Descriptive statistical analysis is summarized by medians ± standard deviation (SD). All comparisons between patients in the Urgotul SSD and in the Contreet group were performed with an independent sample t-test. Significance was defined as P < 0.05. Data were analyzed using StatView 5. Results If necessary, cover UrgoClean Ag with a secondary dressing suitable for the wound location and level of exudate. Heyer K., Augustin M., Protz K., Herberger K., Spehr C., Rustenbach S., et al.. (2013). Effectiveness of advanced versus conventional wound dressings on healing of chronic wounds: systematic review and meta-analysis. Dermatology 226, 172–184. 10.1159/000348331 [ PubMed] [ CrossRef] [ Google Scholar] Dissemond J. et al. Clinical evaluation of polyabsorbent TLC-NOSF dressings on chronic wounds: a prospective, observational, multicentre study of 1,140 patients. J Wound Care. 2020; 29(6): 350-361.

The chronic nature of venous leg ulcers is characterised by three measures: (i) the duration of the ulceration, (ii) ulcer recurrence and (iii) the period of time since the onset of the first ulceration to the time of the survey 2, 3. Reports from studies in Western countries on the duration of leg ulcers indicate that more than 50% last longer than 1 year 2, 7, 8. Results of data collected on the ulcer prevalence indicate that between 28% and 45% of individuals with leg ulcers experience episodes of leg ulcers for more than 10 years 2, 3. Kuo C. Y., Wootten C. T., Tylor D. A., Werkhaven J. A., Huffman K. F., Goudy S. L. (2013). Prevention of pressure ulcers after pediatric tracheotomy using a mepilex ag dressing. Laryngoscope 123, 3201–3205. 10.1002/lary.24094 [ PubMed] [ CrossRef] [ Google Scholar] Jeffcoate W. J. (2012). Wound healing–a practical algorithm. Diabetes Metab. Res. Rev. 28( Suppl. 1), 85–88. 10.1002/dmrr.2235 [ PubMed] [ CrossRef] [ Google Scholar]

MWSIM01B

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Recently, a multi‐centre, open label randomised controlled trial found that Urgotul ® Silver worn under compression bandaging promoted healing of critically colonised venous leg ulcers, when compared with a non silver control (Urgotul ®). A total of 102 patients from 24 centres were included in the efficacy analysis with at least three of five following clinical signs present: pain between two consecutive dressing changes, periwound erythema, oedema, malodour and heavy exudation. The treatment period lasted 8 weeks with patients in the treatment group receiving Urgotul ® Silver for the first 4 weeks followed by Urgotul ® for the following 4 weeks. The control group received Urgotul ® for 8 weeks (22). Graumlich J. F., Blough L. S., McLaughlin R. G., Milbrandt J. (2003). Healing pressure ulcers with collagen or hydrocolloid: a randomized, controlled trial. J. Am. Geriatr. Soc. 51, 147–154. 10.1046/j.1532-5415.2003.51051.x [ PubMed] [ CrossRef] [ Google Scholar] Hobot J., Walker M., Newman G., Bowler P. (2008). Effect of hydrofiber wound dressings on bacterial ultrastructure. J. Electron Microsc. 57, 67–75. 10.1093/jmicro/dfn002 [ PubMed] [ CrossRef] [ Google Scholar]Indicated for the treatment of moderately to heavily exuding wounds in the epithelialisation stage (acute wounds such as burns, traumatic wounds, surgical wounds, postoperative wounds, and chronic wounds such as leg ulcers, pressure ulcers, diabetic foot ulcers). Dumville J. C., Deshpande S., O'Meara S., Speak K. (2013a). Foam dressings for healing diabetic foot ulcers. Cochrane Database Syst. Rev. 6:CD009111 Greasy, neutral or impregnated dressings, e.g. tulle gras have been used for many years to treat acute skin lesions (injuries, burns, etc.). The aim is to create and maintain a local environment conducive to the healing process based on the concept of healing in a moist environment (3). However, in actual practice, these greasy dressings often dry out and require frequent dressing changes, and they almost always adhere to wounds causing wounds to bleed upon their removal. This makes wound care painful and disruptive to the healing process. An improved form of dressing was required, one which could provide an ideal moist healing environment and at the same time overcome many of the traditional problems of adherence, trauma and pain associated with conventional adherent dressings. Pieper B., Langemo D., Cuddigan J. (2009). Pressure ulcer pain: a systematic literature review and national pressure ulcer advisory panel white paper. Ostomy Wound Manage. 55, 16–31. [ PubMed] [ Google Scholar]