Wound Care Product Reference
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|
Product |
Photo |
How Supplied |
Advantages |
Disadvantages |
Notes |
|---|---|---|---|---|---|
|
Silvadene (SSD) (Silver Sulfadiazine Cream) |
|
50gm jar
400gm jar (pictured) |
Easy to afford Easy to find at pharmacies Traditional PT and FT burns
|
Pain with dressing changes Gauze wrapping might be 2 person job Cost of gauze |
SSD is inexpensive Must shower or bathe daily or bid, scrubbing pseudoeschar and old SSD off causing pain |
|
Bacitracin (Bacitracin zinc or triple antibiotic ointment) |
 |
30gm tube (OTC)
1# jar
|
Easy up-keep Superficial & PT burns Non-toxic around mouth, eyes, genitalia Can cover or leave open to air |
Gram + only |
Must apply often if not covered to prevent wound from drying out >= bid application Must wash off old cream before reapplying new |
|
Xeroform Gauze (Bismuth & petroleum gauze) |
 |
1x8”
5x9”
|
Easy up-keep Superficial & PT burns Gentle on fragile STSGs |
Little antimicrobial coverage – use with Bacitracin Difficult to find at pharmacies |
Flexible changing schedule; daily, or qod or M-W-F May leave in place like a scab and trim excess if not on STSG, donor site Bacitracin may be applied underneath, on top of or impregnated in Xeroform |
|
Collagenase (Papain Urea Ointment) |
 |
30gm tube |
Pseudoeschar debridement |
Pain with application No antimicrobial coverage |
Moisten gauze with H2O or saline if burning sensation occurs Can apply q 12 hours alt. with SSD or q 24 hours alone |
|
Sulfamylon (Mafenide Acetate Cream) |
 |
4oz tube
|
Deeper penetration
Good on cartilage (i.e. ears, nose) PT & FT burns Gram + coverage |
Pain with application Expensive |
Be sure to protect ear canal with cotton ball prior to application medication can erode ear drum |
|
Sulfamylon (5% Mafenide Acetate solution) |
 |
Pwd packet | Soak dressing, less pain Gram + coverage |
Expensive, often not covered by insurance out patient | Any un-used solution should be discarded in 48 hours. |
|
Acticoat (Silver impregnated gauze) |
 |
4x8”, 8x16” or 16x16”
7 day-6x6” |
No dressing changes for 3- 5 days
PT & FT burns Change outer wrap PRN Double layer to obtain 7 day coverage, Expensive |
Can’t shower
Pain with application Can slip and leave exposed areas Keep damp not soaked |
Bacitracin for exposed spots
Do not need to scrub pseudoeschar unless soupy Consider leaving like a scab if stuck down |
|
Mepilex (Silver Impregnated foam) |
|
Border (4x4, 6x6, 6x8) Borderless (6x6, 8x8, 8x20) |
No need to moisten, absorb wound drainage, antimicrobial coverage, Easy ROM, comes off easy; does not stick | Can’t get dressing wet, need to cover wound for shower |
border |
|
Silverlon (Silver impregnated fabric) |
 |
Various size gloves from clinic or lab only | Easy application and maintenance
Easy for ROM PT burns only Expensive |
Daily dressing changes Keep moist |
Same glove may be used for prolonged periods. Other forms (i.e. sheets, wraps) occasionally available. Patient must wash wounds and remove/wash gloves daily on PO pain medication. |
|
Silvernitrate Solution (0.5%) |
 |
0.5% solution, 1000mL pre-mixed solution | Coverage: Gm + and –, pseudomonas, MRSA, VRE, and fungal. Inexpensive |
Stains surfaces and everything that it comes in contact with. | |
| Silvernitrate Topical Sticks |  |
6” sticks | Use in hypergranulation tissue | ||
| Nystatin pwd |  |
40 million units/400g jar | Anti fungal agent, commonly mixed with SSD | Unused mix should be discarded after 24 hours |