Comparison of a hydrocolloid dressing and paraffin gauze in the treatment of venous ulcers
Article first published online: 29 JUL 2006
British Journal of Dermatology
Volume 118, Issue 3, pages 425–427, March 1988
How to Cite
HANDFIELD-JONES, S.E., GRATTAN, C.E.H., SIMPSON, R. A. and KENNEDY, C.T.C. (1988), Comparison of a hydrocolloid dressing and paraffin gauze in the treatment of venous ulcers. British Journal of Dermatology, 118: 425–427. doi: 10.1111/j.1365-2133.1988.tb02438.x
- Issue published online: 29 JUL 2006
- Article first published online: 29 JUL 2006
- Accepted for publication 28 August 1987
In-patients with venous leg ulcers showed increased healing rates with a hydrocolloid dressing (Granuflex®), as compared with a traditional paraffin gauze dressing (Jelonet®), in a randomized sequential crossover trial, although the difference was not statistically significant.
Bacteriological studies showed that the hydrocolloid dressing favoured growth of both aerobes and anaerobes in significantly greater numbers compared with paraffin gauze. Heavy bacterial colonization had no effect on the healing rates of the ulcers.
Granuflex is said to produce an anaerobic environment—survival of Pseudomonas aeruginosa, a strict aerobe, under Granuflex dressings, makes this seem unlikely.