Formulary

17.3.4 Other antimicrobials

First Line
Second Line
Specialist
Hospital Only

Wound dressings containing PHMB (polyhexamethylene biguanide) have been shown to reduce microbial counts within the wound and are indicated for the treatment of critically colonised or infected wounds.

The use of PHMB has specific contraindications, PHMB must not be used:

  • For peritoneal lavage or for antiseptic/antimicrobial joint lavage (cartilage toxicity)
  • In applications involving any part of the central nervous system, including the meninges, and intralumbal applications
  • For applications involving the middle or inner ear, or for intraocular applications
  • During pregnancy
  • In patients allergic to PHMB
Cutimed Sorbact Ribbon

(Antimicrobial ribbon with hydrophobic properties)

  • Ribbon 2cm x 50cm (£4.37), 5cm x 200cm (£8.61)

Notes

  1. All types of deep or cavity wound showing signs of infection
  2. Suitable for fungal infection in the groin, skin folds or between digits
  3. Change frequency / wear time = up to 7 days
Cutimed Sorbact Swabs

(Antimicrobial swabs with hydrophobic properties)

  • Swabs 4cm x 6cm (£1.79), 7cm x 9cm (£2.98), 3cm/5 pieces (round) (£3.57)

Notes

  1. All types of wounds, from low to high levels of exudate, including infected wounds
  2. Change frequency / wear time = up to 7 days
For lightly to moderately exuding wounds
Flaminal Hydro Gel
  • 15g (40cm2) (£8.37)
  • 50g (130cm2) (£27.70)

Notes

  1. Change frequency / wear time = 15g, 1 to 4 days dependant on exudate levels
For moderately to heavily exuding wounds
Flaminal Forte Gel
  • 15g (40cm2) (£8.37)
  • 50g (130cm2) (£27.70)

Notes

  1. Change frequency / wear time = 15g, 1 to 4 days dependant on exudate levels

Irrigation fluids

Octenilin

(Octenidine hydrochloride)

  • Irrigation fluid 350ml bottle (£4.95)

Notes

  1. Exposure time of 5 minutes is sufficient to remove a biofilm
Octenilin Wound Gel

(Octenidine hydrochloride)

  • Gel 20ml (£5.14)

Notes

  1. Exposure time of 5 minutes is sufficient to remove a biofilm
Octenisan

(Octenidine hydrochloride)

  • Wash lotion 500ml