Volume 52 - Issue 1 - January, 2006

A New Year: A Therapeutic Future for Wound Care?

Is it possible, after many years of discussion and debate, that 2006 will be remembered as the year wound care moved into the 21st century? I am not talking about the massive eradication of gauze-based dressing protocols or the worldwide adoption of fancy new treatment modalities. In order to move into the 21st century, we first must jettison the 20th century product classification that has stifled progress. To help you start this new year — the beginning of our therapeutic future — here is a brief overview of the problem and its side effects and suggestions for ways clinicians can be part



Adjuvant Dressing for Negative Pressure Wound Therapy in Burns

Wound healing is a complex process involving cell migration, debris removal, infection and inflammation control, angiogenesis, granulation tissue deposition, contraction, connective tissue matrix remodeling, and maturation.1 The advent of negative pressure wound therapy (NPWT) as delivered by the V.A.C.® Therapy System has substantially increased wound closure rates, reduced morbidity, and reduced healthcare costs for many patients.2,3

Negative pressure wound therapy has been utilized for many wounds with varied etiologies, including burns.4 The goals



Is There a Gap in Ostomy Rehabilitation?

In a healthcare environment where ostomy patients are admitted the day of surgery and discharged but a few days later, clinicians have little time to obtain a secure seal on an ostomy pouching system and teach self-care “survival skills,” let alone consider a patient’s emotional and psychological needs. When, then, if ever, are these crucial needs being addressed?

A study of body image conducted by Piwonka and Merino1 found decreased individual satisfaction with body after ostomy surgery was directly linked to increased concerns about sounds from the stoma, odor, and ap



Taking the Fear out of Research

The American Nurses Credentialing Center (ANCC) awards magnet status to fewer than 5% of all US hospitals. Institutions seeking such recognition must excel in 14 Points of Magnetism, which are measures and benchmarks for professional practice. When Alice Gordon, BSN, MA, Vice President of Clinical Operations and CNO at Billings Clinic, Billings, Mont, investigated pursuit of ANCC magnet status for her hospital, Celeste Dimon, MSN, Director of Women’s and Children’s Services, became a key player on the magnet project team. Celeste saw magnet status as a way to validate nursing excellence.



Medicare Payment System for Surgical Dressings Containing Silver

Manufacturers considering the addition of silver to their wound care dressing lines are usually surprised to learn that Medicare’s Durable Medical Equipment Regional Carrier (DMERC) Fee Schedules do not allow higher payments for surgical dressings that contain silver. Medicare explained its position by stating, “If surgical dressings are impregnated with or otherwise incorporate drugs, coding of the dressing is based on the other materials and features of the product without regard to the drug. This principle is applied to the coding of dressings containing silver. If the other material me



A Discussion of Silver as an Antimicrobial Agent: Alleviating the Confusion

Silver used as an antimicrobial agent has an impressive history. Silver (as well as copper) is used as a disinfectant in hospital and hotel water sanitization systems. It is used in the food industry in chicken farming and oyster cleaning to inhibit bacterial and fungal growth and in the space program to sterilize recycled water aboard the MIR space station and the NASA space shuttle.1 Although not employed in allopathic mainstream medicine, colloidal silver taken orally has been used as a complementary health aid, the overuse of which in some cases has lead to argyria (also referre



New Products/Industry News January 2005

Mild cleansing perineal cloth helps control odor

Coloplast Corp. Skin Health Division (Marietta, Ga) introduces the Baza Cleanse and Protect® Perineal Cloth with Odor Control, the latest addition to the Baza Cleanse and Protect product line of 3-in-1 lotions that cleanse, moisturize, and protect the skin from the effects of incontinence.

The new perineal cloth incorporates an odor-control lotion that absorbs 30% more and delivers twice as much protectant than the market-leading product.

The cloth cleanses with mild, pH-balanced, no-rinse surfactants. The cloth



Skin Care: From Skin Health to Ulcer Prevention

Skin performs a variety of functions. It is the body’s the first defense against not only infection from a variety of pathogens (eg, bacteria, viruses, fungi and yeast), but also chemicals, the sun, and other toxic substances. It regulates temperature, controls vitamin D production, and plays critical role in physical attraction and self image.1 In economic terms, more time was missed in the Vietnam war from skin disease than any other cause; in civilian life, persons with skin disease often make less money than their healthy skin equals.



Silver Deposition and Tissue Staining Associated with Wound Dressings Containing Silver

Silver has long been recognized for its broad-spectrum antimicrobial activity and compatibility with mammalian tissues. Several reviews have been written on its historical use,1,2 antimicrobial properties,3 and toxicity.4 Silver’s latest resurgence began in the mid-1960s when Moyer and colleagues5 revitalized interest in the use of silver salts and silver salt solutions in the treatment of burn patients. Consequently, silver became available in a variety of formulations — eg, as a colloidal silver suspension, a dilute salt solution (0.5% silver n



Negative Pressure Wound Therapy to Treat Peri-prosthetic Methicillin-Resistant Staphylococcus aureus Infection after Incisional

Incisional hernias frequently occur after laparotomy. Recurrence rates after primary repair range from 31% to 54%. Repairing the hernia with prosthetic mesh has lowered these recurrence rates to 2% to 10%,1 making this the treatment of choice. However, infection of the prosthetic mesh can be a great challenge to the surgeon, especially in the case of methicillin-resistant Staphylococcus aureus (MRSA) infection. The MRSA-infected patient must be isolated and special care taken to prevent the spread of infection to other patients.2 Prosthetic mesh infection rates of