Skip to main content
internurse.com | The UK's largest nursing archive

Advanced search

P. Amione, E. Ricci, F. Topo, L. Izzo, R. Pirovano, V. Rega, C. Cocci, M. Masina
Journal of Wound Care, Vol. 14, Iss. 8, 01 Sep 2005, pp 365 - 370

Objective: The primary objective was to assess dressing delamination and the ensuing potential consequences during wear and/or removal, as well as the effect of residue remaining in the ulcer following foam breakdown.
Method: In this prospective multicentre study, 32 patients with a grade II or III pressure ulcer were randomised to receive either Allevyn Adhesive or Biatain Adhesive dressing. The performance of the dressings was assessed over seven dressing changes or a maximum of six weeks. The primary efficacy variable was the proportion of patients with at least one delaminated dressing (delamination being defined as the falling apart of a dressing during wear or removal, or the presence of residue from the dressing in the ulcer).
Results: Allevyn Adhesive was significantly less likely to delaminate than Biatain Adhesive: 83% of patients given Biatain Adhesive had a dressing that delaminated compared with 14% for Allevyn Adhesive (p=0.014). Furthermore, a greater proportion of the Biatain Adhesive dressings delaminated compared with the Allevyn Adhesive dressings: 50% versus 4% (p<0.001). Allevyn Adhesive performed
significantly better in the following parameters: handling exudate (p=0.044), comfort (p=0.007), ease of application (p=0.004), conformability during application (p=0.003) and removal (p<0.0001), and adherence to the skin during application (p=0.003) and prior to removal (p=0.011). Three patients given Allevyn Adhesive (21%) reported three adverse events; six patients given Biatain Adhesive (33%) reported eight adverse events.
Conclusion: Allevyn Adhesive is effective and well tolerated in the management of pressure ulcers and less likely to delaminate than Biatain Adhesive.
Declaration of interest: This study was funded by Smith & Nephew Wound Management Division, Hull, UK.

Return to article listing Request Permissions

To view this article


Existing users sign in Personal subscription 24 Hour access Pay per article