Using Innovated Traumastem Biodress in Chronic Wounds Treatment

Kateřina Hanušová, University Hospital Hradec Králové, Emergency Department

In spring 2009, during the treatment of chronic wounds, I tested a sterile, resorbable, bioactive dressing Traumastem Biodress. I already introduced my experience with this dressing in combination with Hyiodine in the summer issue if this magazine for nurses. This combination proved successful; only a necessity of using another overlying dressing of the wound was a disadvantage. We tested several various materials but we were not a hundred percent satisfied with the result. Using the sterile square dressing, it was necessary to exchange them more often, which resulted in financial impact but also it was more work for nursing staff. Modern materials with a high absorbency did not need to be exchanged that often, however the financial demands were not acceptable. In the autumn we had an opportunity to try the new Traumastem Biodress Comfort. We started using this innovated variant of the dressing which we already had known with high expectations. Traumastem Biodress Comfort is supplied in the packaging containing 10×10 cm square of sterile, resorbable bioactive dressing, and non-adherent, highly absorbent dressing of size 16×16 cm. It is possible to cut both materials, which is very advantageous. A handling of this material is very easy, not time-consuming and, after being given thorough instruction, a family member or the patient himself can treat (rebandage) the wound. Unfortunately, it is not possible to use this dressing for infected wounds, which we see in practice very often. For the infected wounds, the product Traumastem Biodress Disinfect was developed by the producer. The packaging content is identical with Traumastem Biodress Comfort but, in addition, the absorbent dressing contains an antimicrobial substance Chlorhexidine 0,2 – 0,5 % by weight. This antiseptic kills a wide range of gram-positive and gram-negative bacteria. This results in reducing of bacterial load, cleansing the wound base and starting and accelerating the granulation and ephitalisation process. Moreover, Traumastem Biodress Disinfect reduces the wound foetor, what is well appreciated by patients. When searching for suitable dressing materials, affordability and even complications during doctor´s prescribing play an important role. Compared to the original resorbable dressing, the advantage of innovated products of Traumastem Biodress range is a minimal price increase but also no need of revision doctor´s approval. If I should generally evaluate these two new materials, the rebandages are painless for the patient, the dressing does not stick to the wound and the overall appearance of the dressing is very neat. Time saving and easy application are advantageous for the nursing staff. Surgeons appreciate affordability and minimal administrative work.
I hope that the year 2010 brings more perfect materials to our market. I wish all colleagues a lot of success and satisfaction in chronic wounds treatment.

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