FAQs

FAQs

UrgoTul s.Ag/SSD

Product

What is UrgoTul s.Ag/SSD?

UrgoTul s.Ag/SSD is an antibacterial, flexible contact layer with TLC-s.Ag, comprised of a conformable polyester mesh impregnated with fatty substances, hydrocolloid, and silver sulphadiazine.

How does UrgoTul s.Ag/SSD work?

When in contact with wound exudate, the TLC-s.Ag of UrgoTul s.Ag/SSD gels and creates a moist environment, promoting healing. This ensures non-adherence and pain-free dressing changes. UrgoTul s.Ag/SSD acts as a reservoir capable of continuously releasing two anti-microbial agents, silver ions and sulphadiazine, which have a purely topical action.

Is silver released into the wound bed to kill bacteria or are bacteria killed in contact with the dressing?

TLC-s.Ag contains silver sulphadiazine, whose antibacterial effect is only activated when in contact with wound exudate.

Ag+ ions and sulphadiazine stay in the lipido-colloid gel and are not released in the wound bed.

Does silver go into the blood stream?

TLC-s.Ag contains silver sulphadiazine, whose antibacterial effect is only activated when in contact with wound exudate.

Ag+ ions and sulphadiazine stay in the lipido-colloid gel, their antibacterial activity remains on the wound surface, and is not released in the wound bed, even less so at a systemic level.

The amount of silver in TLC-s.Ag products is low, are they as effective as other silver dressings?
Do I need to change those more often?

In TLC-s.Ag dressings, the Ag+ ions and sulphadiazine have a bactericidal effect with an amount of silver that is enough to be effective on the most resistant pathogens, for up to 7 days (in vitro).

Other dressings may require more silver to be effective as their mechanism of action is different. They quickly release silver and need to have a higher silver amount to be effective over time. This may represent a risk of reduced effectiveness.

Against which pathogens are the TLC-s.Ag dressings effective?

Ag ions and sulphadiazine are effective against a wide range of different pathogens. Tests have even been carried out on resistant pathogens: MRSA, Escherichia coli, proving the efficacy of TLC-s.Ag.
TLC-s.Ag has also demonstrated its antibacterial activity in vitro on 117 hospital strains.

Indications

When should I use UrgoTul s.Ag/SSD?

UrgoTul s.Ag/SSD is indicated for non to low exuding wounds with signs of local infection.

Can I use UrgoTul s.Ag/SSD during the desloughing stage?

Yes, however, UrgoClean is the recommended treatment option for desloughing.

Can I use UrgoTul s.Ag/SSD with a gel?

Yes, it can be combined with a hydrogel.

What are the contraindications of UrgoTul s.Ag/SSD?

UrgoTul s.Ag/SSD should not be used where there is a known sensitivity to sulphonamides and other ingredients.
Do not use on patients undergoing Magnetic Resonance Imaging (MRI) examination.
Use in patients with renal or hepatic impairment, pregnant or breast-feeding women, newborn and premature babies is contraindicated in the absence of any specific clinical data.

Is there any adverse event related to the TLC-s.Ag products?

The silver sulphadiazine can give rise to:

  • Erythema, contact eczema and rare cases of argyria
  • Photosensitivity
  • Leucopenia which are sometimes severe and which usually arise during the first days of treatment.

Passage of sulphadiazine into the systemic blood stream exposes patients to a risk of systemic sulphonamide complications: haematological, renal, intestinal and skin.

However, TLC-s.Ag contains silver sulphadiazine, whose antibacterial effect is only activated when in contact with wound exudate.
Ag+ ions and sulphadiazine stay in the lipido-colloid gel and are not released in the wound bed.

Can I use TLC-s.Ag products in children?

No clinical studies have been carried out. However, TLC-s.Ag has been widely used for the treatment of traumatic wounds and burns in children from the age of one.

Use

UrgoTul s.Ag/SSD can adhere to gloves. How should I avoid this?

It is recommended to moisten the gloves with normal saline and to use the protective wings to facilitate application.

Can I use UrgoTul s.Ag/SSD in combination with another dressing (such as UrgoClean)?

Yes.

Can I use UrgoTul s.Ag/SSD under compression?

Yes.

cutting-dressing-guide

Cutting Guide

Can I cut UrgoTul s.Ag/SSD?

Yes.

How can I secure UrgoTul s.Ag/SSD?

Cover UrgoTul s.Ag/SSD with a secondary dressing suitable for the location and level of wound exudate. Secure the dressing in place with a suitable bandage, adhesive tape, or apply a compression bandage when prescribed.

