used under compression.
Advantages
Provides a broad range of antimicrobial or antibacterial activity
Reduces infection
Prevents infection
May alter metalloproteinases within wounds with select dressings
Disadvantages
May cause staining on wound and intact skin with silver dressings
May cause stinging or sensitization
Development of resistant organisms not yet known
HCPCS code overview
Each product under this category description has been assigned a different code based on its physical size and characteristics; or the manufacturer hasn’t yet received or applied for a code. Please refer to individual product listings for further information about each product.
ACTICOAT Absorbent Antimicrobial Alginate Dressing
Smith & Nephew, Inc.
Wound Management
 |
Action
ACTICOAT Absorbent absorbs excess wound fluid to form a gel that maintains a moist environment for optimal wound healing. The sustained release of broadspectrum ionic silver actively protects the dressing from bacterial contamination. ACTICOAT Absorbent delivers 3 days of uninterrupted antimicrobial activity
Indications
To protect wounds from bacterial penetration; the barrier function of the dressing may help reduce infection in partial- and full-thickness wounds with moderate to heavy exudate, including decubitus, venous, and diabetic ulcers, and surgical and traumatic wounds
Contraindications
Contraindicated in patients with sensitivity to silver
Not for use on third-degree burns
Incompatible with oil-based products such as petroleum jelly
Application
Cleanse the wound using conventional, non-oil-based techniques, and leave the wound moist.
Apply the dressing to the wound, either side down, and secure with an appropriate secondary dressing that will maintain a moist environment.
Keep the dressing moist but not so wet that tissue maceration occurs.
Removal
Change the dressing depending on the amount of exudate present and the condition of the wound. Avoid using oil-based cleansing agents. The dressing may be worn for up to 3 days.
Remove the secondary dressing, then remove ACTICOAT Absorbent from the wound bed. Make sure the dressing is moist before removing it.
If the dressing dries and adheres to the wound, moisten or soak the dressing before removing it.
Avoid forceful removal of the dressing and disruption of the healing wound.
Remember that the dressing may cause transient discoloration.
NEW PRODUCT: ACTICOAT Flex 3 ACTICOAT Flex 7
Smith & Nephew, Inc.
Wound Management
 |
How supplied
Flex 3 | |
Dressing: | 2″ × 2″, 4″ × 4″; A6206 |
4″ × 8″; A6207 | |
8″ × 16″, 16″ × 16″, 4″ × 48″; A6208 | |
Flex 7 | |
Dressing: | 2″ × 2″; A6206 |
4″ × 5″, 6″ × 6″; A6207 | |
8″ × 16″, 16″ × 16″; A6208 | |
1″ × 24″; A6207 | |
Action
ACTICOAT Flex 3 and ACTICOAT Flex 7 are made of highly conformable, silvercoated low-adherent polyester that allows the passage of exudate. These dressings consist of a single layer of polyester, which is designed to remain in intimate contact with the wound bed, stretch as the patient moves, and be easy to apply and remove. ACTICOAT Flex 3 can be worn for up to 3 days while ACTICOAT Flex 7 can be used for up to 7 days. ACTICOAT Flex has been shown to be compatible with negative-pressure wound therapy. Polyester substrate helps manage moisture level and control silver release. The Nanocrystalline coating of pure silver delivers antimicrobial barrier activity within 30 minutes—faster than other forms of silver, an effective barrier that may assist in preventing contamination of the wound. Laboratory studies show that the ACTICOAT dressing kills microorganisms faster than conventional products, such as silver sulfadiazine (1% cream) or silver nitrate (0.5%) solution. It has also been shown in vitro to provide protection against more than 150 pathogens. The pathogens tested in the lab include very resistant strains of bacteria, such as antibiotic-resistant strains of Pseudomonas, methicillin-resistant Staphylococcus aureus, vancomycin-resistant Enterococcus, and fungi.
Indications
For use in partial- and full-thickness wounds, including first- and second-degree burns, covering of graft sites, pressure ulcers, venous stasis ulcers, diabetic ulcers, and surgical sites
Contraindications
Not for use on patients with a known sensitivity to silver
Not for use on patients during magnetic resonance imaging (MRI) examination
Must be removed during radiation therapy; a new dressing may be applied following each treatment
Application
Cleanse the wound using conventional, non-oil-based techniques and leave wound moist.
Remove the dressing from the package and cut to shape as necessary.
Moisten ACTICOAT Flex 3 or ACTICOAT Flex 7 Antimicrobial Dressing with sterile water or tap water. Do not use saline.
