MarcieMom learnt online that wet wrapping is a method used to keep moisturizer/emollient on the child’s skin, particularly for children who has severe eczema and requires their skin to be kept hydrated. MarcieMom started looking for easy to use wet wrapping in Singapore and found that Tubifast Garments, a product of Mölnlycke Health Care Limited, is available in Mount Elizabeth Hospital (Update 2019: The common Tubifast bandage sizes are also available at Guardian pharmacy). As some parents are new to Tubifast, MarcieMom contacted Mölnlycke Health Care to find out more about their products and how to use them.
Marcie Mom: I read from your website that Tubifast is a 2-way stretch technology, meaning it can stretch horizontally as well as vertically. It comes in ‘tube’, therefore removing the need to bandage and secure with tapes or pins. It is recommended on your site to be worn by children under their clothes, including pajamas. I haven’t seen the actual product, but I imagined it to be like wearing thermal wear which isn’t very appealing and brings to mind trapping heat and scratchy. From your experience, how did the children with eczema describe wearing Tubifast?
Mölnlycke Health Care: Tubifast is made of SoftSeam technology which helps to reduce irritation of sensitive skin. The material of Tubifast is very soft and comfortable, yet not very thick. It is totally different from thermal wear. For Eczema patient, Tubifast is worn after application of emollient (either wet wrapping or patch wrapping). Feedback from children are always very comfortable and it really eases their itchiness and prevents them from scratching.
Marcie Mom: It is written on your website to first apply Epaderm (an emollient brand under Mölnlycke), followed by wearing Tubifast Garment/bandage. Does a certain type of emollient go better with Tubifast? And is there a preference for lotion or cream when using with Tubifast?
Mölnlycke Health Care: No. Any type of emollient that is meant for ezema can be used with tubifast.
Marcie Mom: For wet wrapping, it is stated on your website to wear one damp layer of Tubifast, over the moisturizer, followed by another dry layer. This sounds really warm to me, yet I understand that the damp layer can cool and soothe the skin. How does this work? And how long can the child’s skin be kept cool?
Mölnlycke Health Care: Wet wrapping helps to keep skin hydrated and moist, hence reduces inflammation. It also helps to ease the itch and scratch cycle for ezema patients by giving a cooling sensation to the skin that prevents children from further scratching and causing potential injury. You can constantly keep the damp layer moist by spraying water every few hours (depending on the environment / temperature especially in the air-condition room).
Marcie Mom: I’m thinking through some practical questions parents may have, such as (i) how many hours should my child wear Tubifast for it to be effective? (ii) how often should I wash Tubifast? (iii) how do I wash Tubifast, can it be steamed? (iv) will my child get crinkled skin from osmosis? (v) will my child catch a cold like wearing wet clothes? (vi) can my child continue to sleep in air-conditioned room?
Mölnlycke Health Care: (i) Usually Tubifast wet-wrapping is worn during night time. However, please consult a dermatologist who specializes in treating atopic ezema. (ii) No fixed frequency for washing. As and when deem required. (iii) Hand wash tubifast and air-dry it. (iv) So far we have not received such feedback but please consult your dermatologist for further information (v) Tubifast wet-wrapping is to be worn under supervision of a healthcare professional (vi) Please consult your healthcare professional.
Marcie Mom: Thanks, I think we’ve covered many questions that will come to parents’ mind. Should there be more questions, I’ll let you know and update in the comments. p.s. to readers of eczemablues.com, I asked for this interview as I’m curious why wet wrapping is seldom seen in Singapore. I did not receive any money from Mölnlycke Health Care for this interview.