Use of multilayer silicone foam dressings as adjuvant therapy to prevent pressure injuries
Despite progress in the prevention of pressure injuries (PIs), they remain a challenging public health problem because of their frequency and morbidity. Protection of the skin by multilayer silicone foam dressings may be an adjuvant measure to prevent PIs in high-risk patients. Despite the available clinical data and published recommendations on this measure, caregivers face difficulties in identifying patients who would benefit from this adjuvant measure. The objective of this work was to define the profiles of high-risk patients who would benefit optimally from this measure in combination with basic preventive procedures. This consensual expert opinion was drawn up using two methods: the Nominal Group Technique with eight medical and paramedical experts, and the Delphi process with 16 experts. The bases for this expert consensual opinion were a formal search and analysis of the published literature regarding evidence on the prevention of PIs using multilayer silicone foam dressings. The consensual expert opinion reported here addresses five proposals mostly intended to define patients who would benefit from the use of a multilayer silicone foam dressing (≥4 layers) to prevent PIs (sacrum and heels).
In a recent systematic review, Li et al.1 estimated pressure injury (PI) prevalence to be 12.8%, with an incidence rate of 5.4 per 10,000 patient-days and a hospital-acquired PI rate of 8.5% in adult patients. The PIs are mainly stage 1 and 2, and common locations are the sacrum followed by heels and hips. Despite progress in the prevention of PIs, they remain a challenging public health problem because of their frequency2,3 and associated morbidity.4
The prevention of PIs, which are a multifactorial condition, is essential and requires a global approach. It has been the subject of several recommendations.5–8 The main general measures of PI prevention, after identifying risk factors, are: reducing the pressure; using adapted supports (cushions, mattresses); monitoring the skin condition; maintaining skin hygiene; ensuring nutritional balance; favouring the patient’s participation and that of their entourage in the prevention of PIs; and ensuring continuity of care.5–8
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