Patient views on antimicrobial dressings in chronic wounds.

Abstract

Antimicrobial wound dressings (AWDs) may not consistently be used effectively. The authors aimed to explore what patients want from AWDs and their experiences of them. Healthcare Improvement Scotland undertook a health technology assessment (HTA) on the use of AWDs in chronic wounds. A focus group (n=8) and six telephone interviews were carried out. The data were analysed thematically. The participants were generally positive about AWDs. Some felt that access to AWDS was unjustifiably restricted because of costs. Participants reported wanting to try anything to heal their wound, or to control the symptoms. There was no one preferred AWD; what worked well for one person did not necessarily work for others. Patients experienced inconsistent access to AWDs, leading to frustration. Clinicians lack clear guidelines on the use of AWDs, which is resulting in inconsistency and increased burden for patients. Recommendations for the use of AWDs are given in the HTA, which is available on Healthcare Improvement Scotland's website.