Product:
Acticoat Flex for Wounds
 Antimicrobial: Silver – Mesh
Actisorb Silver 220
 Odor Management: activated
charcoal with silver
Aquacel Ag+ Extra
 Antimicrobial: Silver Hydrofiber
Indications:
 Has anti-inflammatory properties
 For partial to full thickness burns that show
S&S of local wound infection
 Can be used on new skin grafts, NPWT, client
that is pregnant or nursing, client undergoing
hyperbaric oxygen theory or CT scan
Contraindications:
 Do not apply to exposed internal organs
 Do not use with oil based products ie
petrolatum
 Do not use with MRI or undergoing radiation
 Do not use NS or NS based gels to moisten or
cover product (alters effectiveness)
 Activated charcoal traps the bacteria which
silver then kills and absorbs bacteria’s toxins
which decreases odour
 For malodourous wounds resulting form
infection, bacterial contamination and
malignancy
Contraindications:
 Do not cut dressing
 Contains agents for disruption of biofilm and
silver to manage bacteria
 Wounds with moderate to heavy exudate that
show signs of infection and/or suspected
biofilm (can be used prophylactically)
Contraindications:
Application:
 Cut to size – stretches with body
movement
 For moderate to large amounts of
exudate – apply dry acticoat flex to
wound bed
 Or small amounts of exudate – moisten
with sterile water – then apply to
wound bed
 Cover with appropriate bordered
dressing with at least 2cm border
beyond margins of burn
 If unable to use bordered moisture
retentive dressing – add thin layer or
sterile water damped gauze over
acticoat flex
 Ensure acticoat flex remains damp –
apply additional moisture if needed
 Cover the entire size of the wound – do
not cut dressing
 Apply dry
 Apply cover dressing
 Can be left on for up to 7days, change
when dressing no longer manages
odour
 Should be applied directly to wound
bed
 Should overlap 1cm onto the
periwound skin
 For packing: lightly pack one piece into
cavity – leave tail
 Apply appropriate cover dressing

Bactigras
 Contact layer: Chlorhexidine
impregnated dressing
Hydrofera Blue Classic
 Antimicrobial: Methylene
Blue/Gentian violet foam
Hydrofera Blue Ready
 Do not use silver products with oil-based
products such as petrolatum or paraffin
 Undergoing MRI or radiation
 Chlorhexidine 0.5% in white paraffin
impregnated
 For wounds with S&S of local infection or
prophylactically
Contraindications:
 Avoid contact with eyes, middle ear, meninges
and brain
 Do not use on more than 10% of body
 Provides broad-spectrum antibacterial activity
against bacteria + yeast
 For wounds, first, and second degree burns
with moderate to large amounts of exudate
which show S&S of local wound infection
Contraindications:
 Do not use for third degree burns
Precautions:
 Pregnant or breastfeeding clients (has not
been studied)
 Should not be used for greater than 6months
without clinical review of MRP/NSWOC
 Do not let dressing dry out
 Provides broad spectrum antimicrobial activity
Removal:
 Turns into a gel – remove with forceps
and ensure to clean wound bed of
residual gel
 Cut to fit the size of the wound
 Remove opaque covering from dressing
and apply single layer over wound bed
 Apply cover dressing
 Bactigras can be left in place when
absorbent secondary dressing is
changed – can be changed once a day
to twice per week
 Dressing may be cut to fit the wound
space
 Moisten the dressing with sterile NS or
sterile water – if using a heavy drainage
dressing – soak for 5-10mins – squeeze
access out with forceps or sterile gloves
 Can be folded or layered to fit wound
bed
 Apply cover dressing
Removal:
 If dressing adheres to wound bed use
sterile NS and access whether there is
enough exudate for continued use or
consider a more occlusive secondary
dressing
 Select size to ensure dressing covers

 Antimicrobial: Methylene
Blue/Gentian violet
Inadine
 Antimicrobial: iodine – povidone
Intrasite comfortable
