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Occlusive Dressing

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1. Chronic wounds: advanced wound dressings and antimicrobial dressings

-adherent dressings and high compression multicomponent bandaging should be used for treating venous leg ulcers. Silver and honey dressings should not be used routinely. Graduated compression hosiery is recommended to prevent recurrence of venous leg ulcers. The evidence that the SIGN recommendations were based on is updated by the evidence outlined below. Three Cochrane reviews have considered wound dressings for healing venous leg ulcers. The first review (O'Meara et al. 2015) (5 RCTs, n=295) found (...) additional absorbent materials, whereas others are silicone-coated for non-traumatic removal. Hy Hydrocolloid dressings drocolloid dressings, which are occlusive and usually composed of a hydrocolloid matrix bonded onto a vapour-permeable film or foam backing. This matrix forms a gel that provides a moist environment when in contact with the wound surface. Hy Hydrofibre drofibre alternatives have been developed that resemble alginates, are not occlusive and are more absorbent than standard hydrocolloid

2016 National Institute for Health and Clinical Excellence - Advice

2. Total Occlusive Ionic Silver-Containing Dressing vs Mupirocin Ointment Application vs Conventional Dressing in Elective Colorectal Surgery: Effect on Incisional Surgical Site Infection (Abstract)

Total Occlusive Ionic Silver-Containing Dressing vs Mupirocin Ointment Application vs Conventional Dressing in Elective Colorectal Surgery: Effect on Incisional Surgical Site Infection Several pre- and intraoperative factors have been associated with incisional surgical site infection (SSI), but little is known about the influence of postoperative wound care and especially, the use of different dressings on incisional SSI. The aim of this study was to compare 3 methods of wound dressings (...) (conventional dressing, silver-containing dressing, and mupirocin ointment dressing) for their ability to prevent SSI, as measured by SSI rates, in patients with colorectal cancer undergoing elective open surgery.A prospective, randomized study was performed. Inclusion criteria were diagnosis of colorectal neoplasms and plans to undergo elective surgery with curative aims. Patients were randomized using a 1:1:1 allocation into 3 groups: patients receiving an ionic silver-containing dressing (ISD) (group 1

2015 EvidenceUpdates Controlled trial quality: uncertain

3. A comparison of the effectiveness of occlusive versus non-occlusive dressings on skin tear healing: a systematic review protocol

A comparison of the effectiveness of occlusive versus non-occlusive dressings on skin tear healing: a systematic review protocol Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne

2018 PROSPERO

4. Preventing Surgical Site Infection by Using Prophylactic Occlusive Ionic Silver-containing Dressing

Preventing Surgical Site Infection by Using Prophylactic Occlusive Ionic Silver-containing Dressing Preventing Surgical Site Infection by Using Prophylactic Occlusive Ionic Silver-containing Dressing - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please (...) remove one or more studies before adding more. Preventing Surgical Site Infection by Using Prophylactic Occlusive Ionic Silver-containing Dressing The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03380169 Recruitment Status

2017 Clinical Trials

5. A comparison between occlusive and exposure dressing in the management of burn wound. (Abstract)

A comparison between occlusive and exposure dressing in the management of burn wound. Two types of dressing, occlusive and exposure dressing, are commonly used in burn units. A dressing is said to be occlusive if a moist wound surface is maintained when the dressing is in place. This study was designed to compare the effectiveness of occlusive and exposure dressing in controlling burn infections.Two hundred patients with second-degree burns admitted to Mottahari Hospital, Tehran, Iran, over (...) a period of 12 months from May 2012 to May 2013 were studied. They were divided into two groups of 100 each, to receive either occlusive or exposure dressing. During the first week of treatment, wound specimens were obtained by sterile swab and cultured in selective media. Demographics (age and gender), burn areas, cause of burn, length of hospital stay (LOS), type of infections and time to total healing were compared between the two groups.Occlusive dressing was more susceptible to microbial

2017 Burns : journal of the International Society for Burn Injuries Controlled trial quality: uncertain

6. V-Y Flap Versus Occlusive Dressing in Treating Fingertip Injuries With Exposed Bone

V-Y Flap Versus Occlusive Dressing in Treating Fingertip Injuries With Exposed Bone V-Y Flap Versus Occlusive Dressing in Treating Fingertip Injuries With Exposed Bone - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before (...) adding more. V-Y Flap Versus Occlusive Dressing in Treating Fingertip Injuries With Exposed Bone The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03193983 Recruitment Status : Recruiting First Posted : June 21, 2017 Last

