Management of a Patient With Toxic Epidermal Necrolysis Using Silicone Transfer Foam Dressings and a Secondary Absorbent Dressing.
BACKGROUND
Toxic epidermal necrolysis (TEN) is an exfoliative disorder of the skin usually caused by a drug reaction. The primary goal of wound care for patients with TEN is prevention of further mechanical trauma to the skin, along with management of wound infection.


METHODS
A 77-year-old woman with TEN was successfully managed with a perforated silver soft contact foam and a superabsorbent outer layer. Topical therapy combined nanoparticle silver for management of wound infection and minimized trauma to the skin as only the outer layer needed to be changed.


CONCLUSIONS
The silicone foam dressing with silver sulfate epithelialization and reduced pain and trauma associated with dressing changes.
Kimberly D. McCarthy, BSN, RN, CWON, School of Nursing, University of Mississippi, Medical Center, Jackson, Mississippi and Molnlycke Health Care, LLC. Rachel M. Donovan, BSN, RN, CWOCN, St. Tammany Parish Hospital, 1202 S Tyler St, Covington, Louisiana.
Kimberly D
KD
McCarthy
Rachel M
RM
Donovan
D041342:Absorbent Pads / Q000592:standards*; D000368:Aged; D001458:Bandages / Q000592:standards; D005260:Female; D006801:Humans; D012828:Silicones / Q000008:administration & dosage / Q000627:therapeutic use; D018030:Silver Compounds / Q000494:pharmacology / Q000627:therapeutic use; D013262:Stevens-Johnson Syndrome / Q000628:therapy*; D014945:Wound Healing
D012828:Silicones; D018030:Silver Compounds