Apply the dressing to the wound surface (either side down), and secure with an appropriate secondary dressing that will maintain a moist environment.
Keep the dressing moist, but not so wet that tissue maceration occurs.
Examine the dressing to ensure a moist environment is being maintained.
Change the dressing depending on the amount of exudate and the condition of the wound.
If the dressing dries and adheres to the wound, moisten or soak the dressing prior to removal.
Removal
Avoid forceful removal and disruption of the healing wound.
ACTICOAT Moisture Control Dressing
Smith & Nephew, Inc.
Wound Management
 |
Action
Acticoat Moisture Control (with SILCRYST Nanocrystals) is an absorbent threelayer dressing providing an effective barrier to bacterial penetration. Consisting of a nanocrystalline silver-coated wound contact layer, a white polyurethane foam layer, and a blue waterproof top film layer, the dressing will help maintain a moist wound environment in the presence of exudate. The dressing may be left in place over a wound for up to 7 days.
Indications
For use in light to moderately exuding partial- and full-thickness wounds, including pressure ulcers, diabetic ulcers, partial-thickness burns, and donor sites; may be used over debrided and partial-thickness wounds
Contraindications
Not for use on patients with a sensitivity to silver
Not for use on patients during magnetic resonance imaging
For external use only
Incompatible with oil-based products, such as petroleum jelly
May not be compatible with topical antimicrobials
Incompatible with oxidizing agents (e.g., Eusol) because these can break down the absorbent polyurethane component of the dressing
Not for contact with electrodes or conductive gels during electronic measurements, for example, electroencephalography and electrocardiography
Not for use if reddening or sensitization occurs
Not intended to provide treatment for infected wounds; may be used on infected wounds that are being managed in accordance with institutional clinical protocols for infection abatement as an adjunct to the standard treatment regimen to provide a barrier to bacterial penetration
Application
Where required, wound cleansing should be performed according to local clinical protocol using sterile water only.
Choose a dressing that is larger than the wound.
Remove the ACTICOAT Moisture Control Dressing from the pack using aseptic technique.
Cut to shape as necessary for awkward areas.
The dressing shouldn’t be moistened before use because it’s indicated for use on exuding wounds.
Place the silver layer in intimate contact with the wound bed, ensuring the entire surface is covered.
Secure with an appropriate secondary retention dressing.
ACTICOAT Moisture Control may be used under compression bandages. Cut dressing to the size of the wound, check regularly and change as needed.
Removal
The dressing may be left in place up to 7 days, but will require earlier changing if a strikethrough of exudate occurs.
The dressing may adhere if used on lightly exuding wounds. If the dressing isn’t easily removed, moisten or soak to assist removal and avoid disruption of the wound.
NEW PRODUCT: ACTICOAT Post-Op
Smith & Nephew, Inc.
 |
Action
ACTICOAT Post-Op is an absorbent postoperative dressing consisting of a nanocrystalline silver-coated polyurethane layer, a white polyurethane foam pad, and an adhesive coated waterproof polyurethane film layer. ACTICOAT Post-Op provides an effective barrier to bacterial penetration. ACTICOAT Post-Op may be left in place over a wound for up to 7 days. ACTICOAT Post-Op wicks away excess fluid. The sustained release of broad-spectrum ionic silver actively protects the dressing from bacterial contamination. ACTICOAT Post-Op Absorbent delivers 7 days of uninterrupted antimicrobial activity.
Indications
ACTICOAT Post-Op Dressing is indicated for use in light to moderately exuding partial and full thickness wounds, including decubitus ulcers, diabetic ulcers, surgical wounds, first- and second-degree burns, and donor sites. ACTICOAT Post-Op dressing may be used over debrided and partial thickness wounds.
Contraindications
For external use only
Not compatible with oil-base products such as petrolatum
May not be compatible with topical antimicrobials
Not for use with saline
Not compatible with oxidizing agents (e.g., EUSOL), as these can break down the absorbent polyurethane component of the dressing
Avoid contact with electrodes or conductive gels during electronic measurements, for example, EEG and ECG
Not intended to provide treatment for infected wounds
Precautions
ACTICOAT Post-Op Dressings may be used on infected wounds that are being managed in accordance with institutional clinical protocols for infection abatement as an adjunct to the standard treatment regimen to provide a barrier to bacterial infection. As with all adhesive products, it should be noted that inappropriate use or too frequent dressing changes, particularly on patients with fragile skin, can result in skin stripping. If reddening or sensitization occurs, discontinue use. ACTICOAT Post-Op should only be used in premature infants (>37 weeks gestation) when clinical benefit outweighs any potential patient risks.
