Ultrastable in-situ silver nanoparticle dressing for effective prevention and treatment of wound infection in emergency

The use of antibacterial dressings is crucial in the prevention and treatment of wound infection in emergency situations. However, the efficacy of dressings is compromised by long-term storage or exposure to harsh conditions. Here, an ultrastable in-situ silver nanoparticle dressing (AgSNP@CD) was prepared for effective prevention and treatment of wound infection in emergency. The fabrication process of AgSNP@CD is simple, suitable for large-scale production. Due to the strong interaction between the in-situ synthesized AgNPs and the cotton fabric, AgSNP@CD owned remarkable stability, thus retaining its antimicrobial efficacy even after long-term storage (up to 2 years) and under extreme conditions (damp heat, low temperatures, low-oxygen, water immersion, acid-alkali erosion). Both in vitro and in vivo results demonstrated the extraordinary antibacterial efficacy and stability of AgSNP@CD, facilitating infection prevention and wound healing in extreme conditions. In particular, AgSNP@CD exhibited a superior treatment effect on severe bacteria-infected trauma and can prevent the occurrence of sepsis effectively. The exceptional stability and antibacterial efficacy of AgSNP@CD under complex and extreme conditions make it a well-suited dressing strategy for the prevention and treatment of wound infection in emergency.