Table 4.
Overview of dressing types used in the treatment of diabetic foot infections.
Dressing type | Description | Suggestions for use |
---|---|---|
Alginates | Highly absorbent with bacteriostatic and haemostats properties. | Useful in cavitating lesions. |
Foam dressing | Moderately absorbent with thermal insulation properties. | Used in light and heavy exudative wounds. |
Hydrocolloids | Absorbent and aids rehydration and autolysis. Promotes granulation. | Useful for dry, sloughy, necrotic wounds. Avoid use on infected wounds. |
Hydrogels | Absorbent, donates liquid and aids autolysis. | Useful for dry, sloughy, necrotic wounds. Avoid in concurrent/suspected infection. |
Iodine preparations | Moderately absorbent with antiseptic properties. | Discolours wound. Avoid in case of iodine allergy, pregnancy or thyroid disease. |
Low-adherence | Minimally absorbent with hypoallergenic properties. | Standard diabetic ulcer treatment. Often use in conjunction with anti-microbials. |
Silver-impregnated | Absorbent with anti-septic properties. | Useful for infected diabetic foot ulcers. Avoid in known sensitivities to silver. |