Application
Where required, wound cleansing should be performed according to local clinical protocol using sterile water only.
Choose a dressing where the pad is larger than the wound.
Remove the dressing from the pack using an aseptic technique.
It is unnecessary to moisten the dressing prior to use.
Remove the first release paper. Place the silver layer in intimate contact with the wound bed, ensuring the entire surface is covered.
Remove the second release paper and smooth the dressing down trying to avoid ridging of the film.
Remove the top printed carrier marked : “2”.
The dressing should be changed at least every 7 days, but will require earlier changing if a strike-through of exudate occurs.
Removal
To remove the dressing, lift one corner and slowly stretch the film in a motion that is parallel to the skin.
ACTICOAT 7
Smith & Nephew, Inc.
Wound Management
 |
Action
ACTICOAT 7 (with Nanocrystals) consists of two layers of an absorbent, rayon/polyester inner core sandwiched between three layers of silver-coated, polyethylene netting. The sustained release of broadspectrum ionic silver actively protects the dressing from bacterial contamination, whereas the inner core maintains the moist environment needed for wound healing. ACTICOAT 7 delivers 7 days of uninterrupted antimicrobial activity.
Indications
An effective barrier to bacterial penetration; may help reduce infection in partial-and full-thickness wounds, including decubitus ulcers, venous stasis ulcers, diabetic ulcers, first- and second-degree burns, and donor sites; may be used over debrided and grafted partial thickness wounds
Contraindications
Not for use on patients with a sensitivity to silver
Not for use on patients during magnetic resonance imaging (MRI) examination
For external use only
Avoid contact with electrodes or conductive gels during electronic measurements, for example, EEG and ECG
Avoid exposure to temperatures above 50°C; protect from light
Not for use if product color isn’t uniform
Not for use if pack is opened or damaged
Application
Follow standard protocol to cleanse wound; don’t use oil-based cleansing agents. Where required, wound cleansing should be performed according to local clinical protocol using sterile water only.
For heavily exudative wounds
Remove the ACTICOAT 7 dressing from the package and cut to size.
Apply the dry ACTICOAT 7 dressing to the wound, either side down, as the exudate will be sufficient to activate the dressing.
Cover the ACTICOAT 7 dressing with an absorbent secondary dressing.
Complete the dressing with appropriate gauze wrappings if necessary.
For all other wounds
Remove the ACTICOAT 7 dressing from the package and cut to shape.
Moisten the dressing with sterile water (don’t use saline).
Allow the dressing to drain on an absorbent surface in a sterile field for at least 2 minutes.
Apply the ACTICOAT 7 dressing to the wound surface, either side down.
Cover the dressing with a moist absorbent secondary dressing that may be prepared by saturating gauze with sterile water and wringing out the excess water.
Complete the dressing with appropriate gauze wrappings if necessary.
Removal
If the dressing dries and adheres to the wound, moisten or soak the dressing prior to removal.
Change the dressing depending on the amount of exudate present and the condition of the wound. Avoid using oil-based cleansing agents. The dressing may be worn for up to 7 days.
Remove the secondary dressing, and then remove ACTICOAT 7 from the wound bed. Make sure the dressing is moist before removing it.
Avoid forceful removal of the dressing and disruption of the healing wound.
Keep in mind that the dressing may cause transient discoloration.
ACTICOAT 3
Smith & Nephew, Inc.
Wound Management
 |
Action
ACTICOAT 3 (with Nanocrystals) consists of a rayon/polyester core that helps manage moisture level. The sustained release of broad-spectrum ionic silver actively protects the dressing from bacterial contamination, whereas the inner core maintains the moist environment needed for wound healing. ACTICOAT 3 delivers 3 days of uninterrupted antimicrobial activity.
Indications
An effective barrier to bacterial penetration; may help reduce infection in partial-and full-thickness wounds, including decubitus ulcers, venous stasis ulcers, diabetic ulcers, first- and second-degree burns, and donor sites; may be used over debrided and grafted partial-thickness wounds
Contraindications
Not for use on patients with sensitivity to silver
Not for use on patients during magnetic resonance imaging (MRI) examination
For external use only
Avoid contact with electrodes or conductive gels during electronic measurements; for example, EEG and ECG
Not for exposure to temperatures above 50°C; protect from light
Not for use if product color isn’t uniform
Not for use if pack is opened or damaged
Application
Follow standard protocol to cleanse wound; don’t use oil-based cleansing agents. Where required, wound cleansing should be performed according to local clinical protocol using sterile water only.
