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Take the Pressure Off (of you) when Healing Pressure Ulcers

How maintaining a clean and moist wound environment can efficiently heal thousands of people affected with pressure ulcers. With more than 700,000 people affected with pressure ulcers, proper wound healing is more vital today more than ever. Hydro-Responsive Wound Dressings (HRWD) keep the wound bed clean and moist to facilitate faster healing.

It’s simple. Clean wounds heal faster.

Besides various factors like comorbidities and the nutritional status of patients, the state of cleanliness in the wound determines how the wound will heal. This makes efficient wound cleansing the first step in effective healing across a variety of wounds, including pressure ulcers.1,2,3

According to data by the UK National Health System (NHS), nearly 700,000 people are affected with pressure ulcers each year across all care settings and 186,617 patients develop hospital-acquired pressure ulcers each year.

But there is good news, one way to prevent the further bad evolution of these types of wounds is by ensuring proper cleansing and debridement.

Bacteria, necrotic and non-viable tissue, as well as fibrin act as a significant barrier to wound repair if not removed.2,3 It’s the act of debridement that removes necrotic material, eschar, devitalised tissue, sero-crusts, infected tissue, hyperkeratosis, slough, pus, haematomas, foreign bodies, debris, bone fragments or other “gross stuff,” with the objective of healing the wound.5

From mechanical methods to the body’s own natural cleansing potential, debridement comes in many forms.4 Hydro-Responsive Wound Dressings (HRWD) like HydroClean® plus work to ensure that dead tissues, fibrin and bacteria are absorbed and removed faster.

Hydro-Responsive Wound Dressings are proving to be an effective option in pressure ulcer debridement


In a recent case study, HydroClean® plus was applied to an 86-year-old man with a pressure ulcer on his hip.

The wound measured 120 cm2 and was covered in black eschar. There was minimal wound exudate but the wound was malodorous. HydroClean® plus was applied and changed every three

After the first dressing change, minimal necrotic tissue was visible with the underlying wound bed containing large areas of slough. After a further week of treatment, the wound was improving with evidence of a reduction in sloughy material and a corresponding increase in granulation tissue present.

The patient reported a reduction in pain and the wound was no longer malodorous.

Rising absorption

The properties of a unique Rinsing-Absorption Mechanism.

The function of this mechanism enables a reduction in Matrix Metallo Protease (MMPs) – one of the key causes of delayed healing of chronic wounds – by up to 87 percent.9 It also contains Ringer‘s solution and the antiseptic Polyhexanide (polyhexamethylene biguanide, PHMB) for antimicrobial effect.7

Together, these qualities promote analytic debridement – a safe and natural form of wound cleansing.10,11,12

Autolytic debridement is safe and natural

Autolysis is a term that is frequently used in wound care to describe how the body’s own mechanisms enable removal of devitalised tissue in order to facilitate healing.5

The term ‘autolytic debridement’ describes a natural process in all kinds of wounds, which can be supported by a moist wound-management strategy.

Hydro-responsive solutions like HARTMANN’s patented HydroClean® plus support autolytic debridement in pressure ulcers, by rinsing, absorbing, and moisturizing the wound environment, essentially prepare the wound bed for closure and healing.5

HydroClean® plus promotes autolytic debridement

by protecting the release of patient’s own proteolytic enzymes and phagocytes cells which soften and breakdown bacteria and necrotic tissue..9,11,12

It’s simple. Clean a wound. Close a wound. Take the pressure off…for good.

To learn more about HydroClean® plus, HARTMANN’s HydroTherapy concept, and the company’s wound care history visit
HydroClean pack
1Ellermann J. HydroClean 2.0: Design validation customer/user interviews. Internal Report, International
Marketing Department (2015).

2Dowsett C, Claxton K. Reviewing the evidence for wound bed preparation. J Wound Care (2006); 15:439–42.

3Ousey K, Rogers A, Rippon M, HydroClean® plus: a new perspective to wound cleansing and debridement.
Wounds UK (2016); 12(1)

4Young T, Debridement — is it time to revisit clinical practice? Br J Nurs (2011); 20: 24–28.

5Strohal, R., Apelqvist, J., Dissemond, J. et al. EWMA Document: Debridement. J Wound Care. (2013); 22:

6Ousey K, Rogers A, A, Rippon M, HydroClean® plus: a new perspective to wound cleansing and debridement.
Wounds UK (2016); 12(1).

7Humbert P., Faivre B, Véran Y et al. on behalf of the CLEANSITE study group. Protease-modulating polyacrylate-
based hydrogel stimulates wound bed preparation in venous leg ulcers a randomized controlled trial. Journal of
the European Academy of Dermatology and Venereology (2014); 28:12, 1742-1750.

8Kaspar, D. Therapeutic effectiveness, compatibility and handling in the daily routine of hospitals or
physicians’s practices. HARTMANN Data on file: Hydro-Responsive Wound Dressing (HRWD) and AquaClear
Technology are trademarks of HARTMANN. (2011)

9Eming S, Smola H, Hartmann B, et al (2008). The inhibition of matrix metalloproteinase activity in chronic wounds
by a polyacrylate superabsorber. Biomaterials 29: 2, 2932-2940.

10Knestele, M. The treatment of problematic wounds with HydroClean plus - tried and tested over many years in
clinical practice. HARTMANN Data on file. (2004)

11Bruggisser, R. Bacterial and fungal absorption properties of a hydrogel dressing with a superabsorbent
polymer core. J Wound Care (2005); 14: 438 -439.

12Smola H.: Stimulation of epithelial migration - novel material based approaches. Presented at EWMA Congress,
London. Data on file: in-vivio study, (2015).