Book Store

Articles

Custom Search

Humour

Reviews

Andrew Heenan's Real Nurse Articles

About+
Mission

Wound Care at Real Nurse

The Drug Tariff:

Making Sense Of

Plus "Alginates - A Gentle Touch"

Silver Impregnated Wound Dressings on the Drug Tariff

Nursing Textbooks for your Kindle - Download Now!

 

**Please Note: The Real Nurse Articles on Wound Care & The Drug Tariff are no longer updated; these are 2011 archived versions.

Author: Andrew Heenan RGN RMN BA(Hons)

This article includes a range of silver impregnated dressings from Drug Tariff [1].

Silver-impregnated wound dressings are expensive; usually about three times the price of their non-silvered equivalent. So it is important to be sure that they are used appropriately, and that they provide value for money.

It has long been argued that wound infection is best dealt with by systemic antibiotics, and wound contamination best managed by wound cleansing (or ignored).

So why use silvered dressings if the wound is merely contaminated? How can the extra expense be justified?

Why use silvered dressings if there are overt signs of infection, such as discolouration, inflammation, pain, delayed healing? Surely systemic antibiotics are indicated?

It is important to assess each wound and decide on the appropriate dressing. If cross infection is an issue, or if colonisation is perceived as a risk, then a silver-based dressing may be the answer. But at several times the price of a hydrocolloid occlusive dressing, it may a case of buying a Rolls Royce for the Saturday newspaper round, where a bicycle would probably be a more fexible, appropriate choice.

Proprietary names are included for convenience; prices are for individual sterile-packed items (unless otherwise stated); these are only a guide to the true cost. Sizes are in centimetres (cm).

Silver Impregnated Alginate Dressing

calcium alginate wound dressing for shallow, wet wounds, plus antimicrobial activity against a broad range of bacteria.
Product Dimensionsprice 
Algisite Ag 5cm x 5cm  156p non-silvered
alginate
dressings
here
10cm x 10cm  390p
10cm x 20cm  717p
Melgisorb Ag 5cm x 5cm  171p
10cm x 10cm  343p
15cm x 15cm  725p
SeaSorb Ag 5cm x 5cm 153p
10cm x 10cm  374p
15cm x 15cm  612p
3cm x 44cm 405p
Sorbsan Silver Flat 5cm x 5cm  157p
10cm x 10cm  397p
10cm x 20cm  726p
Suprasorb A + Ag 5cm x 5cm  154p
10cm x 10cm  387p
10cm x 20cm  714p
Tegaderm Alginate Ag 5cm x 5cm  135p
10cm x 10cm  315p

Alginate Dressing with Silver and Absorbent Backing

For medium to heavily exuding wounds

Product

Size

Contact Pad

Border

Price

Sorbsan Silver Plus 

7.5cm x 10cm 

 

 

£3.31

10cm x 15cm 

 

 

£5.50

10cm x 20cm 

 

 

£6.69

15cm x 20cm 

 

 

£8.98

Sorbsan Silver Plus SA
with adhesive border

11.5cm x 14cm 

7.5cm x 10cm 

2cm 

£5.38

14cm x 19cm 

10cm x 15cm 

2cm 

£7.73

14cm x 24cm 

10cm x 20cm 

2cm 

£8.51

19cm x 24cm 

15cm x 20cm 

2cm 

£9.49

Alginate Containing Hydrocolloid Dressing

For medium to heavily exuding wounds.

Product

Size

Basic

 

Urgosorb Silver 

5cm x 5cm 

144p

non-silvered
alginate
dressings
here

10cm x 10cm 

344p

10cm x 20cm 

648p

Silver Impregnated Cavity Dressing

Indications: medium or heavily exuding cavity wounds.

Product

 

Size/weight

Price

Algisite Ag (rope)
 30cm/2g £5.38
Aquacel Ag Ribbon
 2cm x 45cm
£4.46

Biatain Ag  

 

5cm x 8cm

£3.79

Melgisorb Ag Cavity   3cm x 44cm £4.32
PolyMem Silver WIC   8cm x 8cm £6.84
Silvercell Non-Adherent   2.5cm x 30.5cm £3.94

Sorbsan Silver Packing 

with probe 

30cm / 2g

£5.76

Sorbsan Silver Ribbon 

with probe 

40cm / 1g

£4.15

Suprasorb A + Ag

 

30cm / 2g

£5.72

Tegaderm Alginate Ag

 

3cm x 30cm

£3.60

Urgosorb Silver Rope
 2.5cm x 30cm £3.46

Non-silvered cavity dressings here

Silver Impregnated Fibrous Hydrocolloid

For medium to heavily exuding wounds. These dressings should be covered with a moisture-retentive dressing.
Product Dimensionsprice
Silvercel - Square 5cm x 5cm  1.68
11cm x 11cm
4.14
Silvercel - Rectangular 2.5cm x 30.5cm  4.45
10cm x 20cm 7.68

 

Silver Impregnated Fibrous Hydrocolloid without Adhesive Border

For medium to heavily exuding wounds. These dressings should be covered with a moisture-retentive dressing.
ProductShapeSizePrice
Contreet Hydrocolloid Square 10cm x 10cm  6.85
15cm x 15cm  13.69

