Barrett Simon
Tissue Viability, NHS East Riding of Yorkshire Primary Care Trust, Yorkshire.
Br J Nurs. 2009;18(20):S28, S30-6. doi: 10.12968/bjon.2009.18.Sup7.45133.
This article examines the role of a unique dressing-Mepilex Ag--that incorporates the rapid and sustained antimicrobial action of ionic silver with the benefits of Safetac soft silicone adhesive technology. The combined attributes of each component of this dressing allow both the control of pain and infection to be achieved simultaneously. This dual approach to the management of wounds is of significance since the evidence suggests that wound infection and the release of pro-inflammatory modulators result in both local pain and delayed healing. In this respect the control and treatment of pain is as important as the treatment of infection itself. A review of the clinical evidence relating to Safetac technology clearly demonstrates that it can be used to prevent dressing-related trauma, minimize pain at dressing change, and control exudate when used on a wide range of wound types and skin injuries. In combination with silver, this technology has been shown in in-vitro studies to have an almost instant and sustainable antimicrobial effect on a broad range of pathogens associated with delayed healing. Finally, in small clinical and case studies, Mepilex Ag has been shown to control wound bioburden and improve healing rates.
本文探讨了一种独特的敷料——美皮康银离子敷料（Mepilex Ag）的作用，它将离子银快速且持续的抗菌作用与赛肤泰（Safetac）柔软硅胶粘合剂技术的优势相结合。这种敷料各成分的综合特性使得疼痛和感染能够同时得到控制。这种双管齐下的伤口处理方法具有重要意义，因为有证据表明伤口感染和促炎调节剂的释放会导致局部疼痛和愈合延迟。在这方面，疼痛的控制和治疗与感染本身的治疗同样重要。对与赛肤泰技术相关的临床证据进行的综述清楚地表明，当用于多种伤口类型和皮肤损伤时，它可用于预防与敷料相关的创伤、在更换敷料时将疼痛降至最低并控制渗出液。与银相结合，该技术在体外研究中已显示出对与愈合延迟相关的多种病原体具有几乎即时且持续的抗菌作用。最后，在小型临床和病例研究中，美皮康银离子敷料已被证明可控制伤口生物负荷并提高愈合率。
