TY - JOUR
T1 - The silver-releasing foam dressing, Contreet Foam, promotes faster healing of critically colonised venous leg ulcers
T2 - A randomised, controlled trial
AU - Jørgensen, Bo
AU - Price, Patricia
AU - Andersen, Klaus E.
AU - Gottrup, Finn
AU - Bech-Thomsen, Niels
AU - Scanlon, Elizabeth
AU - Kirsner, Robert
AU - Rheinen, Henriette
AU - Roed-Petersen, Jytte
AU - Romanelli, Marco
AU - Jemec, Gregor
AU - Leaper, David J.
AU - Neumann, Martino Ha
AU - Veraart, Joep
AU - Coerper, Stefan
AU - Agerslev, Rikke H.
AU - Bendz, Susanne H.
AU - Larsen, Jan R.
AU - Sibbald, R. Gary
PY - 2005/3
Y1 - 2005/3
N2 - The study compared the effect of a sustained silver-release foam dressing (Contreet Foam) with a foam dressing (Allevyn Hydrocellular) without added silver in critically colonised venous leg ulcers with delayed healing. The study was a multicentre, open, randomised, controlled study lasting for 4 weeks. Ulcer area and healing were assessed weekly. Odour, maceration, absorption capacity and leakage were evaluated at dressing changes. All adverse events were recorded. One hundred and twenty-nine patients were included (Contreet Foam: 65, Allevyn Hydrocellular: 64). The two groups were comparable in all respects. After 4 weeks, there was a significantly greater reduction in ulcer area in the Contreet Foam group (45%) than in the Allevyn Hydrocellular group (25%). After 1 and 4 weeks, odour was present in significantly less of the ulcers in the Contreet Foam group (17% and 19%, respectively) compared with the Allevyn Hydrocellular group (47% and 39%, respectively) and at the final visit there were significantly fewer leakages in the Contreet Foam group (19%) compared with the Allevyn Hydrocellular group (49%). Also, less maceration was observed after 1 and 4 weeks in the Contreet Foam group (34% and 37%, respectively) compared with the Allevyn Hydrocellular group (55% and 48%, respectively). The occurrence and cause of adverse events were equally distributed between the study groups. The present study provides evidence of the superior performance of the silver-releasing dressing, Contreet Foam, compared with a traditional moist foam wound healing dressing in the treatment of critically colonised, chronic venous leg ulcers. The results of this randomised, controlled study suggest an important role of sustained silver-releasing dressings in the treatment of critically colonised chronic wounds.
AB - The study compared the effect of a sustained silver-release foam dressing (Contreet Foam) with a foam dressing (Allevyn Hydrocellular) without added silver in critically colonised venous leg ulcers with delayed healing. The study was a multicentre, open, randomised, controlled study lasting for 4 weeks. Ulcer area and healing were assessed weekly. Odour, maceration, absorption capacity and leakage were evaluated at dressing changes. All adverse events were recorded. One hundred and twenty-nine patients were included (Contreet Foam: 65, Allevyn Hydrocellular: 64). The two groups were comparable in all respects. After 4 weeks, there was a significantly greater reduction in ulcer area in the Contreet Foam group (45%) than in the Allevyn Hydrocellular group (25%). After 1 and 4 weeks, odour was present in significantly less of the ulcers in the Contreet Foam group (17% and 19%, respectively) compared with the Allevyn Hydrocellular group (47% and 39%, respectively) and at the final visit there were significantly fewer leakages in the Contreet Foam group (19%) compared with the Allevyn Hydrocellular group (49%). Also, less maceration was observed after 1 and 4 weeks in the Contreet Foam group (34% and 37%, respectively) compared with the Allevyn Hydrocellular group (55% and 48%, respectively). The occurrence and cause of adverse events were equally distributed between the study groups. The present study provides evidence of the superior performance of the silver-releasing dressing, Contreet Foam, compared with a traditional moist foam wound healing dressing in the treatment of critically colonised, chronic venous leg ulcers. The results of this randomised, controlled study suggest an important role of sustained silver-releasing dressings in the treatment of critically colonised chronic wounds.
KW - Bacteria
KW - Critical colonisation
KW - Delayed healing
KW - Randomised clinical trial
KW - Silver dressing
KW - Venous leg ulcers
UR - http://www.scopus.com/inward/record.url?scp=28244465666&partnerID=8YFLogxK
U2 - 10.1111/j.1742-4801.2005.00084.x
DO - 10.1111/j.1742-4801.2005.00084.x
M3 - Article
C2 - 16722854
AN - SCOPUS:28244465666
VL - 2
SP - 40
EP - 43
JO - International Wound Journal
JF - International Wound Journal
SN - 1742-4801
IS - 1
ER -