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Objetivo: O presente estudo objetiva uma revisão de literatura detalhada a respeito da difícil escolha da melhor cobertura do paciente acometido por queimaduras. Método: A análise foi realizada por meio de pesquisa de literatura on-line em periódicos nacionais e internacionais relacionados com o tema. Tratase de uma revisão integrativa da literatura, na qual a coleta de dados ocorreu no período de agosto de 2016 a agosto de 2017. As bases de dados utilizadas foram: MEDLINE (Medical Literature Analysis and Retrieval System Online), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Scientific Eletronic Library Online (Scielo), por meio de busca na Biblioteca Virtual em Saúde (BVS). Foi estabelecido o recorte do tempo para inclusão de publicações de 2006 a 2017. Resultados: Existem vários tipos de coberturas indicadas no tratamento da queimadura. A prata é o tratamento padrão. Nos dias atuais, diante das várias opções e inovações, tem-se utilizado prata mais associações, devido à eficácia e melhor custo-benefício. Conclusão: É necessário conhecimento específico do dermatoterapeuta para que o tratamento ao paciente queimado tenha êxito. É preciso treinar enfermeiros para oferecer o suporte necessário a esses pacientes, atendendo-os de forma ímpar, com estudo específico de cada caso. Sugere-se a prata com associações para o tratamento da queimadura. A literatura sobre esse tema é escassa. Sendo assim, o surgimento de novas terapias mais eficazes ainda é esperado.

Objective: The present study aims at a detailed literature review regarding the difficult choice of the best coverage of patients suffering from burns, considering a range of options. Methods: The analysis was performed through online literature research in national and international journals related to the topic. It is an integrative review of the literature, in which the data collection took place from August 2016 to August 2017. The databases used were: MEDLINE (Medical Literature Analysis and Retrieval System Online), Latin American Literature and the Caribbean in Health Sciences (LILACS), Scientific Electronic Library Online (Scielo), through the search in the Virtual Health Library (VHL). The time cut was established for the inclusion of publications from 2006 to 2017. Results: There are several types of coverage indicated in the treatment of burn. Silver is the standard treatment. Nowadays, in front of the various options and innovations has been used more silver associations, due to the effectiveness and better cost-benefit. Conclusion: Specific knowledge of the dermatologist is necessary so that the treatment of the burned patient can be successfully achieved. It is necessary to train nurses to offer the necessary support to these patients, attending them in an odd way, with specific study of each case. Silver is suggested with associations for the treatment of burn. The literature on this subject is scarce. Thus, the emergence of more effective new therapies is still expected

Objetivo: El presente estudio objetiva una revisión de literatura detallada acerca de la difícil elección, de la mejor cobertura del paciente acometida por quemaduras. Método: El análisis fue realizado a través de la investigación de literatura on line en periódicos nacionales e internacionales relacionados con el tema. Se trata de una revisión integrativa de la literatura, en la cual la recolección de datos ocurrió en el período de agosto de 2016 a agosto de 2017. Las bases de datos utilizadas fueron: MEDLINE (Medical Literature Analysis and Retrieval System Online), Literatura Latinoamericana y el Caribe en Ciencias de la Salud (LILACS), Scientific Eletronic Library Online (Scielo), a través de la búsqueda en la Biblioteca Virtual en Salud (BVS). Se estableció el recorte del tiempo para la inclusión de publicaciones de 2006 a 2017. Resultados: Existen varios tipos de coberturas indicadas en el tratamiento de la quemadura. La plata es el tratamiento estándar. En los días actuales, frente a las diversas opciones e innovaciones se han utilizado plata más asociaciones, debido a la eficacia y mejor costo-beneficio. Conclusión: Se necesita conocimiento específico del dermatoterapeuta para que el tratamiento al paciente quemado pueda ser logrado con éxito. Es necesario entrenar a enfermeros para ofrecer el soporte necesario a estos pacientes, atendiéndolos de forma impar, con estudio específico de cada caso. Se sugiere la plata con las asociacio

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The objective of the present study was to evaluate the effectiveness of framycetin included in combined therapy of adenoiditis in the children. The study involved 67 children at the mean age of 6.9±2.7 years. Group 1 was comprised of 35 children given framycetin as topical therapy, the patients of group 2 were treated by the endonasal administration of a 2% silver proteinate solution. It was shown that the use of framycetin as a component of combined therapy of adenoiditis enhances the effectiveness of the treatment and compliance to therapy in comparison with the same parameters in the case of the application of traditional topical antibacterial preparations.

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To determine the feasibility of using x-ray fluorescence (XRF) to detect the presence of silver in the mammary gland of dairy cows injected with mild silver protein suspension. The XRF spectroscopy was conducted on cadaver udders with and without mild silver protein injected. Spectral analysis was performed in order to determine the amplitude of the silver K-alpha peak that was detected. By comparing the amplitude of the K-alpha peak to the background, a minimum time of collection was determined, as a measure of the time required to observe a silver signal that is significantly non-zero. The minimum detection time required for evidence of injected silver suspension was calculated to be 2.8 +/- 0.2 s. Even with an additional requirement that the net signal exceed 50 counts, the clear indication of the presence of silver will be observed within 4 min of interrogation. X-ray fluorescence spectroscopy was shown to be a viable method for the detection of injected silver protein in cadaver mammary glands of dairy cows. While these findings are promising, further studies must be conducted to investigate the time dependence of the silver signal when diffusion, absorption, and redistribution are involved, under conditions that better mimic those encountered at an exhibition. This technique, used in conjunction with screening ultrasound examinations, has the potential to confirm sites of injection of silver compounds.

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It has been previously demonstrated that the mixture of Cu, Au and Ag impaired significantly the clinical and biochemical disorders induced by adjuvant arthritis in the rat. The efficiency of this mixture and of each component was tested on the same animal model. Treated rats were injected daily with either 22.8 micrograms of copper gluconate, 0.2 micrograms of gold thioglucose, 6.8 micrograms of silver proteinate or the blended solution over a period of 29 d. The treatment with the one component solutions was found to have a little or no effect on the plasma levels of fibrinogen, haptoglobin, ceruloplasmin, prostaglandin E2, thromboxane B2, total proteins, Zn, Cu, Mn, Se, Co and Ni, and no significant decrease was observed in the paw oedema resulting from the Freund's adjuvant injection. The treatment with the mixture had a significant preventive effect. Therefore it seems that the administration of low doses of each of the three trace elements have no anti-rheumatic property in the rat. The results indicate an enhanced effect of the metal mixture in the model studied.

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The authors conducted an open-label nonrandomized parallel trial to examine whether the preoperative application of povidone-iodine to the ocular surface reduces the incidence of endophthalmitis after intraocular surgery. During an 11-month period, topical 5% povidone-iodine was used to prepare the conjunctiva in 1 set of 5 operating rooms, while silver protein solution was used in another set of 5 rooms. In all cases, surgeons continued to use their customary prophylactic antibiotics. A significantly lower incidence of culture-positive endophthalmitis (P less than 0.03) was observed in the operating rooms using povidone-iodine (2 of 3489 or 0.06%) compared with those using silver protein solution (11 of 4594 or 0.24%). Use of topical povidone-iodine in over 3000 cases was not associated with any adverse reactions. In a majority of the observed cases of endophthalmitis, some form of intraoperative communication with the vitreous cavity existed.

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