Silver is easily available and known to have microbicidal effect with wide antibacterial spectrum due to its silver ions mainly; moreover, it does not impose any adverse effects on the human body. Furthermore, the development of multidrug-resistant bacteria, as in the case of antibiotics, is less likely. Recently, silver nanoparticles (Ag NPs) have been synthesized and revealed its anti-viral activity. Because of their characteristics, Ag NPs are useful countermeasures against infectious diseases, which constitute a major issue in the medical field. Therefore, Ag NPs could expect to apply to materials preventing healthcare workers (HCWs), not only patient, from various infection.
Silver is widely used in industrial applications because of its metallic properties, such as conductivity, and in the medical field due to its anti-microbial effect . For a metallic particle to be considered as "nano", its size must be within 1–100 nm . Metallic NPs exhibit specific properties, such as surface plasmon resonance , specific vivid color. In addition, NPs have a large specific surface area . Metal NPs including Ag NPs are commonly synthesized via the reduction of metal salts in a solution , or the formation of metal atom aggregates by the heating or vaporization of a metal in inert gas or vacuum . Size-controlled Ag NPs are also synthesized using new environment-friendly synthesis techniques . Especially, in an aqueous environment, the surface of Ag NPs is oxidized in the presence of oxygen and protons and silver ions are released as the surface dissolves. As a result, the effective of silver ion concentration is maintained in the solution and the anti-microbial effect will last .
Various applications have been found in the medical field for Ag NPs; for example, they can be used for biosensors, drug delivery systems, and medical devices . Because of their wide anti-bacterial and anti-viral spectrum, there are particularly high expectations for the suppression of multidrug-resistant bacteria. For example, Ag NPs are combined with a cationic polymer to produce a bactericidal material. Ag NPs have good applicability and are easily processed because of their low melting point .
Ag NPs have a strong microbicidal activity with a broad spectrum. Furthermore, the mechanism that has been proposed is that Ag NPs yield reactive oxygen species (ROS), leading to oxidative stress  in addition to the generation of free silver ions . Therefore, Ag NPs will provide useful materials to protect HCWs from the risk of contact infection (Figure 1). To prevent contact infection, HCWs usually wear protective clothing. Pathogenic microbes, which are mainly generated by patients, stay alive on the surfaces of protective clothing. Therefore, especially, there is a risk of infection by incorrect contact when removing the clothing. To overcome that problem, the development of protective clothing and masks coated with Ag NPs is expected for instance.
Figure 1. The application of the Ag NPs/chitin nanofiber sheet (CNFS) complex to protect HCWs. To prevent contact infection of HCWs, we have proposed medical consumables (such as infection-protective coats, masks, and gloves) immobilized with Ag NPs.
In this topic review, we briefly described the above contents extracted from our review article . Applied research on Ag NPs in the biomedical field has been actively conducted. The application of Ag NPs in the medical field is fascinating, particularly concerning infectious diseases. Attempts have also been made to impart microbicidal properties to biocompatible medical devices, and Ag NPs are considered to be one of the materials that will contribute to the progress of medical science in the future. In addition, materials based on Ag NP technology are expected to contribute to research into protecting HCWs from various risks, such as contact infection during medical treatments on patients. As described, there are high expectations regarding nanoparticles’ use; however, the toxic effect of Ag NPs on living organisms and the related health problems are concerning when their concentration exceeds a certain level . Current knowledge on the toxicity of Ag NPs to humans is based on in vitro tests and animal experiments, and there is no strict consensus about their toxicity. Therefore, the safety of Ag NPs when used for the human body needs further investigation.