A recent consensus statement in Wounds addressed appropriate use of silver collagen oxidized regenerated cellulose (ORC) dressings concurrently with negative pressure wound therapy (NPWT) and reticulated open cell foam (ROCF) dressings.¹ As background, the authors share that silver collagen ORC dressings recently received an indication for use in conjunction with NPWT and ROCF dressings. Subsequently, a panel of 7 health care providers (HCPs) met to analyze key statements related to this clinical scenario, and developed consensus statements via a modified Delphi technique, incorporating anonymous survey results from 25 additional HCPs. They defined consensus as greater than or equal to 80% agreement amongst the survey respondents.¹ 

Among the consensuses arrived upon was the recommendation for the use of silver collagen ORC dressings with NPWT and ROCP dressings in the inpatient and outpatient settings.1 They also supported this combination of modalities for use in multiple wound types including traumatic wounds, diabetic ulcers, venous leg ulcers, surgical wounds, and pressure injuries/ulcers.¹ They did not recommend their use in several circumstances, including when there is potential for inadequate wound hemostasis, for acutely ischemic wounds, when there is exposure of unprotected organs or vessels, in third-degree burns, for surgically closed incisions, or when there is patient hypersensitivity to product components.¹

The authors acknowledge that limited evidence exists at present on this combination of modalities, but that this paper details current recommendations and contraindications to consider.¹

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