Table 8.

Second line bioactive dressings

Dressing	Brand names	Indications
Cadexomer iodine	Lodosorb	Venous leg ulcers, foot ulcers, and diabetic foot ulcers. Contraindicated in patients sensitive to iodine products or any thyroid pathology
Capillary wicking	Vacutex	Heavily exudating and infected wounds. Contraindicated in low exudating wounds within close proximity to blood vessels
Honey	Medihoney	May be useful in management of sloughy and septic wounds
Hydrofibre	Aquacel, Aquacel Ag	Heavily exudating wounds such as dehisced abdominal or pelvic wounds, chronic leg ulcers and infected wounds. Dressing frequency may be reduced depending on level of exudate
Hypertonic saline	Curasalt, Hypergel	Moist, necrotic, exudating infected wounds. May be effective in decreasing hypergranulation tissue
Interactive wet Silicone	TenderWet	Infected, sloughy and diabetic wounds
Silver	Acticoat, Actiocoat Absorbent	Wounds with high microbial burden and moderate to high exudates. Useful in partial and full thickness wounds (burns, donor sites) and for complementary use in infected or contaminated partial thickness wounds
Zinc paste	Flexidress, Gelopast	Chronic venous leg ulcers, particularly where venous eczema is present and when used in conjunction with appropriate compression bandaging