Silver sulfadiazine in modern dermatology
DOI:
https://doi.org/10.25251/9wwnjf59Keywords:
antimicrobial, burns, dermatology, silver, sulfadiazine, topical, woundAbstract
Silver sulfadiazine, a topical antimicrobial that releases silver ions to disrupt bacterial cell membranes, is primarily used for second- and third-degree burns owing to its broad-spectrum activity against bacteria, fungi, and certain viruses. Beyond burns, silver sulfadiazine can be used off-label for conditions such as diabetic and pressure ulcers, atopic dermatitis, and radiation dermatitis. The literature suggests it may reduce bacterial load, accelerate healing, and address challenges such as multidrug-resistant Staphylococcus aureus. Rare side effects, including localized reactions and systemic toxicity with extensive use, necessitate cautious application, especially in vulnerable populations. Despite these limitations, silver sulfadiazine remains a cornerstone of dermatological wound care. Continued research is needed to optimize its use alongside emerging therapies.
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Copyright (c) 2025 Natalia Chalupczak, Jessica Q. Duong, Joseph Jorizzo, Steven R. Feldman (Author)

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