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Created by the British Columbia Provincial Nursing Skin and Wound Committee in collaboration with the Wound Clinicians from / Skin and Wound Product Information Sheet Hydrofera Blue – Tube Classification Key Points Wound Filler: Antimicrobial Foam – Methylene Blue/Gentian Violet Indications Precautions Contraindications Formats & Sizes An absorbent polyvinyl alcohol tube-shaped foam containing Methylene Blue and Gentian Violet which provides a broad spectrum antimicrobial activity effective against a variety of bacteria and yeasts For a sinus/tunnel wound with moderate to large amounts of exudate which show signs and symptoms (S&S) of local wound infection May be used with enzymatic debridement or growth factor products Do not allow the dressing to dry out Do not use for client with known sensitivity to ingredients Do not use for third-degree burns Tube 9mm x 15 cm Application Directions Cleanse/irrigate wound with sterile normal saline or agency approved wound cleanser; dry peri-wound skin. If required, apply skin barrier to peri-wound skin. Rationale Reduces wound debris and allows for adhesion of dressing or tape. To protect the peri-wound skin from maceration and to improve the adhesion of the dressing/ tape. To Apply Ensure that the width of the tube dressing will fit into the sinus/tunnel. Moisten the tip of the tube dressing with sterile saline or sterile water and gently insert the moistened end into the wound sinus/tunnel. Keeping the rest of the tube dry provides some rigidity to the tube making it easier to insert. After insertion, using a syringe, add a few drops of sterile saline or sterile water so the entire tube becomes moist. This will make the tube more conformable and comfortable for the client. Apply appropriate cover dressing to maintain a moisturebalanced wound environment. Choice of cover dressing will depend on the amount of exudate but must ensure that the dressing does not dry out as it will become uncomfortable for the client. To Remove Gently remove the dressing with forceps. If tube has adhered to the sinus/tunnel, then rehydrate it with sterile saline or sterile water and gently remove it. Frequency of Dressing Change Will depend upon the amount of exudate. Dressing can remain in place up to 72hrs. Dressing can be re-hydrated as needed by added a small amount (up to 30cc) of sterile saline or water to the dressing. Expected Outcome Exudate is managed with no peri-wound skin maceration. If the dressing adheres to the wound bed, reassess whether there is enough exudate to warrant continued use or consider a more occlusive secondary dressing. If the dressing has turned white in colour, the dressing should be changed. The peri-wound skin may take on a dusky blue colour if the tube dressing has touched the peri-wound skin area – this colouration will fade within a few days of not using the dressing. S&S of local wound infection are resolved within 2 weeks. For further information, please contact your Wound Clinician. Date: August 2014 Adapted from Hollister product information Page 1 of 1