A new option in the treatment of skin tears for the institutionalized resident: formulated 2-octylcyanoacrylate topical bandage.
Skin tears are a common phenomenon in elderly institutionalized adults (EIAs). Incidence ranges from 0.92 to 2.5 per person/year. Little supportive literature exists regarding optimal treatment with many regimens reported. A convenience sample of 20 patients with Payne-Martin Category II and III skin tears of less than 8 hours' duration were prospectively evaluated with the use of a formulated 2-octylcyanoacrylate topical bandage. Patients were followed weekly until the tear healed. Complete healing occurred with 1 application of 2-OTB in 90% (18/20) of study subjects; 5% (n = 1) reported transient mild pain (less than 15 seconds), and 90% (n = 19) reported no pain. There were no incidents of cellulitis or infection. Shower and bathing routines were not interrupted. Cost averaged less than $1 per application. Clinician time averaged 1.5 minutes per application. Clinicians reported high satisfaction because repeated dressing changes were eliminated.
Milne
Catherine T
CT
Connecticut Clinical Nursing Associates, LLC, Bristol, CT, USA.
Corbett
Lisa Q
LQ
D000287:Administration, Topical; D000368:Aged; D001458:Bandages; D003487:Cyanoacrylates / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D007326:Institutionalization; D012867:Skin / Q000293:injuries*; D012871:Skin Diseases / Q000188:drug therapy*; D014014:Tissue Adhesives / Q000008:administration & dosage / Q000627:therapeutic use; D014945:Wound Healing
D003487:Cyanoacrylates; D014014:Tissue Adhesives; C119247:octylcyanoacrylate