Evaluation of a Chitosan Dressing in the Management of Hard-to-Heal Wounds

Publication Details:

Tickle, J., 2023. Evaluation of a chitosan dressing in the management of hard-to-heal wounds. British Journal of Nursing, 32(4), pp.S44-S50.

Wound Details

Wound Type: Chronic, non-healing wounds with Excessive exudation, necrotic/sloughy tissue, pain, delayed healing

Key Findings and Data:

Significant Wound Healing

  • Necrotic/sloughy tissue (>75%) replaced with granulation and epithelial tissue (>80%) by week 4.

Reduction in Exudate Levels:

  • 8 out of 11 wounds had heavy exudation, which significantly reduced by week 3, improving periwound skin condition.
Evaluation of a Chitosan Dressing in the Management of Hard-to-Heal Wounds

Pain Alleviation:

  • Pain scores dropped from 5.9 ± 2.7 to 2.5 ± 1.9 within 4 weeks

Rapid Healing Progress:

  • 2 wounds achieved complete healing, while the average wound area decreased from 44.1 cm² to 14 cm².

Enhanced Patient Comfort:

  • Dressing removal was atraumatic, minimizing discomfort during dressing changes.
Evaluation of a Chitosan Dressing in the Management of Hard-to-Heal Wounds

Key Insights

  • Accelerated Healing: MaxioCel® effectively replaced necrotic/sloughy tissue with granulation and epithelial growth, expediting wound recovery.
  • Optimized Exudate Control: The dressing’s fluid-handling properties contributed to reduced exudation and improved periwound skin health.
  • Pain Management: Significant reduction in pain enhanced patient comfort and compliance with treatment.

Cost-Effective & Practical: Reduced dressing frequency and easy removal minimized trauma, improving patient experience and healthcare efficiency.

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