Bowler P G, Jones S A, Walker M, Parsons D
ConvaTec Global Development Centre, Deeside, United Kingdom.
J Burn Care Rehabil. 2004 Mar-Apr;25(2):192-6. doi: 10.1097/01.bcr.0000112331.72232.1b.
Partial-thickness burns are often characterized by microbial contamination and copious exudate produced during the early postburn period. Consequently, topical wound management often relies on the use of antimicrobial agents and absorbent dressings, and an AQUACEL Hydrofiber Dressing containing ionic silver has been designed to meet such needs. To assess the antimicrobial properties of the AQUACEL Hydrofiber dressing, samples were challenged with a wide variety of recognized burn wound pathogens in a simulated wound fluid model. Dressing samples were inoculated with the challenge organisms at time zero and then reinoculated on days 4 and 9 to mimic the worst-case clinical scenario. The dressing was shown to be microbicidal against aerobic and anaerobic bacteria (including antibiotic-resistant strains), yeasts, and filamentous fungi during a 14-day test period. Based on our results, the silver-containing dressing is likely to provide a barrier to infection, in addition to providing proven fluid-handling benefits of the AQUACEL Hydrofiber dressing, in the management of partial-thickness burns.
浅度烧伤通常具有微生物污染以及烧伤后早期产生大量渗出液的特点。因此,伤口局部处理常常依赖于使用抗菌剂和吸水性敷料,而一种含离子银的爱康肤银离子水凝胶敷料已被设计用于满足此类需求。为评估爱康肤银离子水凝胶敷料的抗菌性能,在模拟伤口液模型中用多种公认的烧伤创面病原体对样本进行了挑战试验。敷料样本在零时接种挑战微生物,然后在第4天和第9天再次接种,以模拟最坏的临床情况。在为期14天的测试期内,该敷料对需氧菌和厌氧菌(包括耐药菌株)、酵母菌及丝状真菌均显示出杀菌作用。基于我们的研究结果,在浅度烧伤的处理中,除了具有已证实的爱康肤银离子水凝胶敷料的液体处理优势外,含银敷料还可能提供抗感染屏障。