The Effect Silver Colloidal Cream As Primary Dressing For Treating Infections In Diabetic Foot Ulcer: A Case Report

Abstract

Background: Infection in diabetic foot ulcer (DFU) is one of the main factors delaying wound healing. The use of silver in cream formulation can be an option as a primary dressing. Objective: In this case study, the authors report the wound healing progress of an infected diabetic foot ulcer treated with colloidal silver cream as the primary dressing. Case Presentation: A 60-year-old man presented to Wocare on March 17, 2025, with complaints of wounds on both feet that appeared on February 11, 2025. The wound began as blisters after sun exposure at 1:00 p.m. on February 10, 2025. He sought treatment at a hospital where daily wound cleansing was performed, but the wounds showed no improvement. Multiple wounds were noted on both feet. The wounds were unstageable because the wound bed was covered with slough. The wound base consisted of 40% yellow tissue and 60% red tissue. There was a large amount of serous exudate, erythema, edema, and warmth around the wound area. Wound management used the TIME framework, applied with the 3M approach (Mencuci, Membuang, Mengaplikasikan) . The primary dressing used was colloidal silver cream, and dressings were changed every three days. Conclusion: Silver cream is effective in managing infection in diabetic foot ulcers. Clinical signs of infection, such as erythema, edema, and warmth around the wound, were no longer present during evaluation.