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Silver-based dressing in an extremely low-birth-weight infant: a case study.

Deanne L August1, Susan Ireland, Judy Benton

  • 1Deanne L. August, BSN, Department of Neonatology, The Townsville Hospital, Douglas, Queensland, Australia. Susan Ireland, FRACP, Department of Neonatology, The Townsville Hospital, Douglas, Queensland, Australia. Judy Benton, BSN, Department of Neonatology, The Townsville Hospital, Douglas, Queensland, Australia.

Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society
|May 7, 2015
PubMed
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Silver foam dressings can be safely used on premature infants with skin breakdown. This case study shows successful treatment in an extremely low-birth-weight infant, addressing concerns about silver toxicity in neonates.

Area of Science:

  • Neonatal dermatology
  • Wound care innovations
  • Pediatric patient safety

Background:

  • Silver-containing dressings are often avoided in neonates due to toxicity concerns.
  • Limited research exists on the long-term effects of wound dressings in premature infants.
  • Practitioner hesitancy exists regarding topical treatments for premature infants.

Observation:

  • A flexible polyurethane foam dressing with ionic silver was applied to an extremely premature infant (23-week gestation).
  • The infant presented with skin breakdown, a common issue in neonates.
  • The dressing was used as a therapeutic intervention for the observed skin injury.

Findings:

  • The ionic silver foam dressing demonstrated safe and effective use in this case.
  • Successful treatment of skin breakdown was achieved in an extremely low-birth-weight infant.

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  • No adverse events related to silver absorption or toxicity were observed.

    • Implications:

    • This case suggests that silver foam dressings may be a viable option for neonatal wound care.
    • Further research is warranted to explore the safety and efficacy of silver dressings in larger neonatal populations.
    • Findings may help alleviate practitioner concerns regarding silver-based wound care in premature infants.