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Silver Impregnated Wound Dressings on the Drug Tariff

Author: Andrew Heenan RGN RMN BA(Hons) Silver Impregnated Alginate Dressing Silver Impregnated Cavity Dressing Fibrous Silver Impregnated Hydrocolloid Silver Impregnated Hydrocolloid Silver Impregnated Protease Modulating Matrix Silver Coated Barrier Dressing Silver Impregnated, Poyurethane Foam Film Silver Impregnated Soft Polymer Silver Impregnated Soft Silicone, Polyurethane Foam Backing Silver Impregnated Soft Polymer with Polyurethane Foam Film References Related Articles 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 Dimensions price   Algisite Ag 5cm x 5cm  153p non-silvered alginate dressings here 10cm x 10cm  383p 10cm x 20cm  704p Sorbsan Silver Flat 5cm x 5cm  153p 10cm x 10cm  388p 10cm x 20cm  708p 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      £3.25 10cm x 15cm      £5.41 10cm x 20cm      £6.58 15cm x 20cm      £8.82 Sorbsan Silver Plus SA with adhesive border 11.5cm x 14cm  7.5cm x 10cm  2cm  £5.28 14cm x 19cm  10cm x 15cm  2cm  £7.60 14cm x 24cm  10cm x 20cm  2cm  £8.36 19cm x 24cm  15cm x 20cm  2cm  £9.32 Alginate Containing Hydrocolloid Dressing For medium to heavily exuding wounds. Product Size Basic   Urgosorb Silver  5cm x 5cm  143p non-silvered alginate dressings here 10cm x 10cm  341p 10cm x 20cm  643p Silver Impregnated Cavity Dressing Indications: medium or heavily exuding cavity wounds. Product   Size/weight Price Algisite Ag (rope)   30cm/2g £5.28 Aquacel Ag Ribbon   2cm x 45cm £4.34 Biatain Ag     5cm x 8cm £3.72 Sorbsan Silver Packing  with probe  30cm / 2g £5.66 Sorbsan Silver Ribbon  with probe  40cm / 1g £4.05 Urgosorb Silver Rope   2.5cm x 30cm £3.43 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 Dimensions price Silvercel - Square  5cm x 5cm  £1.64 11cm x 11cm £4.06 Silvercel - Rectangular  2.5cm x 30.5cm  £4.37 10cm x 20cm £7.53   Silver Impregnated Fibrous Hydrocolloid without Adhesive Border For medium to heavily exuding wounds. These dressings should be covered with a moisture-retentive dressing. Product Shape Size Price Contreet Hydrocolloid  Square  10cm x 10cm  £6.72 15cm x 15cm  £13.44 Silver Impregnated Protease Modulating Matrix Product Shape Size price Aquacel Ag Square 5cm x 5cm  £1.81 10cm x 10cm  £4.32 15cm x 15cm  £8.13 Rectangular 4cm x 10cm £2.65 4cm x 20cm £3.46 4cm x 30cm £5.17 20cm x 30cm  £20.17 Silver Coated Barrier Dressing Product Shape Size Price Acticoat square 5cm x 5cm £3.22 10cm x 10cm £7.85 rectangular 10cm x 20cm £12.28 20cm x 40cm £42.01 Acticoat Absorbent square 5cm x 5cm £4.91 rectangular 10cm x 12.5cm £11.78 Acticoat 7 square 5cm x 5cm £5.59 15cm x 15cm £29.93 rectangular 10cm x 12.5cm £16.65 Acticoat Moisture Control Square 5cm x 5cm £6.58 10cm x 10cm £15.39 Rectangular 10cm x 20cm £29.99 Silver Impregnated Poyurethane Foam Film: with Adhesive Border Product Shape Size Pad Border Price Allevyn Ag Adhesive square 7.5 x 7.5 5 x 5 1.25 £3.21 10 x 10 7.5 x 7.5 1.25 £5.06 12.5 x 12.5 10 x 10 1.25 £6.65 17.5 x 17.5 15 x 15 1.25 £12.79 sacral 17 x 17 13 x 13 2 £9.99 22 x 22 18 x 18 2 £13.38 Avance A  square 9 x 9  5 x 5 2 £2.31 12 x 12 8 x 8 2 £3.83 15 x 15 10 x 10 2.5 £4.69 sacral 15 x 13 10 x 8 2.5 £3.45 Contreet Foam square 12.5 x 12.5 8 x 8 2.25 £8.55 18 x 18 13 x 13 2.5 £17.14 heel 19 x 20 12 x 13 3.5 £16.91 sacral 23 x 23 13 x 13 5 £17.97 PolyMem Shapes Oval 5 x 7.61 2.5 x 5 1.25 x 1.3 £2.15 2.7 x 8.8 7.6 x 5 1.9-2.55 £5.30 Silver Impregnated Poyurethane Foam Film: without Adhesive Border Product Shape Size Price Allevyn Ag Heel 10.5cm x 13.5cm £9.90 Allevyn Ag Non-Adhesive Square 5cm x 5cm £3.00 10cm x 10cm £5.65 15cm x 15cm £10.71 20cm x 20cm £15.69 Avance square 10cm x 10cm £2.75 rectangular 10cm x 17.5cm £4.38 15cm x 20cm £6.05 Contreet Foam square 10cm x 10cm £7.47 15cm x 15cm £15.00 20cm x 20cm £21.15 rectangular 5cm x 7cm £3.07   10cm x 20cm £13.73 circular 5cm diameter £3.13 PolyMem Silver Square 10.8cm x 10.8cm £8.38 Rectangular 17cm x 19cm £16.93 Soft Polymer Wound Contact Dressing Impregnated with Silver Product Size Price Atrauman Ag 5cm x 5cm £0.47 10cm x 10cm £1.14 Physiotulle Ag 10cm x 20cm £2.23 10cm x 10cm £2.10 UrgotulDuo Silver  5cm x 7cm £1.94 11cm x 11cm £3.85 15cm x 20cm £9.28 Urgotul Silver  10cm x 12cm £3.32 15cm x 20cm £9.03 Urgotul SSD  11cm x 11cm £2.97 16cm x 21cm £8.42 Silver Impregnated Soft Polymer Wound Contact Dressing with Polyurethane Foam Film Backing Product Size Price UrgoCell Silver 6cm x 6cm £4.08 10cm x 10cm £5.61 15cm x 20cm £10.09   Silver Impregnated Soft Silicone Contact Dressing with Silver, with Polyurethane Foam Backing Use with care for heavily bleeding wounds. Product Size Price Mepilex Ag 10cm x 10cm  £5.80 10cm x 20cm  £9.57 15cm x 15cm  £10.77 20cm x 20cm  £15.96   References 1. Prescription Pricing Authority, Department of Health. Drug Tariff. London: The Stationery Office, May 2009. Article Updated: May 2009 Related Articles

Andrew Heenan is a Nurse, Journalist and Web Editor. Enquiries via www.realnurse.net

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