A Randomized Controlled Trial of Silver Sulfadiazine, Biafine, and Saline-soaked Gauze in the Treatment of Superficial Partial-thickness Burn Wounds in Pigs
“… 14 SSD has been shown to decrease bacterial colonization in burn wounds; however, there is no definitive evidence of decreased infection rates or healing time 15,16 . A study evaluating healing times in partial thickness burn wounds in pigs found no difference between SSD, Biafine and saline‐soaked gauze 17 . Although the pathophysiology of chemical, thermal and ultraviolet radiation induced burns is distinct from that of acute radiation dermatitis, there is a risk of bacterial infection in all cases because of compromised skin barrier function 18 .…”
Acute radiation-induced dermatitis (ARID) is a common sequela of radiation therapy in dogs. There is no consensus regarding ARID management in human medicine and the standard of care in veterinary medicine has not been reported. The objective was to report the practice standards for ARID management in dogs in North America. The design used was a questionnaire survey. Fifty-eight private and university teaching veterinary hospitals were contacted, 54 participated. The topical and oral medications used to treat ARID, prevent or treat bacterial infection, control pain and the indications for and timing of treatment initiation were the outcome measures. A minority of facilities (4/54, 7.5%) use exactly the same protocol regarding all parameters. There was agreement (>75% of facilities) with respect to the general use of oral antibiotics (77.8%), the need for pain control (92.6%) and the use of tramadol for pain control (76%), although the details of their use varied widely. There is a divergence of opinions regarding all details of ARID management in dogs except the general use of oral antibiotics and pain control medications.
“… 14 SSD has been shown to decrease bacterial colonization in burn wounds; however, there is no definitive evidence of decreased infection rates or healing time 15,16 . A study evaluating healing times in partial thickness burn wounds in pigs found no difference between SSD, Biafine and saline‐soaked gauze 17 . Although the pathophysiology of chemical, thermal and ultraviolet radiation induced burns is distinct from that of acute radiation dermatitis, there is a risk of bacterial infection in all cases because of compromised skin barrier function 18 .…”
Acute radiation-induced dermatitis (ARID) is a common sequela of radiation therapy in dogs. There is no consensus regarding ARID management in human medicine and the standard of care in veterinary medicine has not been reported. The objective was to report the practice standards for ARID management in dogs in North America. The design used was a questionnaire survey. Fifty-eight private and university teaching veterinary hospitals were contacted, 54 participated. The topical and oral medications used to treat ARID, prevent or treat bacterial infection, control pain and the indications for and timing of treatment initiation were the outcome measures. A minority of facilities (4/54, 7.5%) use exactly the same protocol regarding all parameters. There was agreement (>75% of facilities) with respect to the general use of oral antibiotics (77.8%), the need for pain control (92.6%) and the use of tramadol for pain control (76%), although the details of their use varied widely. There is a divergence of opinions regarding all details of ARID management in dogs except the general use of oral antibiotics and pain control medications.
“…11.324.9 d, P=0.015; Hauser et al, 2007). The benefit of a moist wound environment and reepithelialization has been shown previously (Westerhof et al, 2001;Glesinger et al, 2004).…”
“…Epithelialization rates were improved with SSD treatment in murine and rat models, [8][9][10] as opposed to swine studies, which failed to show improved reepithelialization rates. 11,12 Wound contracture rates and healing times have similarly shown improvement in murine and rat models but have not been assessed in swine. 8,10,13 Infection rates were not improved in swine models, 11,12 and mortality has been reported with inconsistent results in rat studies.…”
Section: Ssd For Burnsmentioning
confidence: 93%
“…11,12 Wound contracture rates and healing times have similarly shown improvement in murine and rat models but have not been assessed in swine. 8,10,13 Infection rates were not improved in swine models, 11,12 and mortality has been reported with inconsistent results in rat studies. 9,14 Of note, there is a noticeable paucity of randomized controlled trials, with most of the aforementioned studies published only after the institution of SSD as standard therapy.…”
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