Publication:
Surgical Technology International XVII - Wound Healing
Article title:
SILVER© Versus Other Antimicrobial Dressings: Best Practices!
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Author(s)

Kevin Y. Woo, R.N., M.Sc., Ph.D. (C), A.C.N.P., G.N.C. (C),

Clinical Scientist /Advanced Wound Specialist, Women's College Hospital, Toronto, Ontario, Canada

 

Elizabeth A. Ayello, Ph.D., R.N., A.P.R.N., B.C., C.W.O.C.N., F.A.P.W.C.A.,

Faculty, Excelsior College of Nursing, Albany, New York; President, Ayello, Harris and Associates, New York, New York, USA

 

R. Gary Sibbald, B.Sc., M.D., F.R.C.P.C. (Med) (Derm), F.A.P.W.C.A, M.Ed.,

Professor of Public Health Sciences and Medicine, University of Toronto, Toronto, Ontario, Canada

 

Abstract
All chronic wounds are colonized by bacteria. Increased bacterial burden or critical colonization can be deleterious to wound healing. In view of the ubiquitous presence of microbes, the clinician must discern whether bacterial balance (contamination or colonization) or bacterial damage has occurred. Silver is a common topical agent used to combat bacterial burden in chronic wounds. Given the wide array of silver-related wound care products, it is difficult to determine which product should be used. By reviewing relevant scientific evidence, we propose an acronym SILVER© to address the key contentious issues. These issues are summarized as SILVER: Signs of bacterial damage, the need for Ionic silver, Log reduction of bacteria, Vehicle (importance of moisture balance), Effect on normal cells, and Bacterial Resistance.

 

 

 

 

 

 

 

 

 

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Acticoat 7

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Algidex Ag

Aquacel AG

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Arglaes powder

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Contreet Hydrocolloid

Contreet® Foam

Covaclear Ag

Flamazine, Silvadene, SSD Cream

Maxorb Extra Ag

Mepilex Ag

Optifoam Ag

PolyMem Silver

Prisma

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SilvaSorb Site

Silver Derm

Silvercel

Silverlon calcium alginate

Silverlon island wound dressings

Silverlon negative pressure dressing

Silverlon Wound Packing Strips

Silverlon wound pad dressings

Tegaderm Ag mesh

Urgotul SSD