title: Use of wound dressings with soft silicone adhesive technology.
abstract: OBJECTIVE
  To evaluate how pain, during and in-between dressing changes, is affected by the introduction of Mepilex Border Lite, a wound dressing manufactured by Mölnlycke Health Care using Safetac soft silicone adhesive technology, to the treatment of different types of paediatric wounds/skin injuries.
  
  
  METHODS
  Wounds/skin injuries that met the criteria for inclusion in the study were dressed with Mepilex Border Lite. Patients were followed for six weeks or until their wounds/skin injuries had healed, whichever occurred earlier. At each dressing change, pain severity before and during dressing removal was rated by the patient and the investigator on a scale from zero (no pain at all) to ten (worst pain ever). Other variables measured included: signs of trauma to wound/skin injury and surrounding skin, the proportion of viable/non-viable tissue, the quantity and appearance of exudate, odour, and clinical signs of infection. At the final dressing change, patients and investigators completed questionnaires to rate the dressing performance.
  
  
  RESULTS
  Mean pain severity scores were significantly lower (p < or = 0.003) at the first dressing change than at baseline. Over 99.5 per cent of the Mepilex Border Lite dressing changes were reported to be atraumatic and more than half of the wounds healed within the study period. Conformability, ease of use, ease of removal, patient comfort, and overall experience with the dressing were rated as 'good' to 'very good' at the vast majority of final visit evaluations.
  
  
  CONCLUSIONS
  This study provides further evidence of the ability of dressings with Safetac soft silicone adhesive technology to minimise trauma and pain and demonstrates the ability of Mepilex Border Lite to overcome the clinical challenges associated with the use of dressings on the wounds/skin injuries of paediatric patients.
authors.affiliation: North East Wales NHS Trust, Wrexham.
authors.forename: Clare
authors.initials: C
authors.lastname: Morris
authors.forename: Paulene
authors.initials: P
authors.lastname: Emsley
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Marland
authors.forename: Frans
authors.initials: F
authors.lastname: Meuleneire
authors.forename: Richard
authors.initials: R
authors.lastname: White
mesh_terms: D000269:Adhesives; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004867:Equipment Design; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009779:Occlusive Dressings / Q000009:adverse effects; D010146:Pain / Q000517:prevention & control*; D011446:Prospective Studies; D012828:Silicones; D014945:Wound Healing; D014947:Wounds and Injuries / Q000628:therapy*
chemical_list: D000269:Adhesives; D012828:Silicones