CS29 Use of MB/GV PU Foam in repair of MASD

Amy Little, MSN, RN, CWON, Inpatient Wound/Ostomy Care, Wellstar Kennestone Regional Hospital, Marietta, GA
Moisture associated skin damage (MASD) is defined as inflammation and erosion of the skin caused by prolong exposure to various sources of moisture and its contents. This can be from to stool, urine, wound exudates, saliva, perspiration and mucus1. Containing the drainage can be difficult especially if they are excessive in amounts. This prolonged exposure to exudates can lead to denuded skin, maceration and skin infection.  In this case series, as part of wound care management, we utilized MB/GV PU antibacterial foam in treating and managing periwound and peristomal MASD from mucus of an old trach site and perspiration / weeping of periwound skin under negative pressure wound therapy (NPWT). Aside from being absorptive,  MB/GV PU foam has broad spectrum antibacterial properties and can be left in place up to 7 days2. Our goal was to manage the macerated and denuded skin from drainage and continue utilization of NPWT.

Method:

Application of MB/GV PU antibacterial foam to denuded periwound skin. Dressings are changed twice a week.

Conclusion:

There are several wound care options from ointment to foams in managing MASD. We found MB/GV PU antibacterial foam was able to manage the drainage and treat the denuded skin. It was easy to apply.

Case 1 - 62 yo male with painful denudend & macerated peri wound while treated with NPWT. Then treated with MB/GV to peri wound with improvment and did not have to discontinue NPWT

Case 2 - 54 yo female w/ painful maceration and denuded peri wound while treated with NPWT. Then treated with MB/GV to peri wound with improvment and did not have to discontinue NPWT.

Case 3 - 66 yo female w/ hyperproductive trach stoma with severely macerated and denuded peri wound. Treated with MB/GV to peri wound with improvement.