The metabolism of bacteria is adversely affected by silver ions at concentrations of 0.01–0.1 mg/L. Therefore, even less soluble silver compounds, such as silver chloride, also act as bactericides or germicides, but not the much less soluble silver sulfide. In the presence of atmospheric oxygen, metallic silver also has a bactericidal effect due to the formation of silver oxide, which is soluble enough to cause it. Even objects with a solid silver surface (e.g., table silver, silver coins, or silver foil) have a bactericidal effect. Silver drinking vessels were carried by military commanders on expeditions for protection against disease. It was once common to place silver foil or even silver coins on wounds for the same reason.
Silver sulfadiazine is used as an antiseptic ointment for extensive burns. An equilibrium dispersion of colloidal silver with dissolved silver ions can be used to purify drinking water at sea. Silver is incorporated into medical implants and devices such as catheters. Surfacine (silver iodide) is a relatively new antimicrobial for application to surfaces. Silver-impregnated wound dressings have proven especially useful against antibiotic-resistant bacteria. Silver nitrate is used as a hemostatic, antiseptic and astringent. At one time, many states required that the eyes of newborns be treated with a few drops of silver nitrate to guard against an infection of the eyes called gonorrheal neonatal ophthalmia, which the infants might have contracted as they passed through the birth canal. Silver ions are increasingly incorporated into many hard surfaces, such as plastics and steel, as a way to control microbial growth on items such as toilet seats, stethoscopes, and even refrigerator doors. Among the newer products being sold are plastic food containers infused with silver nanoparticles, which are intended to keep food fresher, and silver-infused athletic shirts and socks, which claim to minimize odors.