 Hydrogel: Impregnated gauze
against bacteria + yeast
 Does not require hydration prior to use
 For wounds with moderate to large amounts of
exudate that show S&S of local infection or
prophylactically
 Can be used enzymatic debridement or growth
factor products
Contraindications:
 Same as hydrofera blue classic
 Broad spectrum topical antimicrobial dressing
 For shallow wounds which show S&S of local
wound infection
 For maintenance/nonhealing shallow wounds
Contraindications:
 Do not use in pregnant or breastfeeding
women
Precautions:
 New born babies or less than 6months
 Avoid using before/after radio-iodine
diagnostic tests
 In combo with lithium can cause
hypothyroidism
 Renal impairment
 Thyroid disorders
 Water based amorphous gel impregnate gauze
 To add/maintain moisture in wounds with
necrotic tissue to enhance autolytic
debridement
Contraindications:
 Do not use with moderate to heavily draining
wounds
 Do not use absorptive cover dressing as gel will
wound and some overlap onto peri-
wound skin
 If using under compression or total
contact casting – cut slights into
dressing to allow the exudate to pass
thru
 Secure dressing with tape or kling – a
cover dressing is not required
 When dressing turns white or light blue
the dressing needs to be changed – can
remain in place for up to 7 days
 Cut to wound size – remove backing
paper from both sides of product
 Only apply one layer
 Apply cover dressing
 Dressing can last up to 7 days
 Fading of colour indicates loss of
antimicrobial efficacy – dressing should
be changed
 For shallow wounds – cut dressing to
wound size as needed and lay gauze
dressing on the wound bed
 For cavity wounds – fluff up enough
gauze dressing to gently fill the cavity
 Apply cover dressing
Removal:
 Flush/irrigate with NS to remove any
 be absorbed into dressing
Intrasite gel  To add/maintain moisture in wounds with
necrotic tissue to enhance autolytic
 Hydrogel: Amorphous gel debridement
 To maintain moisture balance in wounds that
are healing
Contraindications:
 Do not use for moderate to heavily draining
wounds
 Do not add an absorptive cover dressing as gel
will be absorbed into dressing
Iodosorb  Broad spectrum, iodine-based topical
antimicrobial
 Antimicrobial agent: Iodine –  Disrupts and substantially eradicates mature
Cadexomer biofilms – effective deslougher
 For sloughy wounds with S&S of local infection
or suspected biofilm
 Use ointment or paste for wounds with small
to moderate exudate
 Use powder for wounds with moderate to
large amounts of exudate
 May be used prophylactically to prevent
infection
Contraindications:
 Do not use on dry necrotic tissue, breast-
feeding or pregnant, children 0-18 years, in
combo with mercurial antiseptics or with
taurolidine. Do not use near ears, eyes, nose
remaining gel
 For necrotic wounds do not leave
dressings in place for longer than 2 days
 For shallow wounds: apply a thin 3mm
layer of intrasite gel to wound using a
sterile q-tip
 For cavity wounds: moisten gauze with
NS, wring out well, and then moisten
that gauze with gel. Line the wound
cavity with prepared gauze
 For wounds with undermining or sinus
tract: moisten one gauze packing strip
with NS, wring out well, then packing
strip with gel
 For necrotic wounds do not leave
dressings in place for longer than 2 days
 Ointment: apply 3mm thick layer of
ointment to cover dressing, wound filler
(ie plain gauze or gelling fibre), or
directly to wound bed
 Packing: using sterile tongue depressor
or sterile gloves thinly spread ointment
onto a piece of plain ribbon gauze.
Lightly filly/pack area with gauze
Removal:
 Cleanse the wound and periwound skin
to remove. If iodosorb has dried soak
with NS to aid in removal
 Change every 3 days. Usually changes
colour from brown to yellow/grey in 2
to 3 days indicating a need to be
changed
 and mouth
Precautions:
 Do not use more than 50g per dressing change.
Max 150g per week.
