DACC Technology to Manage Traumatic Wounds

DACC Technology to Manage Traumatic Wounds

Introduction:   This case study discusses three wounds as a result of one motorcycle accident involving two patients.   Necrotic tissue and bioburden are challenges that affect wound healing outcomes. The goal of this case series is to evaluate the DACC technology to facilitate the removal of necrotic tissue, manage the bioburden, and improve healing times in three acute traumatic wounds while in different healthcare settings.

Method:  DACC (dialkylcarbamoyal chloride) is a fatty acid derivative that binds irreversibly with bacteria, renders them inert and unable to replicate through a physical mode of action called hydrophobicity.  Bacteria are naturally hydrophobic and are bound to other hydrophobic substances.  This allows the entrapment of the bacteria in the DACC coated dressing allowing the removal of the bacteria with each dressing change.  The DACC technology dressings used in this case series is an absorbent hydropolymer gel border dressing that facilitates autolytic debridement and changed every 3-4 days.

Results:  One wound was a left knee blunt force trauma that began as a blood filled blister that developed necrotic tissue.  One wound was a full thickness burn sustained from the tailpipe of the motorcycle against the leg.  Wound three was a traumatic full thickness left medial calf wound sustained from dragging on the asphalt.  All wounds showed improvement with the use of the DACC hydropolymer dressings to facilitate debridement and reduction of bioburden.  The DACC hydropolymer dressings proved to be easy to use, decreased pain with dressing changes and improved the healing of all wounds.

Conclusion:  DACC hydropolymer dressings were clinically effective in three traumatic wounds in removal of necrotic tissue, reduction of bioburden (as evidenced in reduction of wound exudate and improvement in healthy granulation tissue), and preventing infection and improved healing outcomes.