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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.1
- 수록면
- 20 - 27 (8page)
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Background : Methicillin-resistant Staphylococcus aureus (MRSA) may cause infections during wound dressing. We aimed to compare the antibacterial activities and wound-healing effects of commercially available silver-coated or silver-impregnated wound dressings on MRSA-infected wounds.
Methods : Full-thickness skin defects were made on the back of rats (N=108) and were infected with MRSA. The rats were divided into the following 6 groups according to the dressing used for the wounds: nanocrystalline silver (Acticoat), silver carboxymethylcellulose (Aquacel-Ag), silver sulfadiazine (Medifoam silver), nanocrystalline silver (PolyMem silver), silver sulfadiazine (Ilvadon), and 10% povidone iodide (Betadine). We analyzed the wound sizes, histological findings, and bacterial colony counts for the groups. We also inoculated the silver materials on Mueller-Hinton agar plates containing MRSA and compared the inhibition zones in the agar plates.
Results : The order of the rate of wound-size decrease was Acticoat>Aquacel-Ag>PolyMem silver>Medifoam silver>Ilvadon>Betadine. The histological findings revealed that the Acticoat showed more reepithelialization and granulation tissue formation and less inflammatory cell infiltration than the other materials. The order of the time required for wound healing was Acticoat>Aquacel -Ag>PolyMem silver>Ilvadon>Medifoam silver>Betadine. The bacterial colony counts reduced in all the groups, except in the Medifoam silver group. The order of the size of the inhibition zone was Acticoat>Aquacel-Ag>Ilvadon>PolyMem silver>Betadine>Medifoam silver.
Conclusions : Silver-coated or silver-impregnated wound dressings can be used for treating MRSAinfected wounds. Considering its superior efficacy in comparison to the efficacies of other silver-coated or silver-impregnated wound dressings, Acticoat should be preferentially used for the treatment of MRSA-infected skin wounds. (Korean J Lab Med 2010;30:20-7)
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참고문헌 (24)
참고문헌 신청
Atiyeh BS / 2007 / Effect of silver on burn wound infection control and healing: review of the literature / Burns 33 : 139 ~ 148
Attinger CE / 2006 / Clinical approach to wounds: debridement and wound bed preparation including the use of dressings and wound-healing adjuvants / Plast Reconstr Surg 117 (
Bowler PG / 2004 / Microbicidal properties of a silver-containing Hydrofiber?? dressing against a variety of burn wound pathogens / J Burn Care Rehabil 25 : 192 ~ 196
Caruso DM / 2006 / Randomized clinical study of Hydrofiber dressing with silver or silver sulfadiazine in the management of partial-thickness burns / J Burn Care Res 27 : 29
Catledge SA / 2002 / Nanostructured ceramics for biomedical implants / J Nanosci Nanotechnol 2 : 293 ~ 312
Attinger CE / 2006 / Clinical approach to wounds: debridement and wound bed preparation including the use of dressings and wound-healing adjuvants / Plast Reconstr Surg 117 (
Bowler PG / 2004 / Microbicidal properties of a silver-containing Hydrofiber?? dressing against a variety of burn wound pathogens / J Burn Care Rehabil 25 : 192 ~ 196
Caruso DM / 2006 / Randomized clinical study of Hydrofiber dressing with silver or silver sulfadiazine in the management of partial-thickness burns / J Burn Care Res 27 : 29
Catledge SA / 2002 / Nanostructured ceramics for biomedical implants / J Nanosci Nanotechnol 2 : 293 ~ 312
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