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.

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.

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.