Safety evaluation of silver-ion dressings in a porcine model of deep dermal wounds: A GLP study

Toxicol Lett. 2020 Feb 1:319:111-118. doi: 10.1016/j.toxlet.2019.10.023. Epub 2019 Nov 9.

Abstract

Introduction: Silver ion has strong antimicrobial properties and is used in a number of wound dressings. In burn models, silver-nylon dressings produce elevated silver levels in the wound along with minimal systemic effect. We evaluated systemic toxicity in a non-burn wound model to see if a similar pattern of silver ion distribution would occur.

Methods: Eight deep partial-thickness wounds each were created on the dorsum of 40 Gottingen minipigs using a Er-YAG Laser. Half were treated with a 21-day course of silver-nylon dressings (Silverlon®) and half were treated with moist gauze dressings. Wound, blood, liver and kidney silver levels, along with blood chemistry and hematology data were obtained at appropriate intervals.

Results: All wounds healed well with healing enhanced by silver-nylon dressings. Silver ion was demonstrable in all wounds treated with silver-nylon at day 21 and after 14 days of no further treatment. Silver ion was not detected in blood, liver or kidney of any animal treated with silver-nylon or control dressings. Liver and kidney function remained normal in all animals.

Conclusion: A 21-day application of silver-nylon dressings to a non-burn dermal wound produces no systemic or local toxicity in Gottingen minipigs.

Keywords: Laser; Silver; Silver nylon; Wound.

MeSH terms

  • Animals
  • Anti-Infective Agents / toxicity*
  • Bandages*
  • Female
  • Male
  • Nylons
  • Silver / pharmacokinetics
  • Silver / toxicity*
  • Skin / injuries*
  • Swine
  • Swine, Miniature
  • Wound Healing

Substances

  • Anti-Infective Agents
  • Nylons
  • silverlon
  • Silver