2017 Clinical Trials

7. Assessing the effectiveness of dialkylcarbamoylchloride (DACC)-coated post-operative dressings versus standard care in the prevention of surgical site infection in clean or clean-contaminated, vascular surgery (the DRESSINg trial): study protocol for a pi Full Text available with Trip Pro

occlusive absorbent post-operative dressing. All other aspects of their peri-operative care will be standardised or carried out in line with hospital policy. Wound assessments will be carried out between day 5-7, day 30 (± 3 days) and 6 months post-operatively (± 7 days) by a blinded assessor using the ASEPSIS scoring tool. Quality of life data using EQ-5D and SF-36, resource use and mortality data will also be collected. This feasibility trial will dictate the conduct of a full-scale trial through (...) Assessing the effectiveness of dialkylcarbamoylchloride (DACC)-coated post-operative dressings versus standard care in the prevention of surgical site infection in clean or clean-contaminated, vascular surgery (the DRESSINg trial): study protocol for a pi Surgical site infection in vascular surgery has a reported incidence of up to 19%. A novel method of reducing this rate of infection is dressings coated with dialkylcarbamoylchloride (DACC), a hydrophobic wound contact layer that binds

2019 Pilot and feasibility studies Controlled trial quality: uncertain

8. Occlusive Dressing

Occlusive Dressing Occlusive Dressing Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Occlusive Dressing Occlusive Dressing Aka (...) : Occlusive Dressing , Occlusion From Related Chapters II. Indications Increased potency of topical medication May be used in combination with all s III. Contraindications Avoid use on face Avoid use in intertriginous areas (risk of maceration and ) IV. Adverse Effects Skin maceration Rapidly spreading infection V. Mechanism Increases topical medication (e.g. ) penetration into skin Increases potency of topical medication VI. Preparations Simple plastic wrap (from kitchen) Steroid impregnated dressing

2018 FP Notebook

9. Oxyzyme and Iodozyme 2-layer hydrogel wound dressings with iodine for treating chronic wounds

are similar to those for other wound dressings. Current NHS options Current NHS options Choosing the appropriate wound dressing is only part of providing effective wound care for patients with chronic wounds. It is also important to address the underlying causes of the original wound, ensuring patient well-being and quality of life. Additional strategies may include effective compression bandaging for venous leg ulcers, revascularisation, treating existing infection, pressure redistribution for pressure (...) (Kerr 2007a) it was noted at the 3-week assessment that the dressing had been incorrectly applied, with the primary dressing applied on top of the secondary dressing. In another case report (Kerr 2007b) it was noted that an occlusive secondary dressing had been used instead of an air-permeable dressing as specified in the manufacturer's instructions for use. Randomised controlled trial Randomised controlled trial Moffatt et al. 2014: Oxyzyme and Iodozyme Moffatt et al. 2014: Oxyzyme and Iodozyme

2014 National Institute for Health and Clinical Excellence - Advice

10. An Assistive Technology System that Provides Personalized Dressing Support for People Living with Dementia: Capability Study Full Text available with Trip Pro

, incorrectly identifying only 5 of 22 cases. Further analyses identified opportunities to improve the DRESS prototype's reliability, including increasing the size of markers, minimizing garment folding or occlusions, and optimal positioning of participants with respect to the DRESS prototype.This study demonstrates the ability to detect clothing orientation and position and infer current state of dressing using a combination of sensors, intelligent software, and barcode tracking. With improvements (...) An Assistive Technology System that Provides Personalized Dressing Support for People Living with Dementia: Capability Study Individuals living with advancing stages of dementia (persons with dementia, PWDs) or other cognitive disorders do not have the luxury of remembering how to perform basic day-to-day activities, which in turn makes them increasingly dependent on the assistance of caregivers. Dressing is one of the most common and stressful activities provided by caregivers because of its

2018 JMIR medical informatics

11. Dressings and securements for the prevention of peripheral intravenous catheter failure in adults (SAVE): a pragmatic, randomised controlled, superiority trial. Full Text available with Trip Pro

dressing (control). Randomisation was concealed before allocation. Patients, clinicians, and research staff were not masked because of the nature of the intervention, but infections were adjudicated by a physician who was masked to treatment allocation. The primary outcome was all-cause PIVC failure (as a composite of complete dislodgement, occlusion, phlebitis, and infection [primary bloodstream infection or local infection]). Analysis was by modified intention to treat. This trial is registered (...) Dressings and securements for the prevention of peripheral intravenous catheter failure in adults (SAVE): a pragmatic, randomised controlled, superiority trial. Two billion peripheral intravenous catheters (PIVCs) are used globally each year, but optimal dressing and securement methods are not well established. We aimed to compare the efficacy and costs of three alternative approaches to standard non-bordered polyurethane dressings.We did a pragmatic, randomised controlled, parallel-group

