Patient is a 34 year old woman (diabetic) who suffered deep burns to 58% of body surface plus a smoke inhalation injury in a house fire Full thickness areas included chest, abdomen, arms, neck. The back appeared to be a very deep dermal burn and was treated with the silver delivery system (ACTICOAT) while the other areas were excised and grafted. By day 25 the back looked as if it would heal and was totally healed by day 28. The ACTICOAT was wetted twice a day and changed every three days.

Minimal bacterial growth was noted. Exudate production was also minimal, especially compared to the use of an antibiotic cream. Patient was transferred to acute burn rehab on day 33.

Note: Intact eschar without exudate on back, and buttocks (to the right). White appearance is typical of a deep burn with high risk of conversion to full thickness injury (Flank and chest wall excised of full thickness burn)

Patient is an 86 year old woman who suffered full thickness flame burns to 38% of body surface when her clothes caught fire at the stove.

Burns involved upper arms, right chest, flank and entire back. The silver system moistened with water was applied to all the burns of areas after initial cleaning. The ACTICOAT was moistened twice a day and changed every 3 days.

Body temperature was well maintained as moisture layer remained at wound surface while gauze dressings remained dry. The patient had three burn excisions and autograft procedures using 3:1 mesh on day 3, day 6 and day 9. The burn eschar remained intact with minimal autolysis until the entire burn could be removed and grafted. Graft sites were covered with the silver delivery system which was changed every 2-3 days and moistened twice a day. The patient remained remarkably stable, never manifesting any infection or septic response.

Excellent graft take was noted along with a more rapid than expected mesh closure given her age and pre-existing renal dysfunction. She was transferred to our acute rehabilitation center on day 28 post burn