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Related Experiment Video

Updated: Feb 6, 2026

Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery
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Silver-Impregnated Dressing Does Not Decrease Incidence of Surgical Site Infection After Adult Cardiac Surgery.

Vignesh Raman1, Kelly A Thompson-Brazill, Kathy Kane

  • 1From the WakeMed Health and Hospitals, Raleigh, NC USA; and Duke University Medical Center, Durham, NC USA.

Innovations (Philadelphia, Pa.)
|August 21, 2018
PubMed
Summary

Silver-impregnated dressings did not reduce sternal wound infections after cardiac surgery. Traditional gauze dressings are equally effective and a more cost-efficient alternative for preventing sternal wound infections.

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Area of Science:

  • Surgical Site Infections
  • Infection Control
  • Medical Device Efficacy

Background:

  • Sternal wound infections are a significant complication after cardiac surgery, occurring in 1% to 8% of cases.
  • These infections lead to considerable patient morbidity.

Purpose of the Study:

  • To evaluate the effectiveness of silver-impregnated dressings in reducing sternal wound infections following sternotomy.
  • To compare infection rates between silver-impregnated and traditional gauze dressings.

Main Methods:

  • A single-institution cohort study compared 557 sternotomy cases using traditional gauze dressings (2015) with 682 cases using silver-impregnated dressings (2016).
  • Prospective metrics, nursing assessments, and questionnaires were analyzed.

Main Results:

  • No significant difference in sternal wound infection rates was observed between the two dressing groups (1.6% vs. 1.8%, P = 0.80).
  • Morbidity, mortality, and types of infection (deep, organ space) were similar. Superficial infections were more frequent with silver dressings.
  • Patient satisfaction was lower with silver-impregnated dressings (22% dissatisfied).

Conclusions:

  • Silver-impregnated dressings did not decrease sternal wound infections in adult cardiac surgery patients.
  • Routine use of silver dressings was discontinued, favoring traditional gauze as an equally effective and less expensive option.