Does silver kill or prevent? 
Posted: 16 November 2008 08:39 AM   [ Ignore ]
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A question from the HCD08 Conference.

Products using nano-silver coatings claim to reduce odors caused by bacteria and to protect the surface itself.

Do these silver coatings actually kill the bacteria that cause hospital infections?  Do they prevent infections?

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Posted: 02 March 2009 11:50 AM   [ Ignore ]   [ # 1 ]
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Yes, silver does kill bacteria, including the common pathogens found in healthcare settings such as MRSA and VRE.

Whether an antimicrobial material can prevent infections or not is a complicated question.  A clinical study of Agion treated catheters has shown a reduction in infection, so in that context I can answer “yes”.

The primary reason why it is a complicated question is this:  When a patient develops a hospital acquired infection - where did they get it?
Well, yes “at the hospital”, but was it from the counter?  direct hand contact?  a water faucet in the bathroom? from the privacy curtain or the bedrail?

Since we don’t have this information, we don’t have a clear way to say that changing one thing made the difference.  And it’s most likely not going to be one change that does make a difference - it will be a systems approach to treating all or most of the high touch surfaces.

Two generally accepted aspects of infection control do suggest that a systems approach to using antimicrobial surfaces should have an impact on infection:
- studies show that when surface disinfection protocols are improved (or enforced) infections go down, which is attributed to reduced cross contamination through fomites (surfaces that can harbor pathogens).
- studies show that disinfection protocols are not followed strictly in most healthcare settings.

So reducing the survival time of pathogens on a surface causes a reduction in infection - but 24 hours between cleanings isn’t frequent enough, or protocols are not being followed.  This suggests that using a complementary strategy of a constantly antimicrobial surface that doesn’t require human interaction with the existing periodic disinfection would have a positive impact.

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Posted: 11 April 2009 05:55 AM   [ Ignore ]   [ # 2 ]
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Hello! I can by safely say that silver disinfects a surface and protects from bacteries.

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