2. Advanced wound therapies... 4 (i) Maggots... 4 (ii) Negative Pressure Wound Therapy (NPWT)... 4

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1 Contents: Wound management Medicines Formulary 1. Interactive dressings... 2 (i) Hydrocolloid dressings... 2 (ii) Hydrogel dressings... 2 (iii) Alginate dressings... 2 (iv) Fibrous absorbent dressings... 3 (v) Dressings for odour management... 3 (vi) Antimicrobial dressings... 3 (iv) Manuka Honey dressings Advanced wound therapies... 4 (i) Maggots... 4 (ii) Negative Pressure Wound Therapy (NPWT) Non-medicated dressings... 4 (i) Vapour permeable wound dressings... 5 (ii) Foam dressings... 5 (iii) Low-adherent wound contact layers... 5 (iv) Non-adherent wound contact layers... 5 (v) Atraumatic absorbent dressings... 5 (vi) Postoperative dressings... 5 (vii) Hydrocapillary dressings Skin protectants Table of available dressing sizes... 6 For all discharges, ensure that: Patients are discharged with a minimum of 5 days supply of dressings. All patients with wounds are given a completed copy of the Woundcare Discharge Form (and that a copy is sent to their GP) Any queries please contact: Bernadette Harwood Tissue Viability Nurse Ext or bleep 2840; bernadette.harwood@nhs.net For guidance on the indications for use, cautions for use and removal of all dressings within this chapter, see Wound dressings Guidance for use Updated by Wirral Wide Wound Formulary Team: June 2014 Review Date: September 2015 Page 1 of 6

2 For full information on treatment side effects, cautions and contraindications, see electronic British National Formulary ( or the relevant summary of product characteristics ( For information on preparing intravenous medicines for administration, see Medusa Injectable Medicines Guide for the NHS (see Clinical Guidance home page) 1. Interactive dressings There are several types of medicated dressing in use at Wirral University Teaching Hospitals, these are: (i) Hydrocolloid dressings (ii) Hydrogel dressings (iii) Alginate dressings (iv) Fibrous dressings (v) Dressings for odour management (vi) Antimicrobial dressings (vii) Manuka honey dressings (i) Hydrocolloid dressings in primary care: DuoDERM Signal DuoDERM Extra Thin. in secondary care: Comfeel Plus Ulcer Dressing Comfeel Plus Transparent Dressing NOTE: These dressings are interchangeable dependant on whether the patient is in primary or secondary care. (ii) Hydrogel dressings Aquaform (iii) Alginate dressings in secondary care Kaltostat Kaltostat cavity wound dressing (NOTE these dressings are for Secondary care only) Updated by Wirral Wide Wound Formulary Team: June 2014 Review Date: September 2015 Page 2 of 6

3 Second choice Sorbsan Flat Sorbsan Ribbon or Packing (with plastic probe) NOTE: In primary care, this is the first choice. These 2 dressings behave differently in contact with sodium chloride solution 0.9%. Please read the Removal guidance for both dressings in Wound dressings Guidance for use before selecting the more appropriate option for an individual wound. (iv) Fibrous absorbent dressings Aquacel Extra Aquacel Ribbon Second choice Aquacel Foam Adhesive dressings Aquacel Foam Non-adhesive dressings NOTE: Aquacel Foam dressings have the advantage of a 3-layer construction which removes the need for a secondary dressing: a. outer waterproof/bacteria-proof barrier, allowing evaporation of excess moisture and providing a barrier against viral/bacterial penetration b. absorbent foam pad for absorption of excess fluid c. Aquacel contact layer gels on contact with exudate and contours to the wound bed, eliminating dead space It also has a silicone adhesive suitable for fragile skin. (v) Dressings for odour management Carboflex Clinisorb (vi) Antimicrobial dressings Aquacel Ag Extra Aquacel Ag Extra Ribbon NOTE: Advice on the use of antimicrobial dressings can be sought from the Tissue Viability Service they should not be used without discussion with a specialist Second choice Atrauman Ag Updated by Wirral Wide Wound Formulary Team: June 2014 Review Date: September 2015 Page 3 of 6

4 (iv) Manuka Honey dressings Algivon Actilite 2. Advanced wound therapies These treatments must only be used on the advice of the wound management specialists. (i) Maggots For biosurgical debridement with maggots NOTE: Advice on the use of this product can be sought from the Tissue Viability Service it should not be used without discussion with a specialist LarvE BioFOAM For further advice on the use of maggots, contact the TVN service. (ii) Negative Pressure Wound Therapy (NPWT) Negative pressure wound therapy is a method of wound management that applies controlled, localised sub-atmospheric pressure to the wound site to manage exudate and promote healing. It helps remove interstitial fluid, allowing tissue decompression and enhanced blood flow. It promotes granulation tissue formation, helps remove infective material, provides a closed, moist wound healing environment and promotes skin graft and flap survival. NOTE: Advice on the use of this product can be sought from the Tissue Viability Service it should not be used without discussion with a specialist Renasys Go NOTE: NPWT is not a suction drain and should not be used where exudate management is the only objective. If in doubt, consult the Tissue Viability Service for guidance. 3. Non-medicated dressings Non-medicated should be obtained via supply chain (ie, stores) and comprise of: (i) Vapour permeable wound dressings (ii) Foam dressings (iii) Low adherent wound contact layers (iv) Non-adherent wound contact layers (v) Atraumatic absorbent dressings Updated by Wirral Wide Wound Formulary Team: June 2014 Review Date: September 2015 Page 4 of 6

5 (vi) (vii) Postoperative dressings Hydrocapillary dressings (i) Vapour permeable wound dressings Clearfilm Tegaderm film (ii) Foam dressings Allevyn Gentle, Allevyn Gentle Border (for patients with fragile skin) or Biatain Super Non-adhesive, Biatain Super adhesive. Biatain non adhesive (secondary care only) (iii) Low-adherent wound contact layers Atrauman Telfa (Secondary care only) (iv) Non-adherent wound contact layers Silflex (v) Atraumatic absorbent dressings Eclypse Xupad (vi) Postoperative dressings OpSite Post-Op Cosmopor E (vii) Hydrocapillary dressings Updated by Wirral Wide Wound Formulary Team: June 2014 Review Date: September 2015 Page 5 of 6

6 Biatain Super adhesive dressing Biatain Super non-adhesive dressing For sacral area Allevyn Plus adhesive sacrum 4. Skin protectants Cavilon No-Sting Barrier Film Cavilon Durable Barrier Cream NOTE: Avoid the use of greasy barrier preparations, as they interfere with the absorbency of incontinence pads and can damage fragile/macerated skin further on removal. If in doubt, contact the Tissue Viability Service for advice. 5. Table of available dressing sizes For further information on the size of dressings available, see Dressings sizes available. For secondary care this also indicates whether supply is through pharmacy or supplies chain. Updated by Wirral Wide Wound Formulary Team: June 2014 Review Date: September 2015 Page 6 of 6