Should You Use Antimicrobial Dressings On Clean, Uninfected Wounds?

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Author(s): 
Thomas Campbell, DPM, Qeena Woodard, DPM, FACFAS, and Stephanie Wu, DPM, MSc, FACFAS

25. Manizate F, Fuller A, Gendics C, Lantis JC 2nd. A prospective, single-center, nonblinded, comparative, postmarket clinical evaluation of a bovine-derived collagen with ionic silver dressing versus a carboxymethylcellulose and ionic silver dressing for the reduction of bioburden in variable-etiology, bilateral lower-extremity wounds. Adv Skin Wound Care. 2012; 25(5):220-5.
26. Fife CE, Carter MJ, Walker D, Thompson P. Wound care outcomes and associated cost among patients treated in US outpatient wound centers. Wounds. 2012; 24(1):1-6.
27. Michaels JA, Campbell B, King B, et al. Randomized controlled trial and cost-effectiveness analysis of silver-donating antimicrobial dressings for venous leg ulcers (VULCAN trial). Br J Surg. 2009; 96(10):1147-56.
28. Cutting K, White R, Edmonds M. The safety and efficacy of dressings with silver - addressing clinical concerns. Int Wound J. 2007; 4(2):177-84.
29. NHS wastes millions on silver wound dressings ‘that kill infections’. Telegraph. Available at http://www.telegraph.co.uk/health/healthnews/7591908/NHS-wastes-millions... . Published April 15, 2010. Accessed Oct. 30, 2013.
30. Lafontaine J, Michel R. Healing a chronic wound in an immunocompromised patient. Poster, Symposium on Advanced Wound Care (SAWC), San Antonio, 2006.
Beam JW. Topical silver for infected wounds. J Athl Train. 2009; 44(5):531-3.

   Editor’s note: For further reading, see “Current Concepts In Wound Bed Preparation” in the August 2011 issue of Podiatry Today, “How To Detect And Treat Infected Wounds” in the July 2004 issue, “A Guide To Selecting The Right Dressings For Wounds” in the July 2013 issue or “Keys To Managing Postoperative Wound Infections” in the August 2013 issue.

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