How long should I keep the dressing in place?

A maximum of four weeks use is recommended due to the good efficacy of TLC-s.Ag on most pathogens.
Dressing should be renewed every 24 to 48 hours, depending on the wound being treated and its progress.

Can I keep the contact layer in place and change only the secondary dressing?

The contact layer may remain in contact with the wound for 24 to 48 hours. If necessary, the secondary dressing can be changed more frequently to manage exudate.

When should I stop using silver sulphadiazine dressings and switch back to a neutral dressing?

A maximum of four weeks use is recommended due to the good efficacy of TLC-s.Ag on most pathogens.
If the wound evolves well before the end of the 4 weeks treatment, you can switch to a neutral dressing.

Evidence

What evidence do you have on TLC-s.Ag?

In vitro data and clinical cases have been carried out; as well as a clinical study on the efficacy and tolerance of Urgotul S.Ag/SSD in the treatment of second degree burns

UrgoClean

Product

What is UrgoClean?

UrgoClean Pad is a new-generation of hydro-desloughing fibre dressing with a high absorption and desloughing capacity, and a soft-adherent lipido-colloid (TLC) layer.

How does UrgoClean work?

When in contact with exudate, the hydro-desloughing polyacrylate fibres gel, swell and bind to the sloughy residue, absorbing and draining it to aid elimination (autolytic debridement). The creation of this gel maintains a moist environment in contact with the wound which promotes the healing of the desloughed areas and also prevents lateral diffusion by trapping exudate. TLC also promotes fibroblast proliferation in desloughed areas.

What is the absorption capacity of UrgoClean compared to other dressings?

UrgoClean absorbs 1700 g/m², similar to hydrofibre dressings (Aquacel pad).

Why is UrgoClean efficient at desloughing wounds?

The hydro-desloughing fibres of UrgoClean have a high absorption capacity and ability to trap sloughy residues.

How do you explain the removal in one piece?

The hydro-desloughing fibres of UrgoClean have an ultra-resistant acrylic core, ensuring strong integrity on removal, even after gelling in contact with the wound.

What is the difference between hydro-desloughing fibres and hydrofibres?

Hydrofibres are hydrocolloid fibres which gel and maintain a moist environment and absorb exudate.
Hydro-desloughing fibres offer similar functions but allow removal in one piece (strength of the fibres) and also promote desloughing (slough removal, haemostatic properties).

What is the role of the soft-adherence?

The soft-adherence makes UrgoClean very conformable and flexible, ensuring close contact with the wound bed to promote healing and maintaining the position of UrgoClean when applied, aiding dressing change.

Indications

When should I use UrgoClean?

UrgoClean Pad is indicated for exuding sloughy wounds (leg ulcers, pressure ulcers, diabetic foot ulcers, burns, dermabrasions, traumatic wounds, postoperative wounds, oncological wounds…)

Can I use UrgoClean during the granulation stage?

Yes.
However, if the wound is chronic, UrgoStart is the perfect treatment following UrgoClean to accelerate wound healing.

Can I use UrgoClean on dry wounds?

In the case of black necrosis (escar), the wound must be debrided before using UrgoClean. If the wound is dry, it should be moistened with normal saline before applying UrgoClean.

Can I use UrgoClean on infected wounds?

Due to the non-occlusive nature of this dressing, UrgoClean can be used on colonised wounds under close medical supervision. However, in the case of an infected wound, an antibacterial dressing should be used.

UrgoClean traps bacteria, does that mean it is antibacterial?

No. UrgoClean has no added silver and is not an antibacterial dressing but due to its strong absorption, UrgoClean is able to trap bacteria from colonised wounds. However, in the case of an infected wound, an antibacterial dressing should be used.

Can I use UrgoClean with a gel?

Yes, it can be combined with a hydrogel.

What are the contraindications of UrgoClean?

Organic mercury (Mercryl Lauryl®, Dermachrome®, Merfene®) or hexamidine (Hexomédine®) antiseptics and hydrogen peroxide (Oxygenated water).

Use

UrgoClean can adhere to gloves. How should I avoid this?

It is recommended to use the protective wings to facilitate application.

Which side of UrgoClean should I apply to the wound?

Apply the soft-adherent side to the wound.

cutting-dressing-guide

Cutting Guide

Can I cut UrgoClean?

Yes.

How can I secure UrgoClean?

UrgoClean Pad may be covered with a secondary dressing suitable for the location and level of wound exudate. Secure the dressing in place with a suitable bandage, adhesive tape or apply compression bandage when prescribed.

