RESUMEN

In the event of ulcers with critical colonization, a correct diagnosis and adequate treatment are vital for healing to occur since the presence of a possible infection would impede an adequate evolution leading to healing the ulcer The authors publish a prospective and multi-centric study which included 375 patients who were evaluated regarding the healing of their ulcers over a 12 week period in which the "Biatain Plata" dressing was used. The average initial size of their ulcers was 30 cm2 +/- 67. After 72 weeks of treatment, patients' ulcers were reduced by 80% in relative value. 33% of these ulcers showed a complete healing, while another 47.4% evidenced a noticeable improvement. The product studied proved to be highly effective in the treatment of chronic ulcers with critical colonization. Regarding the safety of this dressing, the authors did not observe any adverse reaction to it, nor did they observe any toxicity associated with the release of silver, in spite of having used this dressing over 12 weeks. In the same way, the authors did not notice any indications of possible development of bacterial resistance to the dressing's anti-bacterial action.

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RESUMEN

En el caso de úlceras con colonización crítica, una correcta diagnosis y su adecuado tratamiento son vitales para conseguir la cicatrización, dado que la presencia de una posible infección imposibilitará la idónea evolución de la úlcera hacia la curación. Se presenta un estudio prospectivo y multicéntrico, en el que se incluyeron 375 pacientes y en los que se evaluó la evolución de las úlceras durante 12 semanas de tratamiento con Biatain Plata. La media del tamaño inicial de las úlceras era 30 cm2 ± 61. Se consiguió una reducción del área de la úlcera en valores relativos del 80% después de 12 semanas de tratamiento. El 33% de las úlceras cicatrizó completamente, mientras que un 47,4% de ellas experimentó una mejora notable. El producto estudiado ha demostrado una elevada eficacia en el tratamiento de úlceras crónicas con colonización crítica. En lo relativo a la seguridad del apósito, no se ha descrito ningún acontecimiento adverso relacionado con él, ni se ha visto toxicidad alguna asociada a la liberación de plata, a pesar de haberlo utilizado durante el periodo de 12 semanas. Del mismo modo, tampoco se han apreciado indicios del posible desarrollo de resistencias bacterianas a su acción bactericida(AU)

In the event of ulcers with critical colonization, a correct diagnosis and adequate treatment are vital for healing to occur since the presence of a possible infection would impede an adequate evolution leading to healing the ulcer. The authors publish a prospective and multi-centric study which included 375 patients who were evaluated regarding the healing of their ulcers over a 12 week period in which the "Biatain Plata" dressing was used. The average initial size of their ulcers was 30 cm2 ± 61. After 12 weeks of treatment, patients' ulcers were reduced by 80% in relative value. 33% of these ulcers showed a complete healing, while another 47.4% evidenced a noticeable improvement. The product studied proved to be highly effective in the treatment of chronic ulcers with critical colonization. Regarding the safety of this dressing, the authors did not observe any adverse reaction to it, nor did they observe any toxicity associated with the release of silver, in spite of having used this dressing over12 weeks. In the same way, the authors did not notice any indications of possible development of bacterial resistance to the dressing's anti-bacterial action(AU)

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