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Silver-Based Dressing in an Extremely Low-Birth-Weight Infant: A Case Study

August, Deanne L.; Ireland, Susan; Benton, Judy

Journal of Wound, Ostomy and Continence Nursing: May/June 2015 - Volume 42 - Issue 3 - p 290–293
doi: 10.1097/WON.0000000000000138
CHALLENGES IN PRACTICE
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BACKGROUND: Dressings containing silver have been considered dangerous for neonatal patients. Many practitioners are hesitant to place wound applications (with or without silver) on premature infants based on the potential risk of absorption and toxicity. Few studies have been conducted looking at long-term effects of current dressing products in the neonate.

CASE: We used a flexible polyurethane foam containing ionic silver to treat the skin breakdown in a 23-week-old infant.

CONCLUSION: The silver foam dressing was safely and successfully used in the treatment of this extremely low-birth-weight infant with skin breakdown.

Deanne L. August, BSN, Department of Neonatology, The Townsville Hospital, Douglas, Queensland, Australia.

Susan Ireland, FRACP, Department of Neonatology, The Townsville Hospital, Douglas, Queensland, Australia.

Judy Benton, BSN, Department of Neonatology, The Townsville Hospital, Douglas, Queensland, Australia.

Correspondence: Deanne L. August, BSN, Department of Neonatology, The Townsville Hospital, 100 Angus Smith Dr, Douglas, Queensland 4814, Australia (dlaugust1@gmail.com or Deanne.August@health.qld.gov.au).

The authors declare no conflict of interest. No funding from Molnlycke Health Care has been received for this study. Parental consent for case study and photographs has been obtained.

© 2015 by the Wound, Ostomy and Continence Nurses Society.