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Print version ISSN 1134-928X


LOPES, Andressa de Oliveira et al. Series of cases of patients with chronic wounds after receiving topical treatment with silver. Gerokomos [online]. 2020, vol.31, n.1, pp.60-65.  Epub June 15, 2020. ISSN 1134-928X.

Many challenges can be found on the care of cutaneous wounds, especially when these wounds present subtle clinical signs of infection. It is not possible to identify and quantify microorganisms in wounds in most national health care institutions.


To identify the microorganisms of chronic wounds before and after treatment with antimicrobial coverage with silver, and to check the levels of C-reactive protein and its association with the dimensions of the wound.

Casuistic and Method:

Case series with clinical and laboratory analysis of 10 patients with chronic wounds, during a period of two weeks in a Wound Care Outpatient Clinic / FUNFARME, Medical School of São José do Rio Preto / SP-FAMERP.


Of the patients studied, the majority (60%) were female, and 40% had vasculogenic ulcer. The predominant microorganism was Staphylococcus aureus. There was inhibition of some microorganisms and growth of other genera and species. We found a weak correlation between initial wound area and initial serum CRP (0,05183), and between final wound area and final serum CRP (0,3587). However, with the increase of the area of the wound, there was an increase in the serum levels of the CRP and, with the decrease of the area, a reduction of the CRP levels.


The correlation of serum CRP levels and wound dimensions were weak and not significant; but positive.

Keywords : Wound infection; Microbiota; Silver; C-Reactive Protein.

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