 Duration of treatments should not exceed 3
months
 Make MRP/NP aware if patient taking lithium,
renal impairment or thyroid disorders
Kaltostat  Effective at controlling minor bleeding in  Choose appropriate size of dressing to
superficial wounds fill the space in wound. Dressings may
 Wound filler/contact layer:  For wounds with low to moderate amounts of be cut to fit or folded to add addition
alginate exudate layers for extra absorption
 For packing: lightly pack one piece of
Contraindications: ribbon into cavity
 Do not use for patients with sensitivity to  Apply appropriate cover dressing
alginate  Dressing may be left in wound for up to
 Do not use on third degree burns or surgical 7 days
implantations
 Not intended to control heavy bleeding
 Do not use for wounds with large or copious
exudate

Mesalt  For sloughy wounds with moderate to large  Fluff the gauze and fill cavity loose –
amounts of exudate mesalt may be cut if necessary
 Debrider: Hypertonic – dry  May be used on infected wounds in  For packing: lightly pack one piece of
conjunction with appropriate clinical treatment ribbon into cavity, undermining or sinus
 Hypertonic saline impregnated gauze which tract
creates a hypertonic environment to gently  Apply appropriate cover dressing
and naturally draw exudate, debris and edema  Cover mesalt at least once daily
from the wound
Contraindications:
 Do not use on granulating wounds, wounds
with small amount of drainage and wounds
with exposed tendon
PHMB/AMD Kerlix & Ribbon
 Antimicrobial:
Polyhexamethylene Biquanide
(PHMB)
Silvasorb
 Antimicrobial: silver
Triad
 Wound filler: hydrophilic paste
 Locally attracts bacteria into the dressing
where they are then killed
 For wounds with S&S of local wound infection
 May be used prophylactically to prevent
infection in clients at high risk for developing a
wound infection
 Effective against gram negative bacteria, gram
positive (MRSA, VRE, pseudomonas), fungi and
yeast. Good for cellulitis
Contraindications:
 Do not use with Dakin’s solution or bleach
solutions
 Do not use with ointments, creams, powders,
sprays, or petrolatum-based dressings such as
adaptic
 For wounds with small amount of exudate
which shows S&S of local wound infection
 Slow release of silver over 3 days
Contraindications:
 Do not use for wounds with moderate to large
amounts of exudate
 Do not use silver products in combo with oil-
based products such as petrolatum or paraffin
 Do not use with patients undergoing MRI, or
electrodes or conductive gels in contact with
silver products
 For superficial/shallow wounds that are
difficult to dress with other types of dressings
that have small to moderate amounts of
 Cut the gauze sponges to size of wound.
Apply dry, if the wound bed is dry,
moisten the sponges with sterile NS or
hydrogel
 For packing: do not cut the strip to
make it a smaller width. Lightly pack
one piece
 For NPWT: use woven gauze and
moisten the gauze with NS
 Change PHMB gauze at least every 3
days as it only remains effective up to 3
days
 Apply a 3mm layer of gel to the wound
using a sterile q-tip
 Cavity wounds: spread gel into one
piece of appropriate packing gauze and
insert into the cavity
 Packing: moisten one gauze packing
strip with NS and wring out well, then
moisten the gauze with gel. Lightly fill
undermining or sinus tract with the
prepared gauze
 Apply cover dressing
Removal:
 Cleanse to remove remaining gell
 Change every 3 days
 Apply a thickness of 3mm so that skin is
not visible through the cream
 Do not apply a cover dressing, allow the
 dressing exudate
 For wounds needing autolytic debridement of
slough/necrotic tissue/eschar
 Zinc-based hydrophilic paste dressing that
adheres to moist, weeping areas and when left
open to air will dry to provide cover like a
dressing
Contraindications:
 Do not use in combo with silver products, 3rd
degree burns, untreated clinically-infected
wounds
 Use with caution on friable wound bed and/or
fragile periwound
Urgotul Ag/silver  For fragile wounds with low to moderate
exudate which shows S&S of local wound
 Antimicrobial: silver – contact infection
layer  For preventing wound trauma by decreasing
adherence of cover dressing/secondary
dressing
 Can be used as an antimicrobial interface for
NPWT and between a new skin graft and its
cover dressing
Contraindications:
 Do not put electrodes or conductive gels in
contact with silver products, MRI examination
or during radiation therapy
paste to dry which providing a covering
for the wound
 For wounds that need autolytic
debridement reapply triad layer every 1
to 3 days as needed
 To remove dressing paste from the
peri-wound skin, use a no rinse skin
cleanser
 Choose a size that covers the wound
and at least 2cm of the peri-wound skin
 Remove one side of the protective
plastic fil and apply a dressing in a
single layer over the wound bed and
smooth onto the periwound skin –
remove remaining plastic protective
film
 Apply cover dressing
 Change contact layer every 1 to 3 days
depending on amount of exudate. May
progress to leaving the contact later in
place for up to 7 days.