Pressure Ulcer Prevention in the Hospital Setting Using Silicone Foam Dressings

Bao Truong, Eileen Grigson, Maulik Patel, Xinwei Liu, Bao Truong, Eileen Grigson, Maulik Patel, Xinwei Liu

Abstract

Patient care is of the utmost importance in the hospital setting. Bedrest and immobility during hospitalization, especially in the surgical and intensive care setting, place the patient at high risk for pressure ulcers. It is very important to prevent or notice a pressure ulcer forming due to the significant health care costs involved and patient health associated with them. Various measures are in place to prevent patients from getting pressure ulcers, but a newer material, silicone foam dressings, has been introduced as an alternative solution for the prevention of these ulcers. We review the current literature to examine whether the standard protocol or silicone material is superior to the prevention of pressure ulcer formation. We conclude that silicone foam dressings, when used as prophylactic treatment, seems very promising and may even be superior to the standard care of prevention. However, there were limitations to some studies and further research is needed to confirm the role of silicone foam dressings.

Keywords: decubitus ulcer; hospital acquired infection; pressure sores; pressure ulcers; preventive medicine; silicone dressings.

Conflict of interest statement

A research grant and supply of dressings was provided by a Mepilex® supplier in one of the studies cited within this article.

References

    1. US Medicare data show incidence of hospital-acquired pressure ulcers is 4.5%, and they are associated with longer hospital stay and higher risk of death. Moore Z. Evid Based Nurs. 2013;16:118–119.
    1. An economic analysis of repositioning for the prevention of pressure ulcers. Moore Z, Cowman S, Posnett J. J Clin Nurs. 2013;22:2354–2360.
    1. Pressure ulcers: what clinicians need to know. Wake WT. Perm J. 2010;14:56–60.
    1. Prophylactic dressing application to reduce pressure ulcer formation in cardiac surgery patients. Brindle CT, Wegelin JA. J Wound Ostomy Continence Nurs. 2012;39:133–142.
    1. An economic evaluation of four skin damage prevention regimens in nursing home residents with incontinence: economics of skin damage prevention. Bliss DZ, Zehrer C, Savik K, Smith G, Hedblom E. J Wound Ostomy Continence Nurs. 2007;34:143–152.
    1. Preventing pressure sores of the nasal ala after nasotracheal tube intubation: from animal model to clinical application. Huang TT, Tseng CE, Lee TM, Yeh JY, Lai YY. J Oral Maxillofac Surg. 2009;67:543–551.
    1. Mepilex® Ag: an antimicrobial, absorbent foam dressing with Safetac® technology. Barrett S. Br J Nurs. 2009;18:S28, S30-6.
    1. Cost-effectiveness analysis in comparing alginate silver dressing with silver zinc sulfadiazine cream in the treatment of pressure ulcers. Chuangsuwanich A, Chortrakarnkij P, Kangwanpoom J. Arch Plast Surg. 2013;40:589–596.
    1. Use of polyurethane foam inside plaster casts to prevent the onset of heel sores in the population at risk. A controlled clinical study. Forni C, Loro L, Tremosini M, Mini S, Pignotti E, Bigoni O, Guzzo G, Bellini L, Trofa C, Di Cataldo AM, Guzzi M. J Clin Nurs. 2011;20:675–680.
    1. The incidence of pressure ulcers in surgical patients of the last 5 years: a systematic review. Chen HL, Chen XY, Wu J. . Wounds. 2012;24:234–241.
    1. Reduction of sacral pressure ulcers in the intensive care unit using a silicone border foam dressing. Chaiken N. . J Wound Ostomy Continence Nurs. 2012;39:143–145.
    1. A randomised controlled trial of the effectiveness of soft silicone multi-layered foam dressings in the prevention of sacral and heel pressure ulcers in trauma and critically ill patients: the border trial. Santamaria N, Gerdtz M, Sage S, McCann J, Freeman A, Vassiliou T, De Vincentis S, Ng AW, Manias E, Liu W, Knott J. Int Wound J. 2015;12:302–308.

Source: PubMed

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