A major problem in medicine is the large number of infections associat
ed with implanted and indwelling devices. Silver coating of medical de
vices is believed to preserve infection resistance. Several in vitro a
nd animal studies as well as clinical observations on silver-nylon, si
lver-intramedullary pins, silver-oxide-Foley catheters and silver-coat
ed vascular protheses have been interpreted as successful for the prop
hylaxis of foreign-body infections. Nevertheless, these products have
not been established in clinical use. In this study we have been able
to present physico-chemical and pharmacological data as well as simple
microbiological experiments explaining the reduced antimicrobial acti
vity of silver-ions in some biological fluids.