title: A modern method of treatment: The role of silver dressings in promoting healing and preventing pathological scarring in patients with burn wounds.
abstract: Burn wounds are a global public health problem, which affects all countries, no matter the development stage and occurs in all age groups, from toddlers to elderly. In spite of burns being the cause of numerous household and work accidents, there are still no clear stated unanimous rules for their treatment. Every day new products appear on the market, each of them trying to prove more effective. Since ancient times, silver has been known for its antimicrobial properties, so it has been used for a long time in the treatment of burns and other types of wounds. One of the relatively modern methods of treatment is applying silver sheets on the scald lesions. In this paper, which was part of a larger study (research for a PhD thesis), concerning prevention and treatment of the post-burn pathological scars, the cases of some patients with burns, who were treated by using the above mentioned method were presented and analyzed. The results obtained by applying silver sheets were then commented and interpreted, pointing out the advantages and disadvantages compared to silver sulfadiazine creams and ointments, which have already been used at a large scale. The prevention and treatment of post-burn pathological (hypertrophic and keloid) scars is a field in which still little is known and in which there are also no clearly set therapy plans. We hope that through this research and the following ones we will manage to establish some major guidelines concerning the prevention of pathological scars, which are not only disabling, but also a major aesthetic issue for any patient, in order to obtain better outcomes.
authors.affiliation: Department of Plastic, Reconstructive Surgery and Burns, Clinical Emergency Hospital for Plastic, Reconstructive Surgery and Burns, Bucharest, Romania.
authors.forename: A
authors.initials: A
authors.lastname: Munteanu
authors.affiliation: Department of Plastic Surgery and Reconstructive Microsurgery, "Bagdasar-Arseni" Clinical Emergency Hospital, Bucharest, Romania.
authors.forename: I P
authors.initials: IP
authors.lastname: Florescu
authors.affiliation: Department of Plastic, Reconstructive Surgery and Burns, Clinical Emergency Hospital for Plastic, Reconstructive Surgery and Burns, Bucharest, Romania.
authors.forename: C
authors.initials: C
authors.lastname: Nitescu
mesh_terms: D000328:Adult; D001458:Bandages; D002056:Burns / Q000628:therapy*; D002921:Cicatrix / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012834:Silver / Q000494:pharmacology*; D014945:Wound Healing
chemical_list: D012834:Silver
keywords: burns; preventing pathological scars; silver dressings