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Evaluating the irritant factors of silicone and hydrocolloid skin contact adhesives using trans-epidermal water loss, protein stripping, erythema, and ease of removal

Yes / A composite silicone skin adhesive material was designed to improve its water vapor permeability to offer advantages to wearer comfort compared to existing skin adhesive dressings available (including perforated silicone and hydrocolloid products). The chemical and mechanical properties of this novel dressing were analyzed to show that it has a high creep compliance, offering anisotropic elasticity that is likely to place less stress on the skin. A participant study was carried out in which 31 participants wore a novel silicone skin adhesive (Sil2) and a hydrocolloid competitor and were monitored for physiological response to the dressings. Trans-epidermal water loss (TEWL) was measured pre- and postwear to determine impairment of skin barrier function. Sil2 exhibited a higher vapor permeability than the hydrocolloid dressings during wear. Peel strength measurements and dye counter staining of the removed dressings showed that the hydrocolloid had a higher adhesion to the participants’ skin, resulting in a greater removal of proteins from the stratum corneum and a higher pain rating from participants on removal. Once the dressings were removed, TEWL of the participants skin beneath the Sil2 was close to normal in comparison to the hydrocolloid dressings that showed an increase in skin TEWL, indicating that the skin had been highly occluded. Analysis of the skin immediately after removal showed a higher incidence of erythema following application of hydrocolloid dressings (>60%) compared to Sil2, ( / T.S. received partial funding to study skin adhesive materials from a Medical Research Council Confidence in Concept grant obtained by John Bridgeman at the University of Bradford (MC_PC_19030). Initial formulation and characterization work benchmarking the Sil2 material was funded in part by Trio Healthcare Ltd., who have had no role in the analysis or interpretation of the data presented. All data was obtained independently by staff at the University of Bradford. We also wish to thank the Royal Society of Chemistry for funding Edward Dyson’s position as a research technician via a Research Enablement Grant (E21-8346952505).

Identiferoai:union.ndltd.org:BRADFORD/oai:bradscholars.brad.ac.uk:10454/19769
Date01 January 2024
CreatorsDyson, Edward, Sikkink, Stephen, Nocita, Davide, Twigg, Peter C., Westgate, Gillian E., Swift, Thomas
PublisherACS
Source SetsBradford Scholars
LanguageEnglish
Detected LanguageEnglish
TypeArticle, Published version
Rights© 2023 The Authors. Published by American Chemical Society. This publication is licensed under CC-BY 4.0., CC-BY

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