Formulary

17.3.4 Other antimicrobials

First Line
Second Line
Specialist
Hospital Only
Cutimed Sorbact
  • Ribbon 2cm x 50cm (£4.37), 5cm x 200cm (£8.61)
  • Swabs 4cm x 6cm (£1.79)

Notes

  1. Antimicrobial wound dressing
  2. Bacteria are attracted to the dressing and become irreversibly bound to it. On removal of dressing bacteria are also removed
  3. Change frequency/ wear time = up to 7 days
Cutimed Sorbact
  • Gel dressing 7.5cm x 7.5cm (£2.87), 7.5cm x 15cm (£4.85)

Notes

  1. Change frequency/ wear time = every 3-4 days

Wound dressings containing PHMB (polyhexamethylene biguanide) have been shown to reduce microbial counts within the wound and are indicated for the treatment of critically colonised or infected wounds.

The use of PHMB has specific contraindications , PHMB must not be used:

  • For peritoneal lavage or for antiseptic/antimicrobial joint lavage (cartilage toxicity)
  • In applications involving any part of the central nervous system, including the meninges, and intralumbal applications
  • For applications involving the middle or inner ear, or for intraocular applications
  • During pregnancy
  • In patients allergic to PHMB
Kendall AMD
  • Foam dressing without adhesive border 5cm x 5cm (£2.56), 8.8cm x 7.5cm (fenestrated) (£4.33), 10cm x 10cm (£4.82), 15cm x 15cm (£9.13), 10cm x 20cm (£9.13), 20cm x 20cm (£13.38)

Notes

  1. Contains PHMB
  2. For moderately exudating wounds
  3. Fenestrated dressings can be used around PEG/catheter/tracheostomy sites where critically colonising wounds are suspected
  4. Change frequency/ wear time = up to 7 days
Suprasorb X + PHMB
  • 5cm x 5cm (£2.80), 9cm x 9cm (£5.58), 14cm x 20cm (£12.68)

Notes

  1. Shown to kill multi resistant pathogens including MRSA and VRE
  2. For light to moderately exudating wounds
  3. Can be used on both superficial and deep critically colonised wounds
  4. Can have a cooling effect on the wound
  5. Change frequency/ wear time = up to 7 days

Irrigation fluids

Octenilin Irrigation solution and gel
  • Irrigation solution 350ml bottle (£4.95)
  • Wound gel (£5.14 = 20ml)

Notes

  1. Wound irrigation solution and gel for cleansing, moisturising and decontamination of acute and chronic wounds to aid in the efficient wound bed preparation
  2. Removes wound debris and biofilms
  3. Contains Octenidine HCl
  4. For short term use only. Not suitable for repeat prescription
Octenisan Wash Mitts
  • Octenidine HCl wash mitts (£5.15 = 10 mitts)

Notes

  1. Antiseptic single use wash mitts for bedside washing
  2. Use one mitt per body area
  3. Leave impregnation solution on skin for at least 30 seconds; rinsing with water afterwards is not necessary
  4. Do not use in combination with products containing povidone-iodine (PVP-I)
  5. For short term use only. Not suitable for repeat prescription