To evaluate the clinical performance, healing rates, and autolytic debridement effects of polyurethane foam dressings (PFD) on various wound types.

Clinical Problem

Numerous wound-care products are currently available and it is critically important to test their efficacy. The purpose of this study is to determine if PFD, currently used in our clinics, adequately promotes healing and if patients like them.

Methodology

Ulcers will be assessed at initial visit and at twelve subsequent, dressing-change visits or until subject wounds heal. The average number of days between dressing changes is currently about 3.5 (range: 2-7). The wound will be examined for size and appearance, skin state around the wound, odor level, exudate level, and clinical-infection signs. Wound pictures will be taken. The following dressing information will be gathered: reason for dressing change, days worn, subject's comfort level, pain on removal, absorbency, conformity, ease of application. After these assessments, the wound will be cleaned and PFD or other dressing will be applied.

Results

Since this is an on-going study, data is continually being collected. Details will be provided concerning subject outcomes, including complete data sets. Brief conclusions will be drawn about dressing effectiveness to date.

To date, PFD has performed well. The wounds have shown an increase in epithelium, a decrease in slough, and size reduction or complete healing. The overall average reduction per day was >0.4 cm2. The dressings have shown ease in use, good absorbency, and have remained comfortable for subjects.

Conclusion

Polyurethane foam dressings absorb excess exudate while maintaining moisture, facilitate autolytic debridement and healing, and maintain high patient satisfaction.