Wound Management Guide EPITHELIALISING GRANULATING SLOUGHY/NECROTIC INFECTED AIM: Promote Final stage of healing AIM: Promote Granulation AIM: Debride slough, necrotic tissue AIM: Treat infection Low Low Exudate Low Exudate Action Exudate NA Ultra Sumar and Tegaderm Take full holistic assessment NA • identify criteria e.g. Ultra Algivon and Tegaderm Duoderm / localised heat, pain, Tegaderm erythema, pus Tegaderm Urgotul - and secondary • hydrocolloid Take swab dressing • Duoderm / Systemic antibiotics first Tegaderm Tegaderm hydrocolloid line treatment for identified hydrocolloid wound infection Moderate / High Exudate Moderate / High Exudate Moderate / High Exudate Wound Management Tegaderm and Pad Consider antimicrobial Aquacel / Sorbsan/ Iodoflex Biatain Adhesive / Biatain Adhesive / dressing according to wound and secondary dressing Non Adhesive Non Adhesive characteristics e.g. exudate Biatain Adhesive/ level, tissue type, wound Aquacel and Biatain Non Adhesive location: • Iodoflex (check thyroid Eclypse (high exudate) function) • If wound malodourous without Algivon • indications of infection use: Aquacel Ag Clinisorb- low exudate • Biatain Ag Foam Carboflex - moderate/high • Silvercel exudate • Urgotul SSD Refer to: A Practical Guide to the Management & Treatment of Wounds in Primary Care
Wound Management Guide EPITHELIALISING GRANULATING SLOUGHY/NECROTIC INFECTED AIM: Promote Final stage of healing AIM: Promote Granulation AIM: Debride slough, necrotic tissue AIM: Treat infection Low Exudate NA Ultra Tegaderm Duoderm / Tegaderm hydrocolloid Tegaderm and Pad Low Exudate NA Ultra Duoderm / Tegaderm hydrocolloid Low Exudate Sumar and Tegaderm Algivon and Tegaderm Urgotul - and secondary dressing Tegaderm hydrocolloid Action Take full holistic assessment • identify criteria e.g. localised heat, pain, erythema, pus • Take swab • Systemic antibiotics first line treatment for identified wound infection Moderate / High Exudate Moderate / High Exudate Moderate / High Exudate Wound Management Consider antimicrobial dressing according to wound characteristics e.g. exudate level, tissue type, wound location: • Iodoflex (check thyroid function) • Algivon • Aquacel Ag • Biatain Ag Foam • Silvercel • Urgotul SSD Biatain Adhesive / Non Adhesive Biatain Adhesive / Non Adhesive Aquacel / Sorbsan/ Iodoflex and secondary dressing Aquacel and Biatain Biatain Adhesive/ Non Adhesive Eclypse (high exudate) If wound malodourous without indications of infection use: Clinisorb- low exudate Carboflex - moderate/high exudate Refer to: A Practical Guide to the Management & Treatment of Wounds in Primary Care