Infected Wound
Objetive: remove or reduce pathogens from woundDressings:
• Silver (Examples: Aquacel Ag, Acticoat 7, Actisorb Silver 220, Silversorb, Silvercel)
• Iodide (Examples: Iodosorb gel)
• Sorbact (Reduces bioburden; both bacteria and fungi)
Cleansers/Solutions:
• acetic acid (vinegar). It is effective against Staphylococcus aureus, MRSA, Pseudomonas aeruginosa, and other Gram-negative bacteria.
• Chlorhexidine (0.05%). It is a broad-spectrum antibacterial solution. It prevents the penetration and systematic spreading of bacteria, including MRSA (excluding any deep muscle invasion).
• Povidone iodine. It is useful for acute open wounds such as human or animal bites, stabs/punctures, and gunshot wounds. It is a broad-spectrum antimicrobial solution that provides limited coverage for many types of pathogens (eg, S. aureus, dermatophytes, yeasts, and viruses).
• Cutimed SORBACT WCL (Contact layer; effective in colonized and infected wounds with MRSA o VRE)
• Dakin solution (Sodium hypochlorite 0.4–0.5%). It is indicated in pressure ulcers with necrotic wounds to help reduce and control infection. It reduces odor.
• Octenidine. It is used for superficial skin wounds. It is effective against P. aeruginosa and S. aureus biofilm.
• Polyhexamethylene biguanide/polyhexanide (PHMB or polyhexanide). It is the antiseptic of choice for colonised and infected chronic wounds and burns. It is a broad-spectrum antimicrobial that is effective against a variety of pathogens, including MRSA, P. aeruginosa and other bacteria.
• PPHMB combined with undecylenamidopropyl betaine. It is a surfactant (detergent) that effectively removes biofilm and debris and prevents recontamination. It is suitable for long-term use on thermal burns.
• Hypochlorous Acid (HOCl) / Sodium Chloride. Cleanses, debrides, and removes microorganisms from the wound. Reduces wound odor.