Efficacy of hydrophilic fiber containing silver dressings for prevention of incision infections among elderly patients with diabetes
XIAO Rui1, ZHANG Di1, and LI Dongmei2
1. Operating Room, Beijing Jishuitan Hospital, Beijing 100035, China; 2. Department of Neurosurgery,the General Hospital of Chinese People’s Armed Police Force, Beijing 100039,China
Abstract：Objective To explore the effect of hydrophilic fiber containing silver dressings on prevention of incision infection among elderly lower limb surgical patients with diabetes.Methods One hundred elder patients (age >60) with diabetes were equally divided into the control group and observation group. In addition to routine care, the control group was treated with common gauze dressings while the observation group used hydrophilic fiber containing silver dressings. The infection rate, healing of incision,postoperative levels of routine blood leucocytes and levels of satisfaction of patients were compared between the two groups.Results The incision infection rate of the observation group was lower than in the control group (2.0% vs 16.0%),P<0.05. The Class A healing rate of the observation group was higher than in the control group (84.0% vs 60.0%, P<0.01) but the Class B healing rate was lower (16.0% vs. 34.0%, P<0.05).There was no patient with Class C healing in the observation group, but there were three cases in the control group. Three days after surgery, the white blood cell levels in the observation group was obviously lower than in the control group (P<0.01).Conclusions Hydrophilic fiber containing silver dressings can effectively prevent the occurrence of infections of incisions among elderly patients with diabetes, promote the healing of incisions, and improve patients’ level of satisfaction, so this approach is of great clinical value.
Daniel M, Kevin N, Michel H E. Aquacel Ag in the management of partialthickness burns: result of a clinical trial[J].J Burn Care Rehabil, 2004, 25(1): 89-97.
Agren M S,Mirastschijaki U,Karlsmark T,et al. Topical synthetic inhibitor of matrix metalloproteinases delays epidermal regeneration in human wounds[J].Exp Dermatol,2001,10 ( 5) : 337-348.
[7]
Lansdown A G,Sampson B,Rowe A. Sequential changes in tracemetal, metallothionein and calmodulin concentrations in healing wounds [J].J Anat,1999,195(3):375-386.
2017, Vol. 28 
