The use of silver coated dressings on donor site wounds: a prospective, controlled matched pair study

摘要: Abstract Acticoat, a new silver-coated dressing, produces moist healing environment along with the sustained release of ionic silver for improved microbial control. These properties suggest that Acticoat might be useful donor site dressing. However, there are no human studies which assess this use. The purpose study was to compare skin graft sites dressed those Allevyn, an occlusive moist-healing material, is our standard In burn patients who had undergone excision and grafting, identical side-by-side split thickness wound pairs were Allevyn Acticoat. Re-epithelialization directly assessed daily by single observer from post-operative day 6 onward, four independent observers rated extent re-epithelialization viewing standardized digital images wounds been obtained on days 6, 8, 10,and 12. Donor swabbed bacterial culture 3, 9. Subsequently, each scar blinded using Vancouver Scar Scale at 1, 2, 3 months. Sixteen paired in 15 (3 female, 12 male) studied. >90% re-epithelialized mean 9.1±1.6 while required 14.5±6.7 achieve ( P =0.004). significantly greater estimated 10 than based observations images. There significant differences incidence positive cultures either dressing worse scars 1 2 months but difference resolved Our findings do not support use as