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Clinical Res.
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Interim results of a pilot clinical study: evaluation of a novel composite dressing incorporating a silver ion antimicrobial* Marie Brown-Etris, RN, CWOCN, Marian Punchello, LPN, Susan Landacky, RN, BSN, WOCN. An open label, 18-patient, multi-facility study on various wound types was conducted to determine the safety and efficacy of a new bi-layer silver composite dressing. The intent was to analyze healing responses such as removal of tissue debris and exudates, maceration control, odor reduction/elimination, granulation tissue in-growth, and epithelialization during several weeks of treatment. Weekly study visits included detailed wound assessments, photography, and tracing for surface area measurements. The composite dressing incorporates a safe and effective silver antimicrobial ion to reduce growth of microbial contaminants in the dressing. When the hydrophobic side of the dressing is applied towards the wound bed, the duel layer construction of the dressing enables transport of wound exudate through the composite into an absorbent secondary dressing. Observations of multiple patients indicated little to no maceration of the wounds when the composite dressing was used in this manner. However, during the study, it was discovered that as exudates diminished, the dressing could be applied with the hydrophilic side towards the wound to maintain a higher level of moisture at the wound:dressing interface * SelectSilverª by Milliken & Company, Spartanburg, SC. Ovington LG. The truth about silver. Ostomy Wound Manage. 2004;50(9A suppl):1SÐ10S Parsons D, Bowler P, Myles V, Jones S. Silver antimicrobial dressings in wound management: a comparison of antibacterial, physical, and chemical characteristics. WOUNDS. 2005;17(8):222Ð232 Demling RH, DeSanti L. The role of silver in wound healing. Part 1: effects of silver on wound management. WOUNDS. 2001;13(1 suppl A):5Ð14.. |
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