Table 2.
Advantages | Disadvantages | Examples of commercially available optionsa | |
---|---|---|---|
Dressing pads | • Low cost • Antibacterial protection • Ideal for clean and dry wounds | • Requires frequent dressing change and tape to secure the pad • Changing dressing disrupts the wound bed and may be painful • Not for wounds with high exudates | Xeroform™ |
Antimicrobial dressings | • Low cost • Minimize bacterial colonization | • Cytotoxicity may cause would healing delay • Constant removal may be traumatic, disrupting the granulation tissue | Acticoat™ |
Hydrocolloid dressings | • Semi-permeable molecules swell with exudates and form a gel to protect against bacteria and moisture • Can be easily detached • Ideal for areas of great friction | • Destruction of dressing results in unpleasant color and odor often confused with infection • Not capable of absorbing big amounts of exudate | Duoderm™, Urgotul™ |
Silicon-coated nylon dressings | • Easy and atraumatic removal • Protect new tissue growth | • Not for wounds with high exudates • Sensitivity has been reported to silicone | Mepitel™ |
Hydrofiber dressings | • Moist microenvironment promotes healing | • High cost • Destruction of dressing results in unpleasant color and odor often confused with infection | Aquacel Ag™ |
Hydrogels | • Outer surface impermeable to bacteria and water • Transparent structure allows wound visualization without dressing removal • Flexible and easy to detach • Assists in autolytic debridement | • Low absorption capacity usually demands secondary dressing • Maceration can occur if exudate is abundant | IntraSite™, Nu-Gel™ |
aCommonly used wound dressings for burns according to the American Academy of Family Physicians, The American Academy of Dermatology and Burn Care & Research [7, 20, 22]