Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 5 Issue 10

The Effect of Polyvinyl Alcohol Antimicrobial Foam Dressing with Two Organic Pigments vs. Silver Antimicrobial Foam on Exuding Venous Ulcerations: A Comparative Pilot Study

Isaac Matthias Buhagiar1, Alfred Gatt2, Nikolaos Papanas3, Andrew Scicluna1 Claudine Farrugia1 and Cynthia Formosa2*

1Department of Health, Malta

2Faculty of Health Sciences, University of Malta, Malta

3Diabetes Centre-Diabetic Foot Clinic, Second Department of Internal Medicine, Democritus University of Thrace, University Hospital of Alexandroupolis, Greece

*Corresponding Author: Cynthia Formosa, Faculty of Health Sciences, University of Malta, Malta.

Received: August 18, 2022; Published:

Abstract

Background: Treatment of venous ulcers often includes incorporation of dressings, for reduction of bio-load. Evidence is lacking with regards to which dressing is ideal for healing chronic venous wounds. This study aimed to compare the healing effect of polyvinyl alcohol (PVA) antimicrobial foam dressing impregnated with two organic pigments (gentian violet and methylene blue) vs. silver antimicrobial foam dressing.

Research Design and Method: A quasi-experimental study was conducted. 28 participants were divided into two groups and treated with one of the antimicrobial foams. Patients reviewed weekly for 3 weeks. Wound healing was assessed using the Bates-Jensen Wound Assessment Tool.

Results: Over a period of 3weeks, both the PVA antimicrobial foam with two organic pigments and the silver antimicrobial foam dressings were effective in reducing mean BJWAT scores and wound healing (p < 0.001). The former was significantly better at week 1 (p = 0.001) and 2 (p = 0.014) but not at week 3 (p = 0.881).

Conclusion: PVA antimicrobial foam with two organic pigments showed some superiority over silver antimicrobial foam dressings in chronic venous ulcers. This should be considered when treating chronic venous ulcerations since the rate of healing was greater despite the extreme severity of ulcers at the start of the study.

Keywords: Venous Ulcerations; Wound Dressings; Wound Healing; Chronic Venous Insufficiency

References

  1. Attaran RR. “Latest Innovations in the Treatment of Venous Disease”. Journal of Clinical Medicine 4 (2018): 77.
  2. Lim CS., et al. “Diagnosis and Management of Venous Leg Ulcers”. BMJ 362 (2018): k3115.
  3. Bruhen A and Metzger J. “Principles of Wound Treatment. Therapeutische Umschau”. Revue Therapeutique 9 (2007): 473-483.
  4. Hilton JR., et al. “Wound dressings in diabetic foot disease”. Clinical Infectious Diseases 2 (2004): S100-S103.
  5. Wu SC., et al. “Wound care: the role of advanced wound-healing technologies”. Journal of Vascular Surgery 3 (2010): 59S-66S.
  6. Elder S., et al. “Local Care of Diabetic Foot Ulcers: Assessment, Dressings, and Topical Treatments”. In: Veves A, ed. Contemporary Diabetes. Philadelphia, PA: Springer Science + Buisness Media LLC (2012): 289-306.
  7. Demirtas Y., et al. “Management of split-thickness skin graft donor site: a prospective clinical trial for comparison of five different dressing materials”. Burns7 (2010): 999-1005.
  8. O’Maera S., et al. “Foam dressings for venous leg ulcers”. Cochrane Database Systematic Review 5 (2013):
  9. Conwell P., et al. “A Comparison of Two Antimicrobial Dressings: A randomized prospective trial comparing a PVA foam with two organic pigments to a silver-based wound dressing”. Hollister Wound Care (2016).
  10. Edwards H., et al. “A randomised controlled trial of a community nursing intervention: improved quality of life and healing for clients with chronic leg ulcers”. Journal of Clinical Nursing (2009): 1541-1549.
  11. Orchard TJ and Strandness DE. “Assessment of peripheral vascular disease in diabetes. Report and recommendation of an international workshop sponsored by the American Diabetes Association and the American Heart Association September 18-20, 1992 New Orleans, Louisiana”. Circulation 88 (1993): 819-828.
  12. Foltynski P., et al. “Wound Area Measurement with Digital Planimetry: Improved Accuracy and Precision with Calibration Based on 2 Rulers”. PLoS One8 (2015): e0134622.
  13. Gethin G and Cowman S. “Wound measurement comparing the use of acetate tracings and Visitrak digital planimetry”. Journal of Clinical Nursing 4 (2006): 422-427.
  14. Little C., et al. “An overview of techniques used to measure wound area and volume”. JWC 6.
  15. Plassmann P., et al. “Methods of measuring wound size: a comparative study”. Ostomy Wound Manage7 (1994): 50-60.
  16. Mullins M., et al. “Monitoring pressure ulcer healing in persons with disabilities”. Rehabilitation Nursing 3 (2005): 92-99.
  17. Garten AJ. “Assessing And Monitoring Wound Progression with The Bates-Jensen Wound Assessment Tool”. Podiatry Today (2017).
  18. Harris C., et al. “Bates-Jensen wound assessment tool: pictorial guide validation project”. Journal of Wound Ostomy and Continence Nursing 3 (2010): 253-259.
  19. Sheehan P., et al. “Percent change in wound area of diabetic foot ulcers over a 4-week period is a robust predictor of complete healing in a 12-week prospective trial”. Diabetes Care6 (2003): 1879-1882.

Citation

Citation: Cynthia Formosa., et al. “The Effect of Polyvinyl Alcohol Antimicrobial Foam Dressing with Two Organic Pigments vs. Silver Antimicrobial Foam on Exuding Venous Ulcerations: A Comparative Pilot Study".Acta Scientific Orthopaedics 5.10 (2022): 00-00.

Copyright

Copyright: © 2022 Cynthia Formosa., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days

Indexed In



News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is May 30, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US