원저 : 만성 상처 치료에서 Nanocrystalline Silver 드레싱의 유용성

Background: The successful management of chronic wounds requires adequate dressing materials and methods. Nanocrystalline silver is a recently developed form of silver antimicrobial barrier dressing material which has rapid and sustained anti-bacterial activity, reduces inflammation and promotes wound healing. Objective: This study was done to evaluate the effect of nanocrystalline silver dressing method on the treatment of chronic wounds. Methods: Twenty three patients with chronic wounds of various etiologies were treated with nanocrytalline silver mesh dressing material (ActicoatTM) using an occlusive method. Dressing changes were performed every 2 to 3 days until reepithelization. Results: The treatment with nanocrystalline silver was effective in 21 of 23 cases. This dressing method can significantly reduce the frequency of dressing changes, and thus it was more comfortable to both patients and doctors. Conclusion: Occlusive method using nanocrystalline silver is a useful dressing method for various chronic wounds, particularly in an outpatient setting. (Korean J Dermatol 2007;45(8):772∼777)