也許STSG植皮區在遭受感染時 ，使用KoCarbonAg® 抗菌敷料或其他銀敷料可以增加STSG植皮區的存活。
silver-coated activated carbon fiber may help skin graft survive the infection—a case report
Department of Surgery, Tainan Municipal HospitalPurpose:
Some Split-thickness skin grafts (STSGs) can form infections in the area of the wound leading to the failure of the graft. Silver-coated dressing is reported to reduce infection and exhibit antimicrobial activity in wounds. In this study, the author evaluated the efficacy of silver-coated dressing on infected split thickness skin graft using KoCarbonAg® antimicrobial dressing which is a silver-coated active carbon fiber made in Taiwan.
Materials and Methods:
We report a case of necrotizing fasciitis with massive skin defect. The 76 year-old female with past history of DM, PAOD, HTN, CHF is well until 2011/11/26 when she suffered from right thigh erythema and pain for 1day followed by buttock abscess. Necrotizing fasciitis was diagnosed. After 4 times of fasciotomies and debridements, STSG was performed on half of her skin defect of right lower limb. Then she was discharge on 2012/1/11 with open wound about 12*8cm2 left. After Chinese New Year, she was admitted again on 1/27 and received another STSG on 2/9. However, this time, wound infection developed 3 days post OP. Purulent drainage developed and most of the skin graft breakdown. Not until day 6 post OP did we start to use the KoCarbonAg® antimicrobial dressing (a kind of silver dressing).
3 days after the use of the silver dressing, the infection improved and the wound became dry without pus. The skin graft began to grow gradually thereafter. She was discharge on 2/24 after removal of all staple. The wound healed on the following OPD day (3/5).
KoCarbonAg® antimicrobial dressing or other kind of silver dressing may be effective in promoting STSG survival when infection develops.