Examinando por Autor "Arana Martínez, Ninel Angélica"

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    Effectiveness of silver-containing dressings in the management of chronic wounds
    (Universidad Privada Norbert Wiener, 2019-08-04) Arana Martínez, Ninel Angélica; Frías Fuentes, Iveth Charlein; Cárdenas de Fernández, María Hilda
    Objective: To systematize the evidence regarding the effectiveness of silver-containing dressings in the management of chronic wounds. Materials and Methods: A systematic review was conducted, allowing us to analyze the conclusions of various studies. 45 scientific articles were found, of which 12 were selected for the bibliographic review, all no older than ten years and in Spanish, Portuguese, and English. In the data collection, the international research articles were classified and reviewed using the "GRADE" system, which helps determine the quality of the evidence and the strength of the recommendation. Results: Twelve articles were selected, and 100% of the articles report the advantages of the effectiveness of silver-containing dressings in the management of chronic wounds, mainly due to the reduction of microbial load. According to the results from the systematic review conducted in this study, 42% (5/12) of the studies were clinical trials, 34% (4/12) were systematic reviews, 8% (1/12) was a cohort study, 8% (1/12) was a controlled study, and 8% (1/12) was an experimental study. The studies came from the following countries: United States 26% (3/12), Taiwan 18% (2/12), Belgium 8% (1/12), France 8% (1/12), Spain 8% (1/12), Poland 8% (1/12), Brazil 8% (1/12), and Germany 8% (1/12). Conclusions: 100% (n=12/12) of the articles mention the effectiveness of silver-containing dressings in the management of chronic wounds. The use of silver dressings is cost-effective for managing chronic wounds by creating a moist environment, a slightly acidic pH (5.5), being used selectively and for a limited period, promoting a faster reduction in microbial load in the wound, and consequently reducing the need for prolonged use of antimicrobials. Additionally, the cost is generally not higher compared to other types of treatments.