June 1987

Improved Pressure Sore Healing With Hydrocolloid Dressings

Author Affiliations

From the Departments of Medicine (Dr Gorse) and Infection Control, Nursing Service (Ms Messner), Huntington Veterans Administration Medical Center, and Marshall University School of Medicine (Dr Gorse), Huntington, WVa.

Arch Dermatol. 1987;123(6):766-771. doi:10.1001/archderm.1987.01660300088018

† We prospectively followed inpatients receiving treatment for pressure sores to identify the better of two local treatment regimens. Twenty-seven patients with 76 pressure sores received treatment with hydrocolloid dressings (HCDs) and 25 patients with 52 pressure sores received treatment with Dakin's solution (chloramine-T)-soaked wet-to-dry dressings. Thirty-eight (73%) patients initially had severe nutritional depletion. The mean serum albumin value of the pressure sore treatment groups was lower than that of an age-matched group without pressure sores. In the HCD group, 66 (86.8%) pressure sores improved compared with 36 (69.2%) pressure sores in the wet-to-dry dressings group. The HCD regimen was more efficacious even in a subgroup of patients who received inadequate nutritional support during treatment. Adequate nutritional intake during the study was associated with better healing in both local treatment groups.

(Arch Dermatol 1987;123:766-771)