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 Formulary Chapter 19: Wound Care Formulary - Full Chapter
Notes:

Approved by:
Shropshire Community Health NHS Trust, Telford & Wrekin CCG and Shropshire

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19.04  Expand sub section  Anti-Microbials Silver
Aquacel Ag+ Extra
(5cm x 5cm
10cm x 10cm
15cm x 15cm
20cm x 30cm)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber
 

MUST be prescribed as a course of treatment
MUST be reviewed every 2-weeks
Ongoing treatment after 2-weeks MUST be discussed with a specialist

Use

For infected and critically colonised wounds.
Moderate to heavy exuding wounds.
Must be prescribed as a course of treatment.
Must be reviewed every two weeks.
Ongoing treatment after two weeks must be discussed with a specialist.

Application

Apply directly onto wound bed, overlapping the surrounding skin by 2 cm. Requires a secondary dressing.

Tips

May be applied pre-moistened with saline for dry wounds.
Change when saturated with exudate - maximum 7 days.

Avoid

Sensitivity to silver and sulphonamides.

 

 
   
Aquacel Ag+ Ribbon
(1cm x 45cm
2cm x 45cm)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber
 

MUST be prescribed as a course of treatment
MUST be reviewed every 2-weeks
Ongoing treatment after 2-weeks MUST be discussed with a specialist

Use

For infected and critically colonised wounds.
Moderate to heavy exuding wounds.
Must be prescribed as a course of treatment.
Must be reviewed every two weeks.
Ongoing treatment after two weeks must be discussed with a specialist.

Application

Apply directly into cavity wound, overlapping excess if required. Requires a secondary dressing.

Tips

May be applied pre-moistened with saline for dry wounds.
Change when saturated with exudate - maximum 7 days.

Avoid

Sensitivity to silver and sulphonamides.

 

 
   
Mepilex Ag
(10cm x 10cm
10cm x 20cm
15cm x 15cm
20cm x 20cm)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber
 

MUST be prescribed as a course of treatment
MUST be reviewed every 2-weeks
Ongoing treatment after 2-weeks MUST be discussed with a specialist

Use

Low to moderately exuding wounds.
Leg and foot ulcer, pressure ulcers, partial thickness burns.
May be used on infected wound as part of a treatment regime under supervision of a qualified healthcare professional.

Application

Apply directly to wound bed.

Tips

Leave at least 2 cm around wound.
Reduces pain and trauma during dressing changes.
Contains silicone.

Avoid

Dry wounds.
Do not use on patients with known sensitivity to silver. Do not use during radiation treatment or X-ray, ultrasound, cardioversion.

 

 
   
Urgotol SSD
(10cm x 12cm
15cm x 20cm)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber
 

MUST be prescribed as a course of treatment
MUST be reviewed every 2-weeks
Ongoing treatment after 2-weeks MUST be discussed with a specialist

Use

Superficial, partial thickness and full thickness burns.
Pressure and leg ulcers.
Must be prescribed as a course of treatment.
Must be reviewed every two weeks.
Ongoing treatment after four weeks must be discussed with a specialist.

Application

Apply directly to wound bed.
Change dressing every 24 – 48 hours depending on wound progress.
Will require secondary dressing and/or padding.
Easier to apply with moistened gloved hands.
Unless used in palliative care settings these products must be reviewed on a regular basis, at least every month. This should ideally include discussion with a specialist.

Tips

If adherent, may be loosened with warmed saline solution.

Avoid

Sensitivity to silver and sulphonamides.
Renal/hepatic insufficiency, pregnant women and neonates.

 

 
   
Aquacel Ag Foam ADHESIVE
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

MUST be prescribed as a course of treatment
MUST be reviewed every 2-weeks
Ongoing treatment after 2-weeks MUST be discussed with a specialist

For step down from Aquacel Foam with Aquacel Ag+ Extra underneath

8cm x 8cm
10cm x 10cm
12.5cm x 12.5cm
17.5cm x 17.5cm
19.8cm x 14cm (Heel)
20cm x 16.9cm (Sacral)

 
   
Aquacel Ag Foam NON-ADHESIVE
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

MUST be prescribed as a course of treatment
MUST be reviewed every 2-weeks
Ongoing treatment after 2-weeks MUST be discussed with a specialist

For step down from Aquacel Foam with Aquacel Ag+ Extra underneath

5cm x 5cm
10cm x 10cm
15cm x 15cm

 
   
 ....
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
Link to SPCs
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Green

Suitable first-line drugs for implementation in Primary Care  

Amber

These medicines are considered suitable for prescribing in Primary Care following specialist (consultant or GPwSI) initiation or recommendation. Some of these medicines may require on-going communication between the Secondary Care specialist and the Primary Care prescriber using Prescribing Information (PI) or through the use of an Effective Shared Care Agreement (ESCA) and this will be indicated in the text.  

Red

Drugs which require special consideration. These are drugs for use in Secondary Care ONLY or for Consultant Prescribing ONLY where indicated. They should not be prescribed in Primary Care.  

Black

Medicines classified in the BNF as 'not NHS' or are considered by the Area Prescribing Committee to be of low clinical value should not be prescribed  

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