Sifting Through the Types of Diabetic Foot Wound Dressings

Podiatrists, surgeons and foot care experts have a hard time agreeing upon which type of diabetic foot wound dressing works best to alleviate symptoms, protect the wound, and prompt healing. It seems there are pros and cons to every type of dressing. No matter which type is selected, it will need to be regularly changed and inspected.

diabetic wound dressing

No matter what type of dressing is used to treat a diabetic foot wound, it should be checked and changed regularly.
Image Source: OrlandoHealth.com

Health care professionals will generally consider several different factors when deciding which type of dressing to apply:

– Amount of fluid and odor coming from the infection

– Comfort and ability to alleviate pain

– Ability to aid in healing

– Bulkiness and room it takes up in the shoe

– Ability to withstand shearing forces of the shoe

Despite knowing the ideal qualities of a good diabetic foot wound dressing, there is little research-based evidence to support one type of bandage over another. At any rate, we’ll let you know what’s out there for your consideration.

Nonadhesive Dressings

Nonadhesive dressings are the most standard diabetic ulcer dressing because they are designed for use with antibiotics.

Pros: Nonadhesive dressings are inexpensive, easy to apply, and well-tolerated by patients.

Cons: On the downside, there are no advanced healing properties and extremely wet infections may soak through.

Example: TegaDerm Dressing with Non-Adhesive Pad

Foam & Alginate Dressings

The second-most popular category for dressings include foam and alginate (dressings made from seaweed).

Pros: Foam and alginate dressings are absorbent, comfortable, and easy to shape.

Cons: Sometimes these dressings stick to the wound.

Examples: Smith & Nephew Allevyn Hydrocellular Dressing & Convatec Kaltostat Alginate Dressing 

Hydrocolloid & Hydrogel Dressings

Most hydrocolloid dressings are presented as an absorbent layer on film or foam. British nurses prefer this dressing.

Pros: These dressings are designed to trap moisture, reduce oxygen flow and aid in the self-digestion of tissue.

Cons: Some are concerned that the risk of infection may increase, as these wraps are designed to be left on for a spell.

Examples: Coloplast Comfeel & Smith & Nephew Intrasite Gel

Silver & Iodine Dressings

Iodine dressings are often used as antiseptics on ulcers, although they are not as proven as antimicrobial silver.

Pros: Antiseptic, somewhat absorbent

Cons: Some people are allergic to iodine, and silver dressings are relatively expensive.

Examples: Acticoat Antimicrobial Dressing &  Iodex Cadexomer

Here is a handy summary of the diabetic foot wound dressings we’ve looked at:

wound dressings

Methods for Dressing Diabetic Foot Wounds.
Image Source: CID.OxfordJournals.org

Protect Yourself From Diabetic Foot Wounds

Diabetic foot wounds can be slow to heal and prone to infection, so the ideal scenario is to avoid getting an infected ulcer at all. One of the ways to protect your feet is to treat your shoes for bacteria, fungus, viruses, and infectious pathogens with a SteriShoe UV shoe sanitizer.

This handy device kills 99.9% of infection-causing microbes within just 45 minutes. SteriShoe is the only Ultraviolet shoe sanitization device with clinical trials published in a peer-reviewed journal. It also carries the American Podiatric Medical Association Seal of Acceptance. What was once a staple of professional podiatrist care is now available to consumers in their own homes.

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