Journal articlesA case series evaluating the use of a gelling fibre dressing for moderate to highly exuding wounds

A case series evaluating the use of a gelling fibre dressing for moderate to highly exuding wounds

15/09/17 | Exudate Management, Products | Nia Jones, Nicola Ivins, Vicky Ebdon, Susan Hagelstein, Keith Harding

Maintaining a moist environment plays an important role in promoting wound healing, however, achieving the right moisture balance in moderate to highly exuding wounds can be a clinical challenge. Complications arising from poor exudate management can often lead to delayed wound healing and subsequent trauma to the surrounding skin (White, 2009). KerraCelTM is a new generation of gelling fibre dressing that maintains a moist wound environment on contact with moderate to high levels of exudate. The objective of this case series was to evaluate the clinical performance and patient acceptability of KerraCel dressings. Twenty patients from a specialised wound clinic in the South Wales area were recruited, all presenting with moderate to heavily exuding wounds of various aetiology. Objective measures, including wound tracings and photographs, were obtained at baseline and recorded once a week over the 4-week evaluation period. Patients were provided with best practice standard therapy. The wound-healing trajectory over the study period demonstrated a decrease in mean wound surface area (29.3 cm2 versus 21.9 cm2) as well as an increase in mean percentage of granulation tissue at wound base of 68% at the end of the study. Exudate levels reduced in 14 out of the 19 (75%) patients who completed the study. Only 2 (1%) patients developed evidence of periwound maceration, which was unrelated to an increase in exudate or clinical features of infection. These findings suggest that KerraCel dressings are effective at maintaining a moist wound-healing environment, whilst reducing the risk of complications to the surrounding skin associated with poor exudate management.