University of South Carolina School of Medicine Greenville, Greenville, SC, and Prisma Health, Greenville, SC.
Abrazo Arrowhead Hospital and Wound Clinic, Glendale, AZ.
Wounds. 2024 Aug;36(8):263-273. doi: 10.25270/wnds/24026.
A new indication for use of silver collagen oxidized regenerated cellulose (ORC) dressing in conjunction with negative pressure wound therapy (NPWT) and reticulated open cell foam (ROCF) dressings has recently become available.
An in-person meeting with 7 health care providers (HCPs) was held to identify clinical care settings and appropriate use of silver collagen ORC dressings in conjunction with NPWT and ROCF dressings.
Consensus statements were developed using a modified Delphi technique. An additional 25 HCPs completed an anonymous survey on the consensus statements. Consensus was defined as ≥80% agreement among survey respondents.
Use of silver collagen ORC dressings with NPWT and ROCF dressings was recommended in inpatient and outpatient health care settings. Use in traumatic wounds, surgical wounds, diabetic ulcers, venous leg ulcers, and pressure injuries/ulcers was supported. Use was not recommended in the presence of exposed unprotected organs or exposed unprotected vessels, when the potential for inadequate wound hemostasis exists, acutely ischemic wounds, third-degree burns, or surgically closed incisions, or with patient hypersensitivity to product components.
Limited evidence exists on use of NPWT in conjunction with silver collagen ORC dressings. A panel developed 12 consensus statements detailing the recommended and contraindicated uses of NPWT in conjunction with silver collagen ORC dressings.
一种新型的银胶原氧化再生纤维素（ORC）敷料与负压伤口治疗（NPWT）和网状开放式泡沫（ROCF）敷料联合使用的适应证最近已被确定。
召集 7 位医护人员（HCPs）举行现场会议，以确定在临床护理环境中以及在 NPWT 和 ROCF 敷料联合使用银胶原 ORC 敷料的合适用途。
使用改良 Delphi 技术制定共识声明。另外 25 位 HCPs 对共识声明进行了匿名调查。共识定义为调查对象中≥80%的人表示同意。
推荐在住院和门诊医疗环境中使用 NPWT 和 ROCF 敷料与银胶原 ORC 敷料联合使用。支持将其用于创伤性伤口、手术伤口、糖尿病溃疡、静脉溃疡和压力性损伤/溃疡。当存在暴露的无保护器官或暴露的无保护血管、存在潜在的止血不足、急性缺血性伤口、三度烧伤或已手术闭合的切口时，不建议使用；当患者对产品成分过敏时，也不建议使用。
NPWT 联合银胶原 ORC 敷料的使用证据有限。专家组制定了 12 项共识声明，详细说明了 NPWT 联合银胶原 ORC 敷料的推荐和禁忌用途。