Silver Impregnated Protease Modulating Matrix

Product ShapeSizeprice
Aquacel AgSquare5cm x 5cm  1.86
10cm x 10cm  4.44
15cm x 15cm  8.36
Rectangular4cm x 10cm
£2.70
4cm x 20cm
£3.52
4cm x 30cm
£5.27
20cm x 30cm  20.73

Silver Coated Barrier Dressing

Product

Shape

Size

Price

Acticoat

square

5cm x 5cm

3.30

10cm x 10cm £8.07
rectangular10cm x 20cm £12.62
20cm x 40cm £43.18
Acticoat Absorbentsquare5cm x 5cm £5.04
rectangular10cm x 12.5cm £12.11
Acticoat 7square5cm x 5cm £5.74
15cm x 15cm £30.76
rectangular10cm x 12.5cm £17.11
Acticoat Flex 3 square 5cm x 5cm £3.32
10cm x 10cm £8.10
rectangular 10cm x 20cm £12.66
20cm x 40cm £43.34
Acticoat Flex 7 square 5cm x 5cm £5.77
15cm x 15cm £30.88
rectangular 10cm x 12.5cm £17.18
Acticoat Moisture Control
Square5cm x 5cm £6.76
10cm x 10cm £15.82
Rectangular10cm x 20cm £30.82

Silver Impregnated Poyurethane Foam Film: with Adhesive Border

Product

Shape

Size

PadBorder

Price

Allevyn Ag Adhesivesquare7.5 x 7.55 x 51.25 £3.27
10 x 107.5 x 7.51.25 £5.16
12.5 x 12.510 x 101.25 £6.78
17.5 x 17.515 x 151.25 £13.03
sacral17 x 1713 x 132 £10.18
22 x 2218 x 182 £13.64

Biatain Ag

square

12.5 x 12.5

8 x 8 2.25

8.71

18 x 18 13 x 13 2.5 £17.47
Heel 19 x 20 12 x 13 3.5 £17.23
sacral 23 x 23 13 x 135 £18.31
PolyMem Silver
Oval5 x 7.612.5 x 51.25 x 1.3 £2.20
12.7 x 8.8 7.6 x 51.9-2.55 £5.43

Silver Impregnated Poyurethane Foam Film: without Adhesive Border

Product

Shape

Size

Price

Allevyn Ag Heel10.5cm x 13.5cm £10.09

Allevyn Ag Non-Adhesive

Square5cm x 5cm £3.06
10cm x 10cm
£5.76
15cm x 15cm £10.91
20cm x 20cm £15.81
Biatain AG square 10cm x 10cm £7.61
15cm x 15cm £15.28
20cm x 20cm £21.55
  5cm x 7cm £3.13
10cm x 20cm £13.99
PolyMem Silver
Square10.8cm x 10.8cm £8.60
Rectangular
17cm x 19cm £17.22

Soft Polymer Wound Contact Dressing Impregnated with Silver

Product

Size

Price

Atrauman AAg 5cm x 5cm £0.49
10cm x 10cm £1.19
10cm x 20cm £2.32
Physiotulle Ag 10cm x 10cm £2.14
UrgotulDuo Silver 5cm x 7cm £2.14
11cm x 11cm £3.87
15cm x 20cm £9.35
Urgotul Silver 10cm x 12cm £3.34
15cm x 20cm £9.09
Urgotul SSD 11cm x 11cm £2.99
16cm x 21cm £8.48

Soft Polymer Wound Contact Dressing with Polyurethane Foam Film Backing Impregnated with Silver

Product

Size

Price

Allevyn Ag Gentle
5cm x 5cm £3.12
10cm x 10cm £5.82
10cm x 20cm £9.62
15cm x 15cm £10.83
20cm x 20cm £16.04
Allevyn Ag Gentle Border

7.5cm x 7.5cm £3.99
10cm x 10cm £5.99
12.5cm x 12.5cm £7.71
17.5cm x 17.5cm £14.69
UrgoCell Silver
6cm x 6cm £4.11
10cm x 10cm £5.65
15cm x 20cm £10.17

 

SilverSoft Silicone Contact Dressing, with Polyurethane Foam Backing Impregnated with Silver

Use with care for heavily bleeding wounds.

Product

Size

Price

Mepilex Ag

10cm x 10cm 

£5.91

10cm x 20cm 

£9.75
15cm x 15cm 

£10.98

20cm x 20cm 

£16.27
20cm x 50cm £61.22
Mepilex Heel Ag 13cm x 20cm £12.38
15cm x 22cm £13.87

With Silicone Adhesive Border

Product

Size

Price

Mepilex Border Ag

7.5cm x 7.5cm £3.30
10cm x 10cm £5.97
10cm x 20cm

£8.69

10cm x 30cm

£10.88
15cm x 15cm

£13.04

15cm x 17.5cm

£10.96
17cm x 20cm £14.20
Mepilex Border Sacrum Ag 18cm x 18cm £11.46
20cm x 20cm £13.93
23cm x 23cm £18.30

References

1. Prescription Pricing Authority, Department of Health. Drug Tariff. London: The Stationery Office, June 2011.

Article Updated: June 2011

Related Articles

 

Andrew Heenan is a Nurse, Journalist and Web Editor. Enquiries via the email address at the foot of the page.

Real Nurse Articles may be reproduced for personal use, copied and distributed, or republished elsewhere - provided the above author details are included, and this condition is passed to all users. Publishers are asked to inform the author of publication. Details

 
   
2 May 2016 | Copyright Andrew Heenan | | Privacy
RealNurse.net