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b
Hydrocolloids should be used with special
precautions in patients with diabetes or
infected wounds.
c
and
e:
Use of dressings with occlusive properties
for highly exudative wounds and/or high
temperatures may lea
d to risk of infection by
Pseudomonas aeruginosa.
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Dressings with an absorptive effect should not be
used near the eyes, mucous membranes, in deep
wounds with narrow openings, or wounds in body
cavities, due to the risk of drying and adhesion.
Dressings using hydration technology should also
be avoided for dry or drying wound areas, or other
areas requiring little or no fluids.
Dressings supporting a moist wound healing
environment should not be used in, for example,
necrotic digits, because of ischaemia and/or
neuropathy. These wounds should be kept dry due
to the risk of infection.
Cadexomer iodine is contraindicated in patients
with iodine sensitivity, Hashimoto´s disease,
thyroiditis and nontoxic goiter. Some cases of
hyperthyroidism following cadexomer iodine have
also been reported and cadexomer iodine may
lead to toxicosis, due to a tissue reaction in the
peri-wound area when hyperkeratosis is present.
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Sideeffects
Possible side effects related to the various groups of
products are:
a
For hydrogels, excessive use, or use in a highly
exudative wound, may lead to maceration
of the peri-wound skin. Maceration potentially
weakens the skin barrier function and may
impede the wound-healing process. Moreover,
maceration can be a portal of entry for
infections caused by microorganisms,
such as bacteria or fungi.
c
Pain related to cadexomer iodine dressings,
such as a burning sensation during application,
has been reported.
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