The silver-releasing foam dressing, Contreet Foam, promotes faster healing of critically colonised venous leg ulcers: A randomised, controlled trial

Bo Jørgensen, Patricia Price, Klaus E. Andersen, Finn Gottrup, Niels Bech-Thomsen, Elizabeth Scanlon, Robert Kirsner, Henriette Rheinen, Jytte Roed-Petersen, Marco Romanelli, Gregor Jemec, David J. Leaper, Martino Ha Neumann, Joep Veraart, Stefan Coerper, Rikke H. Agerslev, Susanne H. Bendz, Jan R. Larsen, R. Gary Sibbald

Research output: Contribution to journalArticlepeer-review

80 Scopus citations

Abstract

The study compared the effect of a sustained silver-release foam dressing (Contreet Foam) with a foam dressing (Allevyn Hydrocellular) without added silver in critically colonised venous leg ulcers with delayed healing. The study was a multicentre, open, randomised, controlled study lasting for 4 weeks. Ulcer area and healing were assessed weekly. Odour, maceration, absorption capacity and leakage were evaluated at dressing changes. All adverse events were recorded. One hundred and twenty-nine patients were included (Contreet Foam: 65, Allevyn Hydrocellular: 64). The two groups were comparable in all respects. After 4 weeks, there was a significantly greater reduction in ulcer area in the Contreet Foam group (45%) than in the Allevyn Hydrocellular group (25%). After 1 and 4 weeks, odour was present in significantly less of the ulcers in the Contreet Foam group (17% and 19%, respectively) compared with the Allevyn Hydrocellular group (47% and 39%, respectively) and at the final visit there were significantly fewer leakages in the Contreet Foam group (19%) compared with the Allevyn Hydrocellular group (49%). Also, less maceration was observed after 1 and 4 weeks in the Contreet Foam group (34% and 37%, respectively) compared with the Allevyn Hydrocellular group (55% and 48%, respectively). The occurrence and cause of adverse events were equally distributed between the study groups. The present study provides evidence of the superior performance of the silver-releasing dressing, Contreet Foam, compared with a traditional moist foam wound healing dressing in the treatment of critically colonised, chronic venous leg ulcers. The results of this randomised, controlled study suggest an important role of sustained silver-releasing dressings in the treatment of critically colonised chronic wounds.

Original languageEnglish (US)
Pages (from-to)40-43
Number of pages4
JournalInternational Wound Journal
Volume2
Issue number1
DOIs
StatePublished - Mar 2005
Externally publishedYes

Keywords

  • Bacteria
  • Critical colonisation
  • Delayed healing
  • Randomised clinical trial
  • Silver dressing
  • Venous leg ulcers

ASJC Scopus subject areas

  • Surgery

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