Wound care today
The aim of locally applied wound care products is to support physiological wound healing. Acute wounds are cleaned in order to prevent an infection. The wounds then either heal physiologically or they are closed surgically with a suture.
The most important aspect in order to heal a chronic wound is to make sure that the factor that delays it’s healing is diagnosed and taken care of.
If the underlying cause of a chronic wound is not treated the wound typically does not heal, independent of the wound dressing that is applied.
As soon as the cause is treated, the focus shifts to the wound with the target to support physiological wound healing.
The wound dressing industry has seen an incredible growth in different types of products that can be used to cover wounds. While most people have a gauze or simple plaster in mind when thinking about a wound dressing the industry today offers products that are sold as “advanced wound dressings”. These products are often high-tech products for which nurses need additional training in order to properly apply them. Unfortunately, the industry likes to create the image that these products heal wounds faster and better. Scientific evidence clearly states that this is not the case and that simply keeping wounds clean and moist is the best that can be done to support physiologic wound healing. While the very expensive and advanced wound dressings may be useful in very specific situations, they are not necessarily suitable for extensive use in all situations due to their high cost and lack of superior effectiveness compared to more simple approaches.
The fear from infection has become such a strong driver resulting in wounds still today being treated with disinfectants for many days. Scientific evidence clearly shows that many of these antiseptic products have negative effects on wound healing if used during a longer period. In addition, it can be shown that cleaning a wound with clean water or saline solution is enough to prevent a wound from developing an infection. Disinfectants are an appropriate therapy if there is clear evidence for a local infection.
We experience wounds from birth until the end of our life. Kaspar falls from his bike and skins his knee. His sister Jasmine burns her hand because she touched the hot stove. Their grandmother has an insufficient blood supply and therefore needs a compression bandage on her leg in order for her wound to heal. And Jasmine’s dog was bit by another dog last week.
We believe that a wound dressing should enable a simple and painless dressing change. The dressing should protect the wound from infection and keep it moist in order to optimally support the body’s capability to heal the wound. The body heals the wound, not the dressing. Therefore it is crucial that the supporting product is easy to apply and that it comprises a broad activity spectrum in one single product.