For heavily exudative wounds
Remove the ACTICOAT 3 dressing from the package and cut to size.
Apply the dry ACTICOAT 3 dressing to the wound, either side down, as the exudate will be sufficient to activate the dressing.
Cover the ACTICOAT 3 dressing with an absorbent secondary dressing.
Complete the dressing with appropriate gauze wrappings if necessary.
For all other wounds
Remove the ACTICOAT 3 dressing from the package and cut to shape.
Moisten the dressing with sterile water (don’t use saline).
Allow the dressing to drain on an absorbent surface in a sterile field for at least 2 minutes.
Apply the ACTICOAT 3 dressing to the wound surface, either side down.
Cover the dressing with a moist absorbent secondary dressing that may be prepared by saturating gauze with sterile water and wringing out the excess water.
Complete the dressing with appropriate gauze wrappings if necessary.
Removal
Change the dressing depending on the amount of exudate present and the condition of the wound. Avoid using oil-based cleansing agents. The dressing may be worn for up to 3 days.
Remove the secondary dressing, and then remove ACTICOAT 3 from the wound bed. Make sure the dressing is moist before removing it.
Avoid forceful removal of the dressing and disruption of the healing wound.
Keep in mind that the dressing may cause transient discoloration.
Algidex Ag
DeRoyal
 |
How supplied
Foam Back: | 2″ × 2″, 4″ × 4″; A6209 |
4″ × 5″, 6″ × 6″; A6210 | |
8″ × 8″; A6211 | |
Thin Sheet: | 2″ × 2″, 4″ × 4″; A6196 |
4″ × 8″, 6″ × 6″; A6197 | |
8″ × 8″, 8″ × 16″, 16″ × 16″; A6198 | |
Paste: | 10 cc; A6261 |
Action
Algidex Ag provides slow, extended release of active ionic silver for broad antimicrobial effectiveness. The unique matrix formulation of silver, alginate, and maltodextrin allows Algidex Ag to absorb wound exudates, decrease surface wound contaminates, decrease wound odor, and create a moist environment conducive to healing. The maltodextrin creates an environment that helps the body’s own cells to carry out the task of granulation tissue formation while eliminating wound odor. Algidex Ag isn’t absorbed systemically.
Indications
For use in infected and noninfected wounds of all types; dermal ulcers (leg ulcers, pressure ulcers); diabetic ulcers; abdominal wounds; superficial wounds; lacerations, cuts, and abrasions; donor sites; second-degree burns; and dry, moist, or wet wounds
Contraindications
Not for use on third-degree burns
Not for use on ulcers resulting from infections
Contraindicated for lesions associated with active vasculitis
Contraindicated for patients with sensitivity to alginates
Application
For Algidex Ag Foam
Thoroughly cleanse wound with normal saline.
Apply Algidex Ag with silver matrix touching the wound.
Secure dressing in place with retention dressing such as gauze, transparent film, or tape.
Algidex Ag is antimicrobial for up to 7 days and may be worn until dressing has reached saturation.
For Algidex Ag Thin Sheet
Thoroughly cleanse wound with normal saline.
Remove backing from Algidex Ag Thin Sheet.
Place Algidex Ag Thin Sheet over shallow wounds, or pack into deep wounds.
Cover with appropriate secondary dressing based on wound drainage.
Algidex Ag Thin Sheet is antimicrobial for up to 7 days and may be worn until secondary dressing requires changing.
For Algidex Ag Paste
Thoroughly cleanse wound with normal saline.
Apply 114′ thickness of paste to shallow wounds, or completely fill deep wounds.
Cover with appropriate secondary dressing based on wound drainage.
Algidex Ag Paste is antimicrobial for up to 7 days and may be worn until secondary dressing requires changing.
Removal
For Algidex Ag Foam
Remove retention dressing, if applicable.
Gently lift Algidex Ag from the wound. If dressing adheres to wound, gently irrigate with saline to help loosen dressing.
Discard according to institutional policy.
Once dressing is removed, thoroughly cleanse wound with normal saline to remove any residue or debris from the wound.
For Algidex Ag Thin Sheet or Paste
Remove secondary dressing.
Gently irrigate wound with saline to help loosen Algidex Ag.
Continue to thoroughly cleanse wound to remove wound drainage or any residue left from Algidex Ag.
