{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T18:10:47Z","timestamp":1653415847513},"reference-count":35,"publisher":"Mark Allen Group","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wound Care"],"published-print":{"date-parts":[[2012,12]]},"abstract":"\u2022 Objective:<\/jats:title> To describe motivations for using a silicone, silver-releasing dressing and the type of wounds treated with this dressing, and to evaluate its short-term impact on wound characteristics. <\/jats:p><\/jats:sec>\u2022 Method:<\/jats:title> A French, prospective, observational study of adult patients prescribed a soft-silicone, silver-releasing dressing (Mepilex Ag; M\u00f6lnlycke Health Care) in the community. Each participating physician was asked to include the first two consecutive patients they treated with the silver dressing, reporting patient and wound characteristics, as well as the presence of 10 local signs compatible with wound infection (abscesses, purulent or copious exudate, erythema, increase in local warmth, pain, oedema, lymphangitis or satellite adenitis, malodour and delayed wound healing). Clinicians were also asked to select from a list their rationale for prescribing the silver dressing for each patient, including treating a wound infection, to stimulate granulation tissue formation, to promote wound healing, to reduce wound exudate, and to decrease wound pain. Local and general treatment were also reported. <\/jats:p><\/jats:sec>\u2022 Results:<\/jats:title> Overall, 794 patients (58% females), with a mean age of 69.0 \u00b1 15.4 years, were included by 128 general practitioners, 51 dermatologists and 63 vascular specialist. Sixty-seven per cent were venous leg ulcers (VLUs), 26% were acute wounds (post-traumatic, surgical, burn wounds and animal bites) and 6.3% were other chronic wounds (pressure ulcers, diabetic foot ulcers and oncology wounds). On average 3.7 \u00b1 1.5 local signs of infection were present and mean pain intensity (on a visual analogue scale) was 50 \u00b1 24mm. According to prescribers, infection and healing delay were the primary rationale in 82% of cases, with oral antibiotics started concurrently in 19% of these wounds. Patients were followed-up at a median of 19 days, by which time all wound parameters were documented as significantly improved. Tolerability and efficiency of the silver dressing was considered as \u2018good'\/'very good\u2019 in more than 97% of cases. <\/jats:p><\/jats:sec>\u2022 Conclusion:<\/jats:title> While there are some variances with the French reimbursement indication, for the clinicians surveyed in this study, the primary rationale for prescription of a silver dressing was treatment of a possible wound infection. Although this indication might not always be clinically funded, based on wound characteristics, the short-term impact of this prescription in this series was favourable. <\/jats:p><\/jats:sec>\u2022 Declaration of interest:<\/jats:title> This study was funded by a grant from M\u00f6lnlycke Health Care, France. 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