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Clinical Experience with Negative-Pressure Wound Therapy Combined with Silver-Impregnated Dressing in Mixed Wounds

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Pressure Injury, Diabetes and Negative Pressure Wound Therapy

Abstract

Although negative-pressure wound therapy (NPWT) has been used for over 20 years, as far as the authors are aware, there is little research aimed at evaluation of the combination of NPWT with silver-impregnated dressing. Accordingly, the aim of this chapter is to examine and describe the effect, efficacy, and safety of NPWT in conjunction with silver-impregnated dressing. This chapter is also about the authors’ approach, treatment algorithm, and interesting clinical findings, with the aim to share the knowledge and clinical experience with faithful readers. A retrospective study of 54 acute and chronic wounds treated in 50 patients during a 2-year period was performed. Demographic data, wound characterizations, wound cultures before and after NPWT, duration of NPWT, number of sponge changes of each patient, types of surgical procedures used for wound closure following NPWT, healing time, and length of hospital stays were recorded. According to all results obtained, described, and discussed we consider the use of nonadherent silver-impregnated dressing in conjunction with NPWT to be beneficial and efficacious. No adverse events or reactions related to the silver-impregnated contact layer used during NPWT have been observed in our patients which confirmed the safety of this method.

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Correspondence to Peter Bukovčan M.D., Ph.D. .

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Bukovčan, P., Koller, J. (2017). Clinical Experience with Negative-Pressure Wound Therapy Combined with Silver-Impregnated Dressing in Mixed Wounds. In: Shiffman, M., Low, M. (eds) Pressure Injury, Diabetes and Negative Pressure Wound Therapy. Recent Clinical Techniques, Results, and Research in Wounds, vol 3. Springer, Cham. https://doi.org/10.1007/15695_2017_55

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  • DOI: https://doi.org/10.1007/15695_2017_55

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-10700-0

  • Online ISBN: 978-3-030-10701-7

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