NEW PRODUCT: Algidex Ag I.V. Patch
DeRoyal
How supplied
I.V. patch: | 3/4″ disc w/2 mm opening; A6209 |
1″ disc w/4 mm opening; A6209 | |
1″ disc w/7 mm opening; A6209 | |
1″ disc w/4 mm opening (with insert); A6209 | |
1 1/2″ disc w/7 mm opening; A6209 |
Action
Algidex Ag I.V. patch is an effective bacterial barrier that helps to prevent catheter-related infections. It is an ideal dressing for intravenous catheters, tube sites, or external fixator pin sites. With a unique combination of silver, alginate, and maltodextrin, Algidex Ag I.V. patch provides immediate and sustained antimicrobial activity against a broad spectrum of pathogens without inducing bacterial resistance. The antimicrobial activity remains effective for up to 7 days.
Indications
Algidex Ag I.V. patch is indicated for dialysis catheters, central venous lines, arterial catheters, external fixator pins, epidural catheters, peripheral I.V. catheters, gastrostomy feeding tubes, and nonvascular percutaneous devices.
Contraindications
Not for use on third-degree burns
Contraindicated for patients with sensitivity to alginates
Application
May be applied immediately following initial catheter placement or during routine catheter dressing change.
Apply Algidex Ag I.V. Patch with dark side touching the catheter and skin.
Secure patch in place with retention dressing such as gauze, transparent film, or tape.
Patch may be worn up to 7 days.
Removal
Remove retention dressing, if applicable.
Lift Algidex Ag I.V. Patch from the catheter and gently wipe any Algidex matrix residue during routine dressing change, using saline or antiseptic skin prep as stated in the institutional procedural guidelines.
Discard according to institutional policy.
NEW PRODUCT: Algidex Ag Packing Gauze
DeRoyal
How supplied
Algidex Ag Packing Gauze: | 1/2″ × 5 yd; A6407 |
Algidex Ag Packing Gauze: | 1/4″ × 5 yd; A6407 |
Action
Algidex Ag provides slow, extended release of active ionic silver for broad antimicrobial effectiveness. The unique matrix formulation of silver, alginate, and maltodextrin allows Algidex Ag to absorb wound exudates, decrease surface wound contaminates, decrease wound odor, and create a moist environment conducive to healing. The maltodextrin creates an environment that helps the body’s own cells to carry out the task of granulation tissue formation while eliminating wound odor. Algidex Ag isn’t absorbed systemically. The gauze strips are perfect for packing deeper wounds.
Indications
Algidex Ag Packing Gauze is used for the management of “deeper” wounds that require packing such as tunneling or undermining wounds (pressure ulcers, venous ulcers, diabetic ulcers, and surgical wounds).
Contraindications
None provided by the manufacturer
Application
Thoroughly cleanse wound with normal saline.
Remove appropriate amount of packing gauze from bottle.
Completely fill wound with packing gauze (lightly packing).
Cover with appropriate secondary dressing such as gauze, hydrocolloid, foam, or film dressing. Secondary dressing selection should be based on the amount of wound drainage.
Dressing may be worn up to 5 days or until cover dressing reaches saturation.
Removal
Remove secondary dressing.
Gently remove packing gauze.
Thoroughly cleanse wound to remove wound drainage or residue from Algidex Ag.
Reapply as necessary following directions above.
NEW PRODUCT: Algidex Ag Tracheostomy Dressing
DeRoyal
Action
Algidex Ag provides slow, extended release of active ionic silver for broad antimicrobial effectiveness. The unique matrix formulation of silver, alginate, and maltodextrin allows Algidex Ag to absorb wound exudates, decrease surface wound contaminants, decrease wound odor, and create a moist environment conducive to healing. The maltodextrin creates an environment that helps the body’s own cells to carry out the task of granulation tissue formation while eliminating wound odor. Algidex Ag isn’t absorbed systemically.
Indications
Algidex Ag Tracheostomy Dressings are for use in the treatment of wounds associated with tracheostomy, other intubation, and cannula sites. Additional uses may include nonvascular percutaneous devices such as external fixator pins, peritoneal dialysis catheters, and other tube sites.
Contraindications
Not for use on third-degree burns
Contraindicated for patients with sensitivity to alginates
Application
Clean the site according to institutional policy and procedures. Prepare and clean the skin surrounding the tracheostomy tube to remove excess moisture.
Remove the Algidex Ag Tracheostomy Dressing, locate the pre-cut opening and position it around the stoma or tracheostomy tube. Apply with the silver side (dark side) toward the patient.
If needed, the dressing may be cut to shape or size.
If additional fixation is required, transparent film dressings or tape may be used to help secure the dressing.