2018 Lancet Controlled trial quality: predicted high

12. Occlusive bandaging of wounds with decreased circulation promotes growth of anaerobic bacteria and necrosis: case report Full Text available with Trip Pro

Occlusive bandaging of wounds with decreased circulation promotes growth of anaerobic bacteria and necrosis: case report Topical occlusive/semi-occlusive dressings that induce a damp and trapped environment are widely used in wound treatment. Subjecting the wound with impaired circulation to such trapped/air-free environment potentiates the growth of anaerobic bacteria and risk for serious infection.We present a case of previously healthy Swedish male that had a muscle contusion after heavy (...) trauma that induced impaired circulation. The application of an occlusive bandage to the post-traumatic wound on the patient resulted in a poly-microbial anaerobic infection and necrosis. These complications were treated successfully with antibiotics and open dressing of the wound.The pathophysiology of difficult- to- treat ulcers should be reviewed by the physician and occlusive dressing should be avoided when treating wounds with impaired circulation.

2016 BMC research notes

13. Clinical and economic benefit of enzymatic debridement of pressure ulcers compared to autolytic debridement with a hydrogel dressing Full Text available with Trip Pro

enzymatic debridement was compared with hydrogel autolytic debridement. All dressings were changed daily and covered with a standard semi-occlusive dressing. Location/setting USA/residential care (nursing home). Methods Analytical approach: The cost-effectiveness analysis was based on one clinical study. A three-state Markov model was used to capture the dynamic nature of wound healing and to project the clinical outcomes beyond the end of the trial, assuming constant transition rates. The time horizon (...) with stage three or four pressure ulcers that had 85% or more of necrotic non-viable tissue. Two investigators, who were blind to allocation, measured the outcomes. Monetary benefit and utility valuations: Not relevant. Measure of benefit: The measure of benefit was the number of epithelialised days, which was the expected number of days that the wound was closed, over one year. Cost data: The analysis included the costs of nursing time, collagenase ointment, hydrogel dressing, secondary semi-occlusive

2014 NHS Economic Evaluation Database.

14. A Transparent Elasticized Adhesive Occlusive Compression Bandage for Use as an Arterial Tourniquet

A Transparent Elasticized Adhesive Occlusive Compression Bandage for Use as an Arterial Tourniquet A Transparent Elasticized Adhesive Occlusive Compression Bandage for Use as an Arterial Tourniquet - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove (...) one or more studies before adding more. A Transparent Elasticized Adhesive Occlusive Compression Bandage for Use as an Arterial Tourniquet The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02592655 Recruitment Status : Completed First Posted : October 30, 2015 Results First Posted : August 24, 2017

2015 Clinical Trials

15. Chitosan-based biocompatible dressing for treatment of recalcitrant lesions of cutaneous leishmaniasis: A pilot clinical study. Full Text available with Trip Pro

Chitosan-based biocompatible dressing for treatment of recalcitrant lesions of cutaneous leishmaniasis: A pilot clinical study. Chitosan has a biocompatible, biodegradable and nontoxic nature. The effectiveness of nano-chitosan films in the treatment of cutaneous leishmaniasis has been confirmed previously in susceptible laboratory animals.The aim of this study is to evaluate the safety and efficacy of a chitosan-based biocompatible dressing in patients with cutaneous leishmaniasis who were (...) either nonresponsive to or had medical contraindications for conventional treatments.A total of 10 eligible patients were included in this single arm, single center study. The sterile chitosan film was immersed in saline serum and was cautiously extended over the wound to avoid air occlusion. Sterile Vaseline gauze was then applied and the film was kept on the wound site for 7 days and was repeated every week until the healing was completed. Complete clinical response was defined as complete re

2019 Indian journal of dermatology, venereology and leprology Controlled trial quality: uncertain

16. Randomized Controlled Trial to Reduce Bacterial Colonization of Surgical Drains with the Use of Chlorhexidine-Coated Dressings After Breast Cancer Surgery. (Abstract)

findings demonstrated that the use of antiseptics at the drain exit site significantly reduced bacterial colonization of the closed drainage system in breast cancer surgery. Semi-permeable occlusive chlorhexidine-impregnated dressings provide an opportunity to test simple, safe, and low-cost interventions that may reduce drain bacterial colonization and SSI after breast surgery. (...) Randomized Controlled Trial to Reduce Bacterial Colonization of Surgical Drains with the Use of Chlorhexidine-Coated Dressings After Breast Cancer Surgery. Breast surgery is considered a clean surgery. However, surgical-site infection (SSI) rates are currently higher than predicted. Postoperative drains remain in situ for several days, with inevitable bacterial colonization and increased SSI risk.This randomized controlled trial from October 2016 to January 2018 analyzed patients undergoing

