Can Acticoat* 7 be used under Profore*, regardless if the wound is infected?
If the wound shows clinical signs of infection (advancing erythema in the surrounding tissue, warmth, tenderness, oedema/induration, fever), the use of Acticoat 7 or Profore* are not recommended. It is generally accepted that the infection must be treated first and since the signs and symptoms are extending beyond the wound into the surrounding tissue, then systemic antibiotics are indicated. However, venous ulcers are prone to bacterial burden and the signs and symptoms are generally contained within the wound margins, for example, increased serous drainage, friable granulation tissue, impaired healing, and the absence of normal granulation tissue. In this case, Acticoat 7 may be used with Profore and the wound should be assessed and monitored at regular intervals.