Can I use UrgoClean under compression?

Yes. UrgoClean has a strong ability to retain exudate even under compression.

When should I change UrgoClean?

UrgoClean should be changed every 1 to 2 days during the desloughing phase, then as often as required (up to 7 days) depending on the level of exudate and the clinical condition of the wound.

Why can the wound enlarge after treatment with UrgoClean?

The wound can seem larger following treatment with UrgoClean. This is due to the desloughing process and the removal of debris in the wound.

UrgoClean Rope

Product

What is UrgoClean Rope?

UrgoClean Rope is a new-generation of hydro-desloughing fibre dressing with a high absorption and desloughing capacity.

How does UrgoClean Rope work?

When in contact with exudate, the hydro-desloughing polyacrylate fibres gel, swell and bind to the sloughy residue, absorbing and draining it to aid elimination (autolytic debridement). The creation of this gel maintains a moist environment in contact with the wound which promotes the healing of the desloughed areas and also prevents lateral diffusion by trapping exudate.

What is the absorption capacity of UrgoClean Rope compared to other dressings?

UrgoClean Rope absorbs 20g/dressing, greater than hydrofibre rope (Aquacel rope: 15g/dressing).

Why is UrgoClean Rope efficient at desloughing wounds?

The hydro-desloughing fibres of UrgoClean Rope have a high absorption capacity.

How do you explain the removal in one piece?

The hydro-desloughing fibres of UrgoClean Rope have an ultra-resistant acrylic core, ensuring strong integrity on removal, even after gelling in contact with the wound.

What is the difference between hydro-desloughing fibres and hydrofibres?

Hydrofibres are hydrocolloid fibres which gel and maintain a moist environment and absorb exudate.
Hydro-desloughing fibres offer similar functions but allow removal in one piece and also promote desloughing.

Why does UrgoClean Rope not have any soft-adherent TLC?

The rope was developed without soft-adherent TLC to facilitate application in cavity wounds.

Are the fibers resorbable and biodegradable?

No.

Indications

When should I use UrgoClean Rope?

UrgoClean® Rope is indicated for the desloughing phase of exuding cavity and sinus wounds, chronic wounds (leg ulcers, pressure ulcers, diabetic foot ulcers), acute (traumatic), post-operative and oncological wounds.

Can I use UrgoClean Rope during the granulation stage?

Yes.

Can I use UrgoClean Rope on dry wounds?

In the case of black necrosis (escar), the wound must be debrided before using UrgoClean Rope. If the wound is dry, it should be moistened with normal saline before applying UrgoClean Rope.

Can I use UrgoClean Rope on infected wounds?

Due to the non-occlusive nature of this dressing, UrgoClean Rope can be used on colonised wounds under close medical supervision. However, in the case of an infected wound, an antibacterial dressing should be used.

UrgoClean Rope traps bacteria, does that mean it is antibacterial?

No. UrgoClean Rope has no added silver and is not an antibacterial dressing but due to its strong absorption, UrgoClean Rope is able to trap bacteria from colonised wounds. However, in the case of an infected wound, an antibacterial dressing should be used.

Can I use UrgoClean Rope with a gel?

Yes, it can be combined with a hydrogel.

What are the contraindications of UrgoClean Rope?

  • Organic mercury (Mercryl Lauryl®, Dermachrome®, Merfene®) or hexamidine (Hexomédine®) antiseptics and hydrogen peroxide (Oxygenated water).
  • Do not use in fistula wounds with a diameter less than that of the probe.
  • Do not use on dry wounds
  • Do not use as surgical packing (non-resorbable rope).
  • Do not use in endo-nasal area in rhino-sinusitis surgery.

Use

Can I cut UrgoClean Rope?

Yes.

When should I change UrgoClean Rope?

UrgoClean Rope should be changed every 1 to 2 days during the desloughing phase, then as often as required depending on the level of exudate and the clinical condition of the wound.

Why can the wound enlarge after treatment with UrgoClean Rope?

The wound can seem larger following treatment with UrgoClean Rope. This is due to the desloughing process and the removal of debris in the wound.

What is the purpose of the probe?

The probe is used to help applying the rope inside a cavity wound.
It is also used to evaluate the depth of the cavity wound due to its graduation in cm.

How should I use the probe?

Apply UrgoClean Rope directly into the cavity wound. Use the probe to facilitate insertion of the rope in the cavity. It is possible to evaluate the depth of the wound thanks to its graduation in cm.

Can I use this rope in combination with pads?