The tracheostomy site should be inspected frequently during the early stages of treatment to ensure skin integrity and clear airway. The dressing can be left in place undisturbed for up to 7 days, or until the foam pad becomes saturated with exudates.
Removal
Remove retention dressing, if applicable.
Lift the Algidex Ag Tracheostomy Dressing from around the tube and discard according to institutional policy.
NEW PRODUCT: ALLEVYN Ag ALLEVYN Ag Adhesive ALLEVYN Ag Gentle ALLEVYN Ag Gentle Border
Smith & Nephew
 |
How supplied
Non-Adhesive: | 4″ × 4″; A6209 |
6″ × 6″; A6210 | |
Adhesive: | 3″ × 3″; A6212 |
5″ × 5″; A6212 | |
Gentle: | 4″ × 4″; A6209 |
6″ × 6″; A6210 | |
Gentle Border: | 3″ × 3″; A6212 |
5″ × 5″; A6212 |
Action
ALLEVYN Ag dressings have a unique tri-laminate structure made up from a nonadherent perforated polyurethane wound contact layer, a soft and highly absorbent central hydrocellular layer, and an outer film layer that is both bacteria-proof and waterproof. ALLEVYN Ag dressings employ all the proven benefits of moist wound healing, without any breakdown of the dressing caused by contact with exudate. These dressings absorb and retain exudate and cellular debris, ensuring minimal mess at dressing changes. ALLEVYN Ag dressings have been engineered to release bactericidal levels of silver sulfadiazine (SSD) for up to 7 days that may help prevent and protect wounds from bacteria penetration. The perforated wound contact layer allows even viscous exudate to pass into the dressing. The hydrocellular core of the dressing absorbs and retains liquid in its microscopic structure. The breathable outer surface of the dressing allows excess moisture to evaporate away from the dressing. Safe, but effective bactericidal amounts of SSD are released as bacteria and exudate are absorbed, providing a sustained antibacterial protection against a broad range of bacteria.
Indications
ALLEVYN Ag, ALLEVYN Ag Adhesive, ALLEVYN Ag Gentle, and ALLEVYN Ag Gentle Border are indicated for chronic and acute, full-thickness or partial-thickness or granulating, exuding wounds, including leg ulcers, pressure ulcers, diabetic foot ulcers, donor sites, surgical wounds, infected wounds, malignant wounds, first- and second-degree burns
Contraindications
Not for use on patients known to be hypersensitive to silver sulfadiazine, silver or sulfonamides
Not for use on females who are at or near term pregnancy or lactating, on premature infants, or on newborn infants during the first months of life, as sulfonamides are known to cause kernicterus
Not for use with oxidizing agents such as hypochlorite solutions (e.g., Dakin’s) or hydrogen peroxide, as these can break down the absorbent hydrocellular component of the dressing
Application
ALLEVYN Ag Adhesive or Non-Adhesive
Select a dressing size that will cover the wound and leave approximately a 1/2” margin around the wound.
Cleanse the wound and the periwound skin with Dermal Wound Cleanser or normal saline.
Apply SKIN-PREP or NO-STING SKIN-PREP and allow it to dry.
Peel back the protector papers and anchor the dressing over the wound.
Smooth the dressing into place, ensuring that the edges of the dressing are not wrinkled.
Position dressing over the wound and secure it with tape or a bandage.
ALLEVN Ag Gentle or ALLEVYN Ag Gentle Border
Cleanse the wound and surrounding skin with DERMAL Wound Cleanser or normal saline.
Prepare and cleanse the periwound area removing excess moisture. A skin protectant may not be necessary with the ALLEVYN Gentle dressings.
Select a dressing that allows at least a 1/2” margin onto the skin around the wound.
Remove the protector material from and apply the white, adherent side to the wound, ensuring good contact.
Secure ALLEVYN Gentle with a secondary dressing.
Removal
To remove, gently lift the dressing away from the wound.
Arglaes Antimicrobial Barrier
Medline Industries, Inc.
 |
How supplied
Film dressing: | 2 3/8″ × 3 1/8″ |
4″ × 4 3/4″ | |
3″ × 14″ (postop) | |
Film with Alginate pad: | 2 3/8″ × 3 1/8″ (1″ × 2″ pad) |
4″ × 4 3/4″ (2″ × 2″ pad) | |
4 3/4″ × 10″ (2 3/4″ × 8″ pad) |
Action
Arglaes Antimicrobial Barrier applies the principle of moist wound healing and also serves as a potent antimicrobial barrier that remains effective for 7 days. Arglaes technology uses sustained release of ionic silver that’s antibacterial and antifungal but remains completely noncytotoxic. Arglaes Antimicrobial Barrier has a high moisture vapor transfer rate and is available as a transparent film dressing, with or without an alginate pad.
