title: Dressings as an adjunct to pressure ulcer prevention: consensus panel recommendations.
abstract: The formulation of recommendations on the use of wound dressings in pressure ulcer prevention was undertaken by a group of experts in pressure ulcer prevention and treatment from Australia, Portugal, UK and USA. After review of literature, they concluded that there is adequate evidence to recommend the use of five-layer silicone bordered dressings (Mepilex Border Sacrum(®) and 3 layer Mepilex Heel(®) dressings by Mölnlycke Health Care, Gothenburg, Sweden) for pressure ulcer prevention in the sacrum, buttocks and heels in high-risk patients, those in Emergency Department (ED), intensive care unit (ICU) and operating room (OR). Literature on which this recommendation is based includes one prospective randomised control trial, three cohort studies and two case series. Recommendations for dressing use in patients at high risk for pressure injury and shear injury were also provided.
authors.affiliation: Adult Health and Illness Department, College of Nursing, University of Nebraska Medical Center, Omaha, NE, USA.
authors.forename: Joyce
authors.initials: J
authors.lastname: Black
authors.affiliation: Birmingham City University, Birmingham, UK.
authors.forename: Michael
authors.initials: M
authors.lastname: Clark
authors.affiliation: Birmingham NHSFT, University of Birmingham and University Hospital, Birmingham, UK.
authors.forename: Carol
authors.initials: C
authors.lastname: Dealey
authors.affiliation: Wound Care Team, Virginia Commonwealth University (VCU) Medical Center, Richmond, VA, USA.
authors.forename: Christopher T
authors.initials: CT
authors.lastname: Brindle
authors.affiliation: Institute of Health Sciences, Catholic University of Portugal, Porto, Portugal.
authors.forename: Paulo
authors.initials: P
authors.lastname: Alves
authors.affiliation: Translational Research, University of Melbourne & Royal Melbourne Hospital AU, Melbourne, Australia.
authors.forename: Nick
authors.initials: N
authors.lastname: Santamaria
authors.affiliation: Department of Microbiology, Weber State University, Salt Lake City, UT, USA.
authors.forename: Evan
authors.initials: E
authors.lastname: Call
mesh_terms: D001315:Australia; D002081:Buttocks / Q000293:injuries*; D015331:Cohort Studies; D017408:Guidelines as Topic; D006365:Heel / Q000293:injuries*; D006801:Humans; D009779:Occlusive Dressings / Q000592:standards*; D011174:Portugal; D003668:Pressure Ulcer / Q000517:prevention & control*; D011315:Preventive Medicine / Q000379:methods*; D011446:Prospective Studies; D012447:Sacrum / Q000293:injuries*; D013548:Sweden; D014481:United States
keywords: ICU pressure ulcers; Pressure ulcer prevention; Preventive dressings