Wound contact layers: The unsung heroes of burn care when utilising negative pressure wound therapy. Issue 2 (April 2023)

• Record Type: Journal Article
• Authors: Lumsden, Emma; Kimble, Roy; Griffin, Bronwyn; McMillan, Catherine
• Is Part Of: Burns open. Volume 7:Issue 2(2023)
• Page Start: 23
• Page End: 25
• Publication Date: 2023-04
• Subjects: Burn -- Negative pressure wound therapy -- Mepitel -- Acticoat -- Mechanism of action -- Wound contact layer -- Cytotoxic; NPWT Negative pressure wound therapy -- QCH Queensland Children's Hospital -- TBSA Total body surface area -- ppm parts per million; Burns and scalds -- Treatment -- Periodicals; Burns and scalds -- Periodicals; Burns and scalds -- Prevention -- Periodicals; Burns and scalds -- Patients -- Rehabilitation -- Periodicals; Burns and scalds -- Nursing -- Periodicals; Burns; Periodicals; Electronic journals; 617.11005
• DOI: 10.1016/j.burnso.2023.01.001
• Languages: English
• ISSNs: 2468-9122

Abstract

Abstract: Burns care can alter the trajectory of burn re-epithelialisation. Currently, it is not known which dressings optimise wound re-epithelialisation when used in conjunction with Negative Pressure Wound Therapy (NPWT). Here we present the case of NR, an 11yoM who had two different dressing combinations (Mepitel™ and ACTICOAT™; and ACTICOAT™) applied to his wound with differing outcomes. The areas with Mepitel™ and ACTICOAT™ re-epithelialised faster than those areas with ACTICOAT™ alone. We hypothesise this to be due to a combination of increased cytotoxic effects, minimised microdeformations and increased localised trauma with dressing removal usually facilitated by Mepitel™. Further research is required; however, based on this case we advise that a porous, wound contact layer is placed beneath nanocrystalline silver dressings when utilising in conjunction with NPWT.