Indications
To manage superficial wounds, lacerations, cuts, and abrasions, leg ulcers, pressure ulcers (stages 2, 3, and 4), donor sites, partial- and full-thickness wounds, infected and noninfected wounds, wounds with light to heavy drainage, and wounds with serosanguineous or purulent drainage
Contraindications
Contraindicated for third-degree burns
Contraindicated in patients with hypersensitivity to silver
Application
Clean the application site with normal saline solution or another appropriate cleanser, such as Skintegrity Wound Cleanser. Dry the surrounding skin to ensure it’s free from any greasy substance. Allow any skin preparation to dry completely.
Select an appropriate-sized dressing that allows 1 114′ to 1 112′ (3 to 4 cm) of attachment to healthy periwound skin.
With one hand, hold the dressing’s white tab with the printed side facing up. With the other hand, take hold of the loose film flap, and gently peel off the release sheet.
Hold the dressing on both ends, then turn it over so the adhesive surface is facing the wound. Ensure that both edges of the white tab are held together.
Apply the dressing, pressing firmly and smoothing down. Make sure the edges of the dressing are firmly fixed in place.
Take hold of the second release sheet at the end of the dressing opposite the white tab, and gently peel away and discard.
For moderately to heavily draining wounds, use the O-Technique. It involves cutting small openings into the dressing before removing the carrier sheet.
Excess drainage is allowed to pass through the dressing onto an absorbent secondary dressing. The technique is also helpful when using Arglaes under a compression dressing.
Removal
Gently lift up one corner of the dressing, and begin stretching it horizontally along the skin surface to break the adhesive bond.
When two sides of the dressing are partially removed, grasp both sides and stretch the dressing horizontally, parallel to the skin.
Arglaes Antimicrobial Barrier Powder Dressing
Medline Industries, Inc.
 |
Action
Arglaes Antimicrobial Barrier Powder Dressing is a sterile, single-use alginate powder containing ionic silver, making it ideal for difficult to dress, highly exuding wounds. Using controlled-release polymers that are activated by moisture, Arglaes Powder delivers a constant stream of antimicrobial silver ions. Continuous delivery, at a constant rate, means that only minute quantities of silver ions are required to maintain a continuous antimicrobial barrier without cytotoxicity. The sustained-release effect remains constant until Arglaes Powder is removed from the wound site (up to 5 days). In addition, Arglaes Powder contains alginate to aid in fluid handling. As the powder mixes with wound exudate, it turns into a gel that adheres to the wound bed and is easily removed during wound irrigation. Arglaes Powder has been shown to be effective against a broad range of fungi, gram-positive, and gram-negative bacteria, including S. aureus, Pseudomonas aeruginosa, Escherichia coli, Candida albicans, Aspergillus niger, methicillin-resistant S. aureus, and vancomycin-resistant Enterococcus.
Indications
To manage infected or noninfected wounds, such as pressure ulcers, arterial ulcers, venous ulcers, diabetic ulcers, donor sites and other bleeding surface wounds, dermal lesions, trauma injuries or incisions, and minor burns
Contraindications
Not intended for surgical implantation
Not intended for use on third-degree burns
Not intended for use on patients with sensitivity to silver
Not for use with topical antibiotics or antiseptics
Application
Clean the wound site with sterile saline or appropriate wound cleanser such as Skintegrity Wound Cleanser.
One 10-g bottle of Arglaes Powder is sufficient to dress a wound area of up to 4″ × 4″ (10 cm × 10 cm).
Gently dry the surrounding area.
Shake bottle thoroughly, then open Arglaes Powder by removing the tamperevident collar and screw cap.
Apply the dressing by squeezing the bottle (gently tap bottle if flow is blocked) and “puffing” the powder into the wound bed. Apply until wound surfaces are completely covered to a depth of not less than 1 mm.
Cover site with an appropriate secondary dressing. Heavily exuding wounds may require a more absorbent secondary dressing, such as Maxorb Alginate covered with a Stratasorb Composite Island Dressing.
Arglaes Powder should be changed when the secondary dressing is wet or if there is any sign of leakage. Heavily draining wounds may require more than one change per day. Dressing may remain in place up to 5 days.
Removal
To remove Arglaes Powder, gently lift and discard the secondary dressing. Irrigate the wound thoroughly with normal saline or appropriate wound cleanser, such as Skintegrity Wound Cleanser. Continue irrigating until all gelled or ungelled powder is removed.
