Formulary

17.1.1 Low adherence dressings

First Line
Second Line
Specialist
Hospital Only

Low adherence dressings are used as interface layers under secondary absorbent dressings. Placed directly on the wound bed, non-absorbent, low adherence dressings are suitable for clean, granulating, lightly exuding wounds without necrosis, and protect the wound bed from direct contact with secondary dressings. Care must be taken to avoid granulation tissue growing into the weave of these dressings.

Knitted polyester primary dressing

Atrauman

(Non-adherent, polyester mesh wound contact layer)

  • 5 x 5cm (£0.41), 7.5 x 10cm (£0.42), 10 x 20cm (£0.97), 20 x 30cm (£2.65)

Indications

  • Primary wound contact layer suitable for treatment of superficial acute and chronic wounds of any type

Notes

  1. 1mm pore size and impregnated with neutral triglycerides
  2. May help to reduce pain on dressing change
  3. Change frequency / wear time = up to 7 days

Knitted viscose primary dressing

N-A Ultra

(Silicone coated knitted wound contact layer)

  • 9.5 x 9.5cm (£0.35), 19 x 9.5cm (£0.66)

Indications

  • Primary wound contact layer suitable for use on leg ulcers, pressure sores, burns and other granulating wounds

Notes

  1. Non-adherent wound contact layer which requires an absorbent secondary dressing
  2. Change frequency / wear time = depends on exudate / strike through

Paraffin gauze dressing

Jelonet

(Paraffin gauze dressing sterile)

  • 10 x 10cm

Indications

  • Primary wound contact layer suitable for burns, graft sites, area of skin breakdown, and chronic wounds such as leg ulcers or pressure ulcers

Notes

  1. MHRA Drug Safety Update (April 2016): Fire risk with paraffin-based skin emollients on dressings or clothing
  2. Do not use on cavity wounds
  3. Change frequency / wear time = every 1 to 2 days