Silver dressings – do they work?

@article{2010SilverD,
  title={Silver dressings – do they work?},
  author={},
  journal={Drug and Therapeutics Bulletin},
  year={2010},
  volume={48},
  pages={38 - 42}
}
  • Published 1 April 2010
  • Medicine
  • Drug and Therapeutics Bulletin
The metal silver is well known to have antimicrobial properties and this underlies its incorporation into the many types of silver releasing wound dressings available in the UK. These products are classed as ‘advanced’ dressings and were developed primarily for difficult to heal wounds, chronic ulcers and extensive burns.1 The use of silver dressings has increased rapidly in recent years in the UK, with the amount spent on such products in the NHS being around £23million in 2005 and around… 
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References

SHOWING 1-10 OF 30 REFERENCES
Silver Dressings in Wound Healing: What Is the Evidence?
TLDR
Current evidence does not clearly demonstrate that one product is more effective that another, and choice of an initial product will be based on wound and patient characteristics, product availability and practitioner familiarity and preferences.
Silver dressings: their role in wound management
  • D. Leaper
  • Medicine
    International wound journal
  • 2006
TLDR
There are good indications for the use of silver dressings, to remove or reduce an increasing bioburden in burns and open wounds healing by secondary intention, or to act as a barrier against cross contamination of resistant organisms such as MRSA.
THE SAFETY AND EFFICACY OF DRESSINGS WITH SILVER – ADDRESSING CLINICAL CONCERNS
TLDR
There are still numerous questions to be answered in respect of silver in wound care, and regular wound assessment should guide the further use of the dressings and duration of treatment should be according to clinical needs and guided by treatment targets.
The role of Acticoat with nanocrystalline silver in the management of burns.
Effect of a sustained silver-releasing dressing on ulcers with delayed healing: the CONTOP study.
TLDR
This large-scale comparative real-life study shows that the silver foam dressing supports faster healing of delayed healing wounds.
Silver based wound dressings and topical agents for treating diabetic foot ulcers.
TLDR
The use of silver for its antimicrobial properties has re-emerged, and modern wound dressings that release a sustained amount of free silver ions, are now widely used in wound management.
Bacterial resistance to silver in wound care.
Dressings for superficial and partial thickness burns.
TLDR
The use of silver sulphadiazine as a comparator on burn wounds for the full duration of treatment needs to be reconsidered, as a number of studies showed delays in time to wound healing and increased number of dressing applications in patients treated with SSD dressings.
Randomized Clinical Study of Hydrofiber Dressing With Silver or Silver Sulfadiazine in the Management of Partial-Thickness Burns
  • D. Caruso, K. Foster, G. Bauer
  • Medicine
    Journal of burn care & research : official publication of the American Burn Association
  • 2006
TLDR
A protocol of care with AQUACEL® Ag provided clinical and economic benefits compared with silver sulfadiazine in patients with partial-thickness burns and was associated with less pain and anxiety during dressing changes, less burning and stinging during wear, and less nursing time.
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