{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T23:59:16Z","timestamp":1789343956225,"version":"build-2803163510"},"reference-count":29,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,3,7]],"date-time":"2014-03-07T00:00:00Z","timestamp":1394150400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Smith & Nephew"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This study investigated the performance of a new gelling fibre dressing containing silver (<jats:styled-content style=\"fixed-case\">DURAFIBER<\/jats:styled-content>\u2122 Ag; Smith &amp; Nephew, Hull, <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>) in moderate to highly exuding venous leg ulcers with one or more clinical signs of infection. Fourteen patients with venous leg ulceration of median ulcer duration 12\u00b75\u2009weeks, recruited from three centres in South Africa, received treatment with the new dressing for a maximum of 8\u2009weeks. Multilayer compression bandaging was used for all patients, at the majority of assessments. The objectives of this study were to assess the clinical acceptability of the dressing in terms of the following characteristics: antimicrobial properties, the progress of the wound towards healing, wear time, exudate management, conformability, patient comfort, pain on application, pain on removal and dressing integrity. The new dressing was rated as clinically acceptable for all characteristics, for all 14 patients (100%). It was easy to apply and remove; in 96\u00b78% of removals, the dressing stayed intact on removal and could be removed in one piece. Fifty per cent of the wounds healed within the 8\u2010week study duration; between baseline and final assessment, the median percentage reduction in wound area was 98\u00b72% and the median percentage reduction in devitalised tissue was 78%. Exudate levels and wound pain were significantly improved at final assessment compared to baseline assessment, and an increase in the number of patients with healthy peri\u2010wound skin between baseline and final assessment was observed. A reduction in bioburden and signs of clinical infection and an improvement in quality of life were observed over the 8\u2010week period. The average wear time was 6\u00b74\u2009days. This study supports the use of new dressing in the management of moderately to highly exuding venous leg ulcers with clinical signs of infection.<\/jats:p>","DOI":"10.1111\/iwj.12239","type":"journal-article","created":{"date-parts":[[2014,3,7]],"date-time":"2014-03-07T08:20:40Z","timestamp":1394180440000},"page":"438-445","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["A prospective, open, multicentre study to evaluate a new gelling fibre dressing containing silver in the management of venous leg ulcers"],"prefix":"10.1111","volume":"11","author":[{"given":"Martin","family":"Forlee","sequence":"first","affiliation":[{"name":"Dr Matley and Partners Cape Town South Africa"},{"name":"Department of Surgery University of Cape Town Cape Town South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Rossington","sequence":"additional","affiliation":[{"name":"Smith &amp; Nephew Medical Ltd Hull UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Searle","sequence":"additional","affiliation":[{"name":"Smith &amp; Nephew Medical Ltd Hull UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,3,7]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2009.18.4.41607"},{"key":"e_1_2_7_3_1","volume-title":"European Wound Management Association (EWMA). Position document: identifying criteria for wound infection","author":"Cooper R","year":"2005"},{"key":"e_1_2_7_4_1","volume-title":"Best practice statement: the use of topical antiseptic\/antimicrobial agents in wound management","author":"Wounds UK","year":"2010"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2004.9.Sup1.12495"},{"key":"e_1_2_7_6_1","unstructured":"CollierM.Recognition and management of wound infections. Worldwidewounds 2004[WWW document]. URL http:\/\/www.worldwidewounds.com [accessed on 15 June 2013]"},{"key":"e_1_2_7_7_1","volume-title":"International consensus. Appropriate use of silver dressings in wounds. An expert working group consensus","year":"2012"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.332.7545.838"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2008.17.8.30800"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2011.20.9.431"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2003.8.Sup3.11577"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSN.0b013e318256d638"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2003.8.Sup5.12607"},{"key":"e_1_2_7_14_1","volume-title":"International consensus. Optimising wellbeing in people living with a wound. An expert working group review","year":"2012"},{"key":"e_1_2_7_15_1","article-title":"Managing exudate associated with venous leg ulceration","author":"Menon J","year":"2012","journal-title":"Br J Community Nurs"},{"key":"e_1_2_7_16_1","first-page":"21","article-title":"A review of the applications of the hydrofiber dressing with silver (Aquacel Ag) in wound care","volume":"6","author":"Barnea Y","year":"2010","journal-title":"Ther Clin Risk Manag"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2002.11.7.26414"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-4362.1999.00738.x"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-475X.2006.00180.x"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1699-0463.1996.tb04955.x"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.1996.5.6.277"},{"key":"e_1_2_7_22_1","doi-asserted-by":"crossref","first-page":"24","DOI":"10.2340\/00015555752430","article-title":"The microbial flora in venous leg ulcers without clinical signs of infection. Repeated culture using a validated standardised microbiological technique","volume":"75","author":"Hansson C","year":"1995","journal-title":"Acta Derm Venereol"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.2010.077032"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1159\/000093928"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2004.11.014"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2005.14.2.26732"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481x.2004.00007.x"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-005-2751-9"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2007.00337.x"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2009.18.3.39814"}],"container-title":["International Wound Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fiwj.12239","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/iwj.12239","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/iwj.12239","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/iwj.12239","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T10:48:15Z","timestamp":1696157295000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/iwj.12239"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,3,7]]},"references-count":29,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2014,8]]}},"alternative-id":["10.1111\/iwj.12239"],"URL":"https:\/\/doi.org\/10.1111\/iwj.12239","archive":["Portico"],"relation":{},"ISSN":["1742-4801","1742-481X"],"issn-type":[{"value":"1742-4801","type":"print"},{"value":"1742-481X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,3,7]]},"assertion":[{"value":"2013-09-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-01-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-03-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}