Silicone dressings for pressure ulcer prevention

Nixon, Jane

doi:10.1111/bjd.19061

Cited by 6 publications

(4 citation statements)

References 6 publications

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“…A proper supportive surface can redistribute pressure at the compression site to reduce the risk of pressure injuries and damage to existing wounds . Therefore, the compression cycle properties of TWVF were tested to determine its mechanical response under repeated loads.…”

Section: Resultsmentioning

confidence: 99%

“…A proper supportive surface can redistribute pressure at the compression site to reduce the risk of pressure injuries and damage to existing wounds. 39 Therefore, the compression cycle properties of TWVF were tested to determine its mechanical response under repeated loads. Figure 6c shows that the compression cycle curve of TWVF has little change after compression for 50 cycles under 70% strain, showing good recovery (approximately 15% deformation).…”

Section: P Ghmentioning

confidence: 99%

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Composite Warp-Knitted Textile with Wet–Thermal Comfort, Support, and Antimicrobial Activity for Personal Long-Term Healthcare

Feng,

Zhang,

Xue

et al. 2024

ACS Appl. Polym. Mater.

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Moisture management materials, which can remove liquid unidirectionally, have excellent potential for long-term healthcare of bedridden patients because they can handle large amounts of body fluids caused by incontinence, sweating, etc. However, their lack of support, thermal management, and antibacterial properties limits their clinical application. Here, a threedimensional thermoplastic polyurethane/warp-knitted spacer fabric/viscose fabric (TWVF) was designed and prepared by coating and needle-punching. TWVF had asymmetrical wettability and interpenetrating fiber pin arrays, which could quickly and unidirectionally drain body fluid away from the skin to keep the skin dry and clean. Meanwhile, the low thermal conductivity of TWVF prevented excessive cooling caused by heat loss of liquid transfer (body temperature was 4.7 °C higher than that with cotton textiles). TWVF exhibited excellent permeability, a low compression modulus (0.03 MPa), and a high compression strength (0.15 MPa), providing sufficient air exchange and suitable support for the body and reducing the risk of pressure injury. Moreover, the incorporated aloin endowed TWVF with excellent antibacterial rates against Staphylococcus aureus (99.61%) and Escherichia coli (98.16%), respectively. This multifunctional textile is simple to prepare and easy to industrialize, providing a reference for the development of functional healthcare materials.

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Section: Resultsmentioning

confidence: 99%

Section: P Ghmentioning

confidence: 99%

Composite Warp-Knitted Textile with Wet–Thermal Comfort, Support, and Antimicrobial Activity for Personal Long-Term Healthcare

Feng,

Zhang,

Xue

et al. 2024

ACS Appl. Polym. Mater.

View full text Add to dashboard Cite

show abstract

“…Following the review of titles and abstracts, 95 elements were excluded. Subsequently, following a review of the full texts of the 26 remaining hits, a further 16 were excluded for the following reasons: noneligible study design,16–28 noneligible study setting,29 and noneligible study participants (Table 2). 37,38 Ten studies remained 9 RCTs3,6,10,30,31,33–36 and 1 cluster controlled trial 32.…”

Section: Resultsmentioning

confidence: 99%

The Effect of Prophylactic Silicone Dressings on the Incidence of Pressure Injuries on Patients in the Acute Care Setting

Sugrue

Avşar

Moore

et al. 2023

Journal of Wound, Ostomy &Amp; Continence Nursing

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PURPOSE:To explore the effect of silicone dressings on the prevention of pressure injuries in patients cared for in the acute care setting. Three main comparisons were explored: silicone dressing versus no dressing, all anatomical areas; silicone dressing versus no dressing on the sacrum; and silicone dressing versus no dressing on the heels. METHODS: Using a systematic review methodology, published randomized controlled trials and cluster randomized controlled trials were included. The search was conducted from December 2020 to January 2021 using CINAHL, full text on EBSCOhost, MEDLINE on EBSCOhost, and Cochrane databases. The search returned 130 studies; 10 met inclusion criteria. Data were extracted using a predesigned extraction tool. The Cochrane Collaboration tool was used to assess the risk of bias and the certainty of the evidence was appraised using a software program specifically designed for this purpose. RESULTS: Silicone dressings probably reduce the incidence of pressure injuries compared to no dressings (relative risk [RR]: 0.40, 95% confidence interval [CI]: 0.31-0.53; moderate certainty evidence). Furthermore, silicone dressings probably reduce the incidence of pressure injuries on the sacrum compared to no dressings (RR: 0.44, 95% CI: 0.31-0.62; moderate certainty evidence). Finally, silicone dressings probably reduce the incidence of pressure injuries on the heels compared to no dressings (RR: 0.44, 95% CI: 0.31-0.62; moderate certainty evidence). CONCLUSION: There is moderate certainty evidence of the effect of silicone dressings as a component of a pressure injury prevention strategy. The main limiting factor in the study designs was a high risk of performance and detection bias. Although this is a challenge to achieve in trials such as these, consideration should be given to how the effect of this could be minimized. A further issue is the lack of head-to-head trials that limits clinicians' abilities to determine whether any of the products in this category are more effective than others.

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“…Medical devices such as urinary catheters and cervical collars can also promote mechanical stress, and therefore are bioengineered to reduced pressure and shear in an effort to lower areas of concentrated mechanical stress and friction [62]. The use of silicone dressings and topical agents to prevent pressure ulcer development have some evidence in reducing overall mechanical stress on underlying tissue, but require further investigation [63,64].…”

Section: Current Therapies In Pressure Ulcer Managementmentioning

confidence: 99%

Role of microRNAs in Pressure Ulcer Immune Response, Pathogenesis, and Treatment

Niemiec

Louiselle

Liechty

et al. 2020

IJMS

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Pressure ulcers are preventable, yet highly prevalent, chronic wounds that have significant patient morbidity and high healthcare costs. Like other chronic wounds, they are characterized by impaired wound healing due to dysregulated immune processes. This review will highlight key biochemical pathways in the pathogenesis of pressure injury and how this signaling leads to impaired wound healing. This review is the first to comprehensively describe the current literature on microRNA (miRNA, miR) regulation of pressure ulcer pathophysiology.

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Silicone dressings for pressure ulcer prevention

Abstract: Linked Article: Hahnel et al. Br J Dermatol 2020; 183:256–264.

Cited by 6 publications

References 6 publications

Composite Warp-Knitted Textile with Wet–Thermal Comfort, Support, and Antimicrobial Activity for Personal Long-Term Healthcare

Composite Warp-Knitted Textile with Wet–Thermal Comfort, Support, and Antimicrobial Activity for Personal Long-Term Healthcare

The Effect of Prophylactic Silicone Dressings on the Incidence of Pressure Injuries on Patients in the Acute Care Setting

Role of microRNAs in Pressure Ulcer Immune Response, Pathogenesis, and Treatment

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