Title: The Effect of Topical Nano Silver Gel on Diabetic Foot Ulcer - A Randomised Control Study in Tertiary Care Centre
Authors: Ajay.P (MS General Surgery), Dinker Pai
DOI: https://dx.doi.org/10.18535/jmscr/v9i2.23
Abstract
Aim: To study the efficacy of Nano crystalline silver in the management of diabetic foot ulcers
Methods: patients with diabetic foot ulcer were divided into two Groups using randomized number generator. Group 1 was test group for Nano silver gel dressing & group 2 was control group for conventional dressing. The effect of each dressing was compared for reduction in wound size, time to full granulation and number of hospital days.
Results: In our study there was no statistical significant different in the size of ulcer in the pre-treatment phase across case and control group. Final size of ulcer after the treatment was found to be statistically significant across case and control group (9.56±2.8 cm VS 13.24± 3.85), P value was <0.001. The mean granulation day in the test group was 17.22 ± 4.27 days, while among the control group 22.02 ±3.98 days, this difference in the mean was found to be significant (p<0.001). Difference in the duration of hospital stay across test and control group was 24.46 ± 4.89 days, 33.56 ± 4.59 days respectively. This difference was found to be significant (p<0.001). Thus in the test group mean size of ulcer after the dressing was smaller in test group than control group, mean granulation days and mean duration of stay was lesser in the test group.
Conclusion: In this study, there was significant reduction in wound size, the time for full healthy granulation appearance and the duration of hospital stay was better compared to the conventional dressing.
Keywords: Diabetic foot, Diabetic foot ulcer, nano silver gel.
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