Geri Chloé, Zimmer Robert, Vestergaard Martin, Pegalajar-Jurado Adoracion, Hansen Julie
Cicat-Occitanie Centre Hospitalier Universitaire de Montpellier, 191 Avenue du Doyen Gaston Giraud, 34295 Montpellier Cedex 5, France.
University of Erlangen, Germany.
J Wound Care. 2025 Jan 2;34(1):9-16. doi: 10.12968/jowc.2024.0276.
Exudate management is essential for creating a moist wound environment that promotes optimal healing, especially in highly exuding wounds, where choosing an appropriate wound dressing to handle high volumes of exudate is a key part of the wound management strategy. Superabsorbent wound dressings (SWDs) have been designed to absorb and retain large amounts of exudate. Thus, they are advocated for management of wounds with moderate-to-high levels of exudate to reduce the risk of leakage and damage to the periwound skin. The SWD category contains numerous brands with different structural and compositional designs. Those differences affect absorption capacity of the products, but also affect structural integrity, risk of leakage, adherence to the wound bed upon dressing removal etc. Herein, we aim to provide a brief overview of the clinical evidence and technical performance characteristics of the SWD category, and identify technical improvement areas. Clinical evidence within the SWD category was primarily limited to product evaluations, case series and case studies. With limited comparative clinical evidence available within this product category, we provide an overview of in vitro comparisons of technical performance characteristics related to absorption capacity, fluid retention, structural integrity, waterproofness, and ability to sequester host-derived enzymes and microorganisms. Substantial differences in in vitro performance characteristics in this product category were identified, which may have implications for their clinical performance. With the currently available in vitro evidence, there is no SWD showing superior performance across all functionalities, indicating a continued need for product development within this product category.
渗出液管理对于营造促进最佳愈合的湿润伤口环境至关重要，尤其是在高渗出性伤口中，选择合适的伤口敷料来处理大量渗出液是伤口管理策略的关键部分。高吸水性伤口敷料（SWD）旨在吸收和保留大量渗出液。因此，它们被推荐用于管理中到高渗出水平的伤口，以降低渗漏风险以及对伤口周围皮肤的损害。SWD类别包含众多具有不同结构和成分设计的品牌。这些差异不仅会影响产品的吸收能力，还会影响结构完整性、渗漏风险、去除敷料时与伤口床的粘连等。在此，我们旨在简要概述SWD类别的临床证据和技术性能特征，并确定技术改进领域。SWD类别的临床证据主要限于产品评估、病例系列和病例研究。鉴于该产品类别中可用的比较临床证据有限，我们概述了与吸收能力、液体保留、结构完整性、防水性以及隔离宿主衍生酶和微生物能力相关的技术性能特征的体外比较。在该产品类别中发现了体外性能特征的显著差异，这可能对其临床性能产生影响。根据目前可用的体外证据，没有一种SWD在所有功能方面都表现出卓越性能，这表明该产品类别仍需要持续进行产品开发。
