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. 2016 Jul-Sep;9(3):306–315.

Table 1.

A large variety of silver-based dressings [12]

Dressing Information and use Type of wound
Acticoat A conformable silver antimicrobial barrier dressing with a 3 or 7 day efficacy. Acute Burns
A 3-layered dressing consisting of an absorbent rayon/ polyester layer sandwiched between 2 outer layers of silver-coated polyethylene net. Partial thickness burns
The silver is in nanocrystalline form, and when moistened is released from the dressing onto the wound. Infected, contaminated or colonized burns
Can be left intact for 3 or 7 days depending on the type selected
Needs moist secondary dressings to activate the silver
Acticoat Flex A knitted, flexible polyester weave, coated with nanocrystalline silver. Acute Burns
Stretches too accommodate mobility Partial thickness burns
Open weave allows fluid and exudate migration Infected, contaminated or colonized burns
Acticoat Absorbent A silver coated highly absorbent alginate dressing with a 3-day antimicrobial efficacy and 7-day wear time. Recommended for use in the same burn wounds as other Acticoat products but those with a large amount of exudate
Helps prevent infection, in turn facilitating wound healing
Reduces risk of colonization
Easy to use and highly conformable
Mepilex Ag Silver based silicone which uses Safetac technology Superficial and mid dermal burns
Does not adhere to underlying wound bed, minimizing pain associated with dressing changes Colonized but NOT infected burns
Conforms well and it is easy to cut to size or shape for wounds in difficult to dress areas.
Aquacel Ag Silver-based hydrofibre Partial thickness burns
Silver in the dressing kills wound bacteria held in the dressing Moderate to highly exuding wounds, which are infected or at risk of infection
Provides an antimicrobial barrier to protect the wound bed
Absorbs high amounts of wound fluid and bacteria and creates a soft, cohesive gel that intimately conforms to the wound
Colonized but not infected burns
Not suitable for over joints
Silver Sulfadiazine Topical silver based cream that has a broad antimicrobial activity against both Gram Positive and Gram-negative organisms Dry wounds
The cream also contains Chlorhexidine Gluconate that is a disinfectant, which is active against a wide range of vegetative Gram Positive and Gram Negative bacteria Full thickness burns
Not suitable for the face Used on infected or contaminated wounds
Allevyn Ag Antimicrobial hydrocellular foam dressing with soft gel adhesive Moderately to highly exuding wounds on patients with fragile or sensitive skin where infection or infections risk needs to be managed.
Biatain Ag Non-adhesive Foam Dressings with silver Moderately to highly exudating partial thickness burns
Prepared with hydro-activated silver, which is released onto the wound during wear
Antimicrobial Dressings
Dressing Information and use Type of wound
Flaminal Alginate gel with antimicrobial properties Flaminal Forte: medium to highly exudating wounds
Requires suitable secondary dressing and can be left intact for 1–4 days. Flaminal Hydro: lightly exudating wounds