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SILVER-IMPREGNATED DRESSINGS UTILIZED FOR REDUCATION OF WOUND INFECTION IN CHRONIC WOUNDS 12
SILVER-IMPREGNATED DRESSINGS UTILIZED FOR REDUCATION OF WOUND INFECTION IN CHRONIC WOUNDS 13 Silver-Impregnated Dressing Utilized for Reductions of Wound Infection in Chronic Wounds Introduction The use of silver-impregnated dressings for prophylactic treatment of wound infections could reduce the rate of infection in chronic wounds. Silver agents are mainly utilized only if a wound infection is present. Approximately 6.5 million people suffer from chronic wounds yearly and this number is estimated to increase (Nelson, 2017). Chronic wounds are becoming more prevalent because of increase in obesity, diagnosis of diabetes, and the aging population (Nelson, 2017, pg.2). According to Yang, Wang, Li, Qu, and Qiu (2015), silver foam dressings are broad- spectrum, long-lasting and promotes proper wound healing and bacterial resistance. The consequences of wound infections can be severe and range from delayed wound healing to a possible amputation of the limb. The knowledge of silver-impregnated dressings to prevent possible infection in wounds is low. The aim of the review of literature is to evaluate the effectiveness of silver-impregnated dressings on open wounds with possibility of infection in various settings. The four articles chosen were found in the CINHL and Google Scholar search engines. Major key words used in these search engines were silver-impregnated dressings, infection, first line treatment, quantitative study, and prospective study. Analysis/Synthesis of Relevant Literature Silver-impregnated dressings can be utilized as a treatment for preventing of infection due to the broad-spectrum, long-acting antimicrobial properties. All studies utilized culture swabs to determine if wound infection was present. However, according to Tsang, Kwong, To, Chung, & Wong (2017) there was no significant difference between Manuka Honey and Silver antimicrobial effectiveness when testing on diabetic foot ulcers. This leads us to show any
SILVER-IMPREGNATED DRESSINGS UTILIZED FOR REDUCATION OF WOUND INFECTION IN CHRONIC WOUNDS 14 antimicrobial dressing placed on the post-debridement wound bed will help decrease the risk of infection. As stated by Staveski et al. (2016), there was no infection in surgical site post cardiac surgery when using silver-impregnated dressings and standard dressings. This study utilized the ASEPSIS tool to measure the use of severity of wound infections if present. Silver-impregnated dressing was not superior over sterilized gauze in surgical site infections. But, this could be due to the surgical site being taken care of by hospital staff and parent of child. On another note, Yang, Wang, Li, Qu, & Qiu (2015) results conducted that the use of silver foam dressings is superior over silver sulfadiazine cream in promoting wound healing and resisting bacteria. It has been concluded that the use of AQUACEL Ag SURGICAL Cover decreases the reduction of Periprosthetic Joint Infection (Grosso, 2016). This retrospective study compared a single doctor using standard gauze dressings for years and switching to silver-impregnated gauze.
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- Fall '16
- Denise Cauble
- Nursing, Wound infection, Chronic wound