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Use of a bi-stretch silicone dressing (Spycra Protect) to maintain skin integrity in children with epidermolysis bullosa

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The Use of a Novel Bi-Stretch Silicone Dressing in the Management of Children with Epidermolysis Bullosa

Epidermolysis Bullosa (EB)is the term used for a large group of genetically determined blistering skin disorders.
There are 4 major types of EB with many subgroups. The common factor is a marked skin fragility with minimal friction
and trauma resulting in blistering or skin loss. Fragility of the mucous membranes together with multiple co
morbidities lead to progressive disability from scarring or reduced life expectancies in severe forms.
The aim of the study was to evaluate the effectiveness of the dressing’s ability to reduce friction and trauma. The
dressing (Spycra Protect) is a bi-elastic dressing with the elastic being active in both width and stretch. This bielasticity diminishes the effects of friction. This characteristic together with the gentle silicone adhesion suggested it
would be effective and well tolerated by children with Epidermolysis Bullosa.
The dressing is non-absorbent, making it suitable for protection from trauma, blister sites and minor wounds only. A
top layer of lycra fibres gives the dressing a smooth surface which minimises trauma from the child rubbing with the
dressing to relieve itch.
A total of 45 children representing all forms of EB and with the age range of 4 months to 15 years were selected for
the study.
The dressing was applied over intact skin to offer protection from mechanical trauma or over blister sites.
In all cases the dressing proved easy to apply and remove and was comfortable during wear time. No trauma resulted
from the removal of the dressing and adhesive removers were not required

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