generally applicable for non-exudating to slightly exudating wounds. Further,
Bactigras, Jelonet and Paratulle are examples of commercially available tulle dress-
ing which are appropriate for superficial clean wounds. The limitations of the
traditional dressings, like frequent changing of dressing, fail to maintain moist
condition which produces appropriate situation for modern dressing to come up
with more advanced formulations (Boateng et al. 2008). The modern dressings are
designed to provide proper moist condition, air circulation and active components to
the wound to promote the cell migration and angiogenesis for faster healing. There
are numerous dressing materials available in the market depending on the cause and
type of the wounds. The modern dressings can be classified as passive, interactive
and bioactive, and usually the synthetic or natural polymers are used for this
purpose. The interactive dressings are basically polymeric films, hydrogels and
hydrocolloids which function as a blockade against dispersion of bacteria to the
wound environment (Rivera and Spencer 2007; Strecker-McGraw et al. 2007). The
passive dressings are non-occlusive like gauze and are applied to cover up the wound
to promote the healing underneath.
30.3
Polymeric Drug Delivery Vehicle
Polymeric drug delivery vehicles allow the delivery of any therapeutically active
molecules inside human body in a controlled and sustained manner. Further, it
provides better protection and improves effectiveness of the drug by tuning the
rate, time and site of release in the human body. Polymeric drug delivery vehicles
can be nanoparticles, hydrogels, films and scaffolds in nature. Different stages of
wound require different forms of dressing materials. Hence, proper selection of a
delivery vehicle is a tricky job (Biswas et al. 2018b). Recently, researchers are
looking for new alternative to modern medicines like antibiotics, corticosteroids, etc.
for wound healing to eliminate the side effects of these medicines. Ayurvedic
medicine incorporated in polymeric delivery vehicles can be a good alternative.
Hydrogels are three-dimensional polymeric networks that can hold different
drugs inside network structure and release the drug in controlled manner. Hydrogels
are generally used to treat dry chronic wounds, necrotic wounds, pressure ulcers and
burn wounds. The starch-zeolite nanocomposite hydrogel by incorporating herbal
drug chamomile is able to control the release of the drug along with greater
absorption of the exudates which results in better contraction of the wound as
compared to pure hydrogel. Further, the effectiveness of simvastatin in wound
healing significantly improved after incorporating simvastatin-chitosan nanoparticle
in poly(vinyl alcohol) hydrogel as compared to simvastatin ointment (Yasasvini
et al. 2017). The hydrogel dressings have some limitations like low mechanical
strength and exudate accumulation which make them difficult to handle and leads to
maceration and bacterial proliferation (Martin et al. 2002). Hydrocolloids are made
of two layers, inner colloidal layer and outer water-impermeable layer. It is one of
the highly used interactive wound dressings. Hydrocolloid dressings are the combi-
nation of gel-forming agents like carboxymethyl cellulose, gelatin and pectin and
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