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Introduction:

Efficacy of a adebridement product and a bcollagen dressing on inflammation reduction and re-starting healing was evaluated in ten frail elderly patients with stagnating skin lacerations, treated in a nursing home setting. Skin tears often occur in these patients, due to their poor condition and their medication such as corticosteroids and anti-coagulants.

Methods:

Case ascertainment was used. Patients received a bcollagen dressing and a cfoam or an dalginate as a secondary dressing, for a maximum of 14 days, after which the bcollagen dressing was discontinued and the cfoam used as a primary dressing. A tubular compressione system was used to reduce oedema that was present

in the leg. Wound healing was assessed using clinical observation and digital photographs, comparing day 0 versus day 14 results. Patients were then followed up until wound closure.

Results:

Eight women and two men were included and completed the study period. Patients had a mean age of 76 years (ranging from 62-100 years). All included wounds had closed within 12 weeks of treatment. Two typical cases are included to demonstrate the results.

Conclusion:

The results indicate that the use of the bcollagen dressing stimulated wound healing in these stagnating wounds. Moreover the bcollagen dressing has effectively stopped the bleeding.