Chrysostomou Daniela, Papanikolaou Georgios E, Boshoff Lorraine, Mbele Thandazi, Pokorná Andrea, Holubová Adéla, Wagener Frank A D T G, Cremers Niels A J
Department of Health Sciences, Faculty of Medicine, Masaryk University, 625 00 Brno, Czech Republic.
Health@45, Johannesburg 1612, South Africa.
Pharmaceuticals (Basel). 2025 May 22;18(6):768. doi: 10.3390/ph18060768.
Foam dressings are designed for their ability to manage exudate and are selected to optimize wound repair. Various foam dressings are available, ranging from basic polyurethane to more sophisticated options, incorporating active components to combat infections or foster healing. This study investigates the requirements for the most suitable foam dressing through a combination of field research, laboratory testing, and clinical evaluation. : We tested 17 foam dressings commonly used by wound care professionals while attending an international conference. An effective foam dressing should absorb wound fluid for several days, as wound care professionals value absorption and retention capacity, often favoring less frequent changing dressings, preferably twice a week or even weekly. : The foam dressings tested can absorb the expected amount of exudate typically produced by different wound types. There is some variability in retention capacity and product prices, resulting in differences in cost-effectiveness among products. In addition, some dressings are enriched with active ingredients that can accelerate healing through their antimicrobial and anti-inflammatory properties, such as foam dressings infused with silver or honey. A honey-based foam dressing was evaluated in a clinical survey involving eight wound care specialists, and four clinical cases with varying wound pathologies were discussed in more detail to highlight its key properties. : Ideally, a foam dressing should have adequate absorption and retention capacities, effectively resolve and prevent infections, protect against external trauma, ensure optimal patient comfort without damaging newly formed granulation tissue, accelerate wound healing processes, and reduce wound care time (e.g., remaining in place for 7 days). Together, these factors make honey- or silver-loaded foam dressings more cost-effective than plain dressings due to their antimicrobial activities and ability to nourish tissues.
泡沫敷料因其管理渗出液的能力而设计，并且被选择用于优化伤口修复。有各种各样的泡沫敷料可供选择，从基本的聚氨酯到更复杂的类型，其中包含活性成分以对抗感染或促进愈合。本研究通过实地研究、实验室测试和临床评估相结合的方式，调查了最适合的泡沫敷料的要求。：在参加一次国际会议期间，我们测试了伤口护理专业人员常用的17种泡沫敷料。一种有效的泡沫敷料应能吸收伤口渗出液数天，因为伤口护理专业人员重视吸收和保留能力，通常倾向于减少更换敷料的频率，最好是每周两次甚至每周一次。：所测试的泡沫敷料能够吸收不同伤口类型通常产生的预期量的渗出液。在保留能力和产品价格方面存在一些差异，导致产品之间的成本效益有所不同。此外，一些敷料富含活性成分，这些成分可以通过其抗菌和抗炎特性加速愈合，例如含有银或蜂蜜的泡沫敷料。在一项涉及八位伤口护理专家的临床调查中对一种蜂蜜基泡沫敷料进行了评估，并更详细地讨论了四个具有不同伤口病理的临床病例，以突出其关键特性。：理想情况下，一种泡沫敷料应具有足够的吸收和保留能力，有效解决和预防感染，防止外部创伤，在不损伤新形成的肉芽组织的情况下确保患者最佳舒适度，加速伤口愈合过程，并减少伤口护理时间（例如，能在位7天）。综合起来，由于其抗菌活性和滋养组织的能力，这些因素使得含蜂蜜或银的泡沫敷料比普通敷料更具成本效益。
