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Abstract(s)
A aplicação tópica de prata no tratamento de feridas infetadas: revisão sistemática da literatura
Contexto: Os materiais tópicos impregnados com prata estão a ser usados de forma crescente no tratamento de feridas agudas e crónicas; contudo, a evidência da eficácia do tratamento com prata no cuidado a feridas é colocada em questão.
Objetivo: Determinar a eficácia da aplicação de prata no tratamento de feridas infetadas.
Métodos: As bases de dados pesquisadas foram a EBSCO, a PubMed e a JBI Library, procurando ensaios clínicos relevantes publicados entre 2013 a 2015. Incluíram-se estudos que estudassem qualquer tipo de material com prata comparado com outros materiais sem prata, que preenchessem critérios de inclusão tais como apenas feridas infetadas, em humanos e atendendo à qualidade metodológica.
Resultados: Identificaram-se apenas dois ensaios clínicos randomizados, que incluíram um total de 114 indivíduos. A qualidade metodológica destes estudos é boa. Um estudo comparou sulfadiazina de prata com gel de petrolato, em queimaduras de segundo grau, mostrando melhores resultados com o último. Outro estudo comparou pensos com prata nanocristalina (Acticoat®) com compressas simples em feridas militares, sem diferença estatisticamente significativa nos principais outcomes, evidenciando apenas melhores resultados no odor.
Conclusão: Verificou-se que não existe evidência científica na aplicação de prata em feridas infetadas, com exceto na redução de odor. São precisos mais ensaios clínicos randomizados e controlados de boa qualidade para confirmar estes resultados de forma válida.
Palavras-chave: Prata, Cicatrização de Feridas, Infeção de Feridas, Feridas e Lesões
Abstract Silver Topical Application in infected Wound Care: Systematic Literature Review Background: Topical treatments impregnated with silver are being increasingly used in the treatment of acute and chronic wounds; however, the evidence on the effectiveness of silver wound care treatment is in question. Aim: To determine the effectiveness of silver in infected wound care treatment. Methods: Research databases were consulted including the EBSCO, the PubMed and the JBI Library for relevant clinical trials from 2013 to 2015. Studies deemed to include any form of silver material compared with non-silver materials and have met inclusion criteria such as only infected wound, in humans and methodological quality. Results: Only two randomized clinical trials were identified including a total of 114 subjects. Methodological quality of these studies is good. One study compared silver sulfadiazine and petrolatum gel in superficial partial thickness burns, showing better results with the last one. Another study compared nanocrystalline silver dressings (Acticoat®) and plain gauze in military wounds, without statistically significant difference in the main outcomes, showing only better results in odor. Conclusion: It was found that there is no scientific evidence in the application in silver infected wounds, except with the odor reduction. It takes more randomized controlled trials of good quality to confirm these results in a valid way. Keywords: Silver, Wound Healing, Wound Infection, Wounds and Injuries.
Abstract Silver Topical Application in infected Wound Care: Systematic Literature Review Background: Topical treatments impregnated with silver are being increasingly used in the treatment of acute and chronic wounds; however, the evidence on the effectiveness of silver wound care treatment is in question. Aim: To determine the effectiveness of silver in infected wound care treatment. Methods: Research databases were consulted including the EBSCO, the PubMed and the JBI Library for relevant clinical trials from 2013 to 2015. Studies deemed to include any form of silver material compared with non-silver materials and have met inclusion criteria such as only infected wound, in humans and methodological quality. Results: Only two randomized clinical trials were identified including a total of 114 subjects. Methodological quality of these studies is good. One study compared silver sulfadiazine and petrolatum gel in superficial partial thickness burns, showing better results with the last one. Another study compared nanocrystalline silver dressings (Acticoat®) and plain gauze in military wounds, without statistically significant difference in the main outcomes, showing only better results in odor. Conclusion: It was found that there is no scientific evidence in the application in silver infected wounds, except with the odor reduction. It takes more randomized controlled trials of good quality to confirm these results in a valid way. Keywords: Silver, Wound Healing, Wound Infection, Wounds and Injuries.
Description
Keywords
Administração tópica Cicatrização de feridas Compostos de prata Ferimentos e lesões Infecção de feridas Nitrato de prata Pensos e ligaduras Prata Revisão Administration, topical Bandages Review Silver Silver compounds Silver nitrate Wound healing Wound infection Wounds and injuries