2019 Annals of Surgical Oncology Controlled trial quality: uncertain

17. A Comparison of Three Dressing Methods for Pilonidal Sinus Surgery Wound Healing. (Abstract)

A Comparison of Three Dressing Methods for Pilonidal Sinus Surgery Wound Healing. To evaluate the effect of different dressing methods on the wound healing process after pilonidal sinus surgery.In this clinical trial, 60 patients undergoing pilonidal sinus surgery were randomly assigned to one of three groups. In the first group, hydrogel or alginate and hydrocolloid compounds were used as a standard occlusive dressing method. A modified dressing method was used for the second group, in which (...) transparent hydrocolloid films were replaced by Vaseline gauze. The third group was treated using gauze swabs soaked in normal saline. The length and depth of the studied wounds were recorded once a week for a month. During dressing changes, patient pain was recorded using an 11-point numeric rating scale. The collected data were analyzed by descriptive and inferential statistical methods.There was a significant reduction in wound length after 2 weeks in all three groups (P < .05), and the pain

2019 Advances in skin & wound care Controlled trial quality: uncertain

18. A Comparison of Dressing Techniques for Presurgical Closure of Myelomeningocele in the Neonate. (Abstract)

A Comparison of Dressing Techniques for Presurgical Closure of Myelomeningocele in the Neonate. Myelomeningoceles are routinely closed surgically within 24 to 48 hours after birth; the defect and exposed placode must be protected from further damage from excoriation and contamination until surgery.Two methods to keep the defect moist and clean are used at our large Midwestern children's hospital: the occlusive and the drip. There was no agreement between the neonatal and neurosurgical teams (...) as to which technique was superior, hence the need for a formal evaluation.A prospective, randomized trial was conducted to compare the ease of nursing care, cost of supplies, neonatal temperature, and moisture of the placode at the time of closure in neonates with a myelomeningocele.Nurses categorized the occlusive group as easy care (100%) compared with 60% for the drip group, although the difference was not statistically significant (P = .18). The mean temperatures of the 2 groups before surgery were

2019 The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Controlled trial quality: uncertain

19. Silver-Impregnated Occlusive Dressing Reduces Rates of Acute Periprosthetic Joint Infection After Total Joint Arthroplasty. (Abstract)

Silver-Impregnated Occlusive Dressing Reduces Rates of Acute Periprosthetic Joint Infection After Total Joint Arthroplasty. Commercial silver-impregnated occlusive dressings (such as AQUACEL® Ag SURGICAL Cover Dressing) have been touted as antimicrobial dressings to be used following total joint arthroplasty. Given the increased cost of an AQUACEL® Ag SURGICAL Cover Dressing over a standard dressing for total joint arthroplasty, the objective of this study was to determine whether AQUACEL® Ag (...) factor with an odds ratio of 0.092 (95% confidence interval, 0.017-0.490; P = .005).This 4-fold decrease in acute PJI with the use of AQUACEL® Ag SURGICAL Cover Dressing supports the use of silver-impregnated occlusive dressings for the reduction of acute PJI.Copyright © 2016 Elsevier Inc. All rights reserved.

2016 Journal of Arthroplasty

20. A Randomized, Single-Blind Trial of Clobetasol Propionate 0.05% Cream Under Silicone Dressing Occlusion Versus Intra-Lesional Triamcinolone for Treatment of Keloid. (Abstract)

A Randomized, Single-Blind Trial of Clobetasol Propionate 0.05% Cream Under Silicone Dressing Occlusion Versus Intra-Lesional Triamcinolone for Treatment of Keloid. Keloid is conventionally treated with intra-lesional (IL) triamcinolone, which is highly operator dependent and has its own adverse effects. Topical steroid and silicone dressings are a patient friendly and non-invasive treatment alternative. We therefore sought to determine the efficacy and safety of topical clobetasol propionate (...) (Dermovate®) 0.05% cream under occlusion with Mepiform® silicone dressing compared to IL triamcinolone in the treatment of keloid.This was a prospective, randomised, observer-blinded study. Two keloids on the same site were randomly assigned to receive either daily topical clobetasol propionate 0.05% cream under occlusion with silicone dressing (Scar 1) or monthly IL triamcinolone injection (Scar 2). Efficacy was assessed using patient and observer scar assessment scale (POSAS) at 4-weekly intervals up

2016 Clinical drug investigation Controlled trial quality: uncertain

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