Redress the wound as appropriate.
NEW PRODUCT: Biatain Ag Adhesive Foam Dressing Biatain Ag Non-Adhesive Foam Dressing
Coloplast Corp.
 |
How supplied
Adhesive foam dressing: | 5″ × 5″; A6212 |
7″ × 7″; A6213 | |
Sacral dressing: | 9″ × 9″; A6213 |
Heel dressing: | 7 1/2″ × 8″; A6212 |
Non-Adhesive foam dressing: | 4″ × 4″; A6209 |
6″ × 6″; A6210 |
Action
Biatain Foam combines an effective, sustained silver-release technology with moist wound healing to effectively prepare problem wounds for healing. Biatain Foam Non-Adhesive and Adhesive Dressings are antibacterial wound dressings with ionic silver as the active component homogeneously dispersed throughout the foam. Silver is released from the dressing into the wound bed when in contact with wound exudate. Depending on the amount of exudate, the release will continue for up to 7 days.
Indications
To manage wounds with moderate to high amounts of exudate or with a risk for infection; to progress wounds that exhibit delayed healing due to bacteria
Contraindications
Contraindicated in patients with sensitivity to silver
Must be removed before radiation treatment or examinations that include X-rays, ultrasonic treatment, diathermy, or microwaves
Application
Rinse the wound with physiologic saline or Sea-Clens Wound Cleanser. Gently dry the skin surrounding the wound.
Select a dressing that overlaps the wound edge by a minimum of 1′ (2.5 cm).
Remove the paper carrier from the dressing, center the dressing over the site, and apply to skin.
Use tape or appropriate secondary dressing to hold in place.
Removal
Dressing should be changed when clinically indicated or when visible signs of transparency approach 334′ (2 cm) from the edge of the dressing.
Dressing may be left in place for up to 7 days, depending on the condition of the wound.
NEW PRODUCT: DermaGinate Ag
DermaRite Industries
Action
DermaGinate Ag is a sterile nonwoven dressing of calcium-sodium alginate fiber mixed with ionic silver, which is designed to promote and maintain a moist wound healing environment. The fibers absorb up to 17 times their weight in fluid to form a firm viscous gel-fiber material, while the ionic silver prevents microbial growth at the surface level.
Indications
To manage infected and noninfected wounds, pressure ulcers, venous ulcers, and diabetic ulcers as well as partial- and full-thickness wounds, dermal lesions, tunneling wounds, painful wounds, and wounds with moderate to heavy exudate
Contraindications
Contraindicated for nonexuding and lightly exuding wounds
Not for use on third-degree burns
Contraindicated for those individuals with known sensitivity to silver and/or calcium alginate materials
Application
Cleanse the wound with sterile water only! No saline or wound cleansers are to be used.
Pat dry surrounding area.
Apply dressing to the wound surface or, if the wound is deep and/or tunneled, gently and lightly pack the wound with the DermaGinate.
Cover with secondary absorbent dressing of choice.
Removal
Gently remove secondary dressing.
If fibers are sticking to wound base, irrigate with sterile water to loosen fibers, then lift the dressing.
Irrigate the wound liberally to ensure all fibers are removed.
NEW PRODUCT: Dermanet Ag+
DeRoyal
Action
Dermanet Ag+ is a combination of Dermanet wound contact layer and Algidex Ag Silver Technology. Dermanet is an inert, nonadherent material that helps to shield and protect fragile granulation tissue. It helps to reduce trauma and pain that can be caused during dressing changes. Algidex Ag technology is a unique formulation of ionic silver combined in an alginate and maltodextrin matrix. Algidex Ag provides immediate and extended release of active ionic silver for broad antimicrobial effectiveness and helps to prevent contamination from external bacteria. Algidex Ag decreases surface wound contaminates, decreases wound odor, and creates a moist environment conducive to healing. The maltodextrin creates an environment that helps the body’s own cells to carry out the tasks of granulation tissue formation while eliminating wound odor.
Indications
Dermanet Ag+ can be used on infected and non-infected wounds, including dermal ulcers (e.g., leg ulcers, pressure ulcers), diabetic ulcers, abdominal wounds, superficial wounds, lacerations, cuts, abrasions, donor sites, and burn wounds. The unique formulation can be used on dry, moist, or wet wounds.
Contraindications
Not for use on third-degree burns
Not for use on ulcers resulting from infections
Stay updated, free articles. Join our Telegram channel
Full access? Get Clinical Tree
