Surgical Technology International XVII - Wound Healing
Article title:
SILVER© Versus Other Antimicrobial Dressings: Best Practices!
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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


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.










Products featured in this Article:


Acticoat 7

Acticoat Absorbent

Acticoat Burn

Acticoat moisture control


Algidex Ag

Aquacel AG

Arglaes Film

Arglaes Island

Arglaes powder

Calgitrol Ag (foam)

Calgitrol Ag Plus

Contreet Hydrocolloid

Contreet® Foam

Covaclear Ag

Flamazine, Silvadene, SSD Cream

Maxorb Extra Ag

Mepilex Ag

Optifoam Ag

PolyMem Silver


SilvaSorb Cavity

SilvaSorb Gel

SilvaSorb Perforated

SilvaSorb Sheet

SilvaSorb Site

Silver Derm


Silverlon calcium alginate

Silverlon island wound dressings

Silverlon negative pressure dressing

Silverlon Wound Packing Strips

Silverlon wound pad dressings

Tegaderm Ag mesh

Urgotul SSD