UrgoClean Rope should be covered with a secondary dressing suitable such as pads for the location and exuding nature of the wound.

Can I superimpose several ropes inside a wound?

If the wound depth or size is significant, several ropes can be inserted into a wound. Make sure that the ropes are still visible and accessible to ensure easy removal and make sure no rope is left within the cavity.

UrgoTul

Product

What is UrgoTul?

UrgoTul is a flexible contact layer with TLC, comprised of a conformable polyester mesh impregnated with polymers and CarboxyMethyl Cellulose (hydrocolloid).

How does UrgoTul work?

When in contact with wound exudate, UrgoTul gels and creates a moist environment, promoting healing. UrgoTul stimulates fibroblast proliferation and ensures non-adherence and pain-free dressing changes.

What is the role of fibroblasts?

During wound healing, fibroblasts migrate within the wound area, proliferate and synthesize the extracellular matrix to form granulation tissue (newly formed tissue).
Fibroblasts are then differentiated in situ into myofibroblasts which bring the edges of the wound together due to their contractile properties.
TLC stimulates fibroblast proliferation which supports the healing process.

Indications

When should I use UrgoTul?

UrgoTul is indicated for the treatment of non to low exuding wounds during the epithelialisation stage.

Can I use UrgoTul on infected wounds?

If clinical signs of local infection are noted, treatment can be changed to an antibacterial dressing of the Urgo range (such as UrgoTul S.Ag/SSD/UrgoTul Ag/Silver), dependent on clinical judgment.

Can I use UrgoTul during the desloughing stage?

Yes, however, UrgoClean is the recommended treatment option for desloughing.

Can I use UrgoTul with a gel?

Yes, it can be combined with a hydrogel.

What are the contraindications of UrgoTul?

There are no contraindications to date.

Use

UrgoTul can adhere to gloves. How should I avoid this?

It is recommended to moisten the gloves with normal saline and to use the protective wings to facilitate application.

cutting-dressing-guide

Cutting Guide

Can I cut UrgoTul?

Yes.

How can I secure UrgoTul?

Cover UrgoTul with a secondary dressing suitable for the location and level of wound exudate. Secure the dressing in place with a suitable bandage, adhesive tape, or an elasticated tubular bandage. Apply a compression bandage when prescribed.

Can I use UrgoTul under compression?

Yes.

When should I change UrgoTul?

UrgoTul should be changed every 2 to 4 days (up to 7 days*) depending on the level of exudate and the clinical condition of the wound.

*dependent on wound condition and protocol (when prescribed with a compression bandage system for venous leg ulcers)

Can I leave UrgoTul in place and only change the secondary dressing?

Yes, UrgoTul can be left in place for several days, in order to reduce healing disturbance.

Sanyrène

Product

Why are the fatty acids in Sanyrene hyperoxygenated?

The oxygenation of fatty acids, particularly linoleic acid, leads to the formation of specific elements with anti-inflammatory properties (precursor of prostaglandins PGE1 and PGE2).
These substrates also play a role in the regulation of cell division and epidermal differentiation.

What is the purpose of vitamin E?

Vitamin E is an antioxidant.
It traps the free radicals released following the peroxidation of fatty acids.

Why is Sanyrene different?

Sanyrène is the only product which has demonstrated its clinical efficacy in the prevention of pressure ulcers, reported in the GIPPS Study.
The GIPPS study also demonstrated the ineffectiveness of using emollients and protective agents, which had identical results to the control group who had nothing applied to the skin.

Creams and emulsion may require an application supported by kneading or massage, actions currently prohibited by the Consensus Conference, as they can have a traumatic effect on the skin.

A daily effleurage with fingertips done with fingertips has become the most widely used technique.
The use of a solution with hyperoxygenated fatty acids such as Sanyrène promotes therapeutic effleurage with fingertips and has demonstrated its value when used for the prevention of pressure ulcers.

Is the aniseed perfume in Sanyrene allergenic?

Sanyrene is hypoallergenic.
There have been no reported cases of any allergic reaction following 20 years of hospital use.

Indications

When should I use Sanyrene?

Sanyrene is specifically indicated for patients at risk of developing a pressure ulcer.
Sanyrene is also indicated for redness (erythema) which disappears with finger pressure.

Use

How can I use Sanyrene?

Apply 1 spray of Sanyrène onto areas at risk of pressure ulcer development (heel, sacrum…)
Apply gently using the fingertips for one minute.
Repeat application 2 to 3 times a day, on each area at risk, every time the patient is repositioned.

Last update : December 15, 2018