Observational study of the effects of silver-based dressing materials in 50 cases of diabetic foot ulcers
DOI:
https://doi.org/10.18203/2349-2902.isj20190393Keywords:
Diabetic foot ulcer, Wound healing, Silver based dressing materialsAbstract
Background: Diabetic foot remains the most common chronic medical problem being the most common cause of the hospital visit and/or admission, amongst the diabetic patients. Topical antimicrobial dressings, including those that contain silver are used to prevent or manage infection in a wide range of wounds.
Methods: This is the prospective, observational study which included 50 cases of diabetic foot ulcer patients and effects of silver-based dressing materials will be evaluated.
Results: After application of silver based dressing materials for two weeks, wound was evaluated on the basis of discharge from the wound, healing rate, appearance of the granulation tissue and culture and sensitivity report which showed that out of 50 cases studied, 3 cases (6%) had purulent discharge from the wound, absent granulation tissue, culture report showed presence of micro-organism and thus poor healing rate while other 47 cases (94%) had minimal/serous discharge, presence of healthy granulation tissue, no organism on culture report and thus good healing rate.
Conclusions: Silver based dressing materials are effective in terms of promoting wound healing and more patient compliance.References
Bal A. Diabetic foot: magnitude of the problem. J Ind Med Assoc. 2002;100(3):155-7.
Boutan AJM. The diabetic foot. Med Clin North Am. 1998;72(6):1513-33.
Kshitij S, Aparajit D. Observation on diabetic foot. Diab Mellitus Developing Countries.1981;43:241-5.
Reiber GE, Smith DG, Carter J, Fotieo G, Deery HG, Sangeorzan JA, et al. A comparison of diabetic foot ulcer patients managed in VHA and non-VHA settings. J Rehab Res Dev. 2001;38(3):309-18.
Armstrong DG, Lavery LA. Diabetic foot ulcers: prevention, diagnosis and classification. Am Fam Physician. 1998;57(6):1325-32.
Boyko EJ, Ahroni JH, Stensel V, Forsberg RC, Davignon DR, Smith DG. A prospective study of risk factors for diabetic foot ulcer. Seattle Diabetic Foot Study. Diab care. 1999;22(7):1036-42.
Leaper D. An overview of the evidence on the efficacy of silver dressings. J Wound Care. 2011;20(2):8-14.
Michaels JA, Campbell WB, King BM, Macintyre J, Palfreyman SJ, Shackley P, et al. A prospective randomised controlled trial and economic modelling of antimicrobial silver dressings versus non-adherent control dressings for venous leg ulcers: the vulcan trial. Health Tech Assess. 2009;13(56):1-14.
Silver-releasing dressings in treating chronic wounds. SBU alert report no. 2010-02, Available at: https://www.sbu.se/contentassets/7c23311902cf476ab7bfeea9b5d6d34c/silverreleasing_dressings_chronic_wounds_201002.pdf. Accessed on March 03 2010.
Carter MJ, Tingley-Kelley K, Warriner III RA. Silver treatments and silver-impregnated dressings for the healing of leg wounds and ulcers: a systematic review and meta-analysis. J Am Acad Dermatol. 2010;63(4):668-79.
Storm‐Versloot MN, Vos CG, Ubbink DT, Vermeulen H. Topical silver for preventing wound infection. Cochrane Database Sys Rev; 2010.
Lo SF, Chang CJ, Hu WY, Hayter M, Chang YT. The effectiveness of silver‐releasing dressings in the management of non‐healing chronic wounds: a meta‐analysis. J Clin Nursing. 2009;18(5):716-28.
