Hydrocolloid dressing in pediatric burns may decrease operative intervention rates

Martin, Fiachra; O’Sullivan, John B.; Regan, Padraic J.; McCann, J.; Kelly, Jack L.

doi:10.1016/j.jpedsurg.2009.09.037

Cited by 28 publications

(13 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Investigators have reported the incidence of diaper rash at 16–40%, therefore, more attention should be paid to the prevention and treatment of diaper rash (10–12). Currently, there are many available medications for infant diaper rash with varying efficacy.…”

Section: Discussionmentioning

confidence: 99%

Clinical effect of hydrocolloid dressings in prevention and treatment of infant diaper rash

Xiao-ping

2016

Experimental and Therapeutic Medicine

View full text Add to dashboard Cite

The aim of the study was to investigate the application of hydrocolloid dressings in the prevention and treatment of infant diaper rash. A total of 210 infants with diaper rash were included in the study and randomized into 3 groups of 70 infants. Infants in group A received hydrocolloid dressings and individualized nursing; infants in group B received mupirocin plaster and topical application of pearl powder as well as routine nursing; and infants in group C received zinc oxide plaster and routine nursing. The clinical efficacy, incidence of adverse events, time to resolution of diaper rash, hospitalization duration, mean cost and satisfaction of nursing were compared between the 3 groups. After 1 cycle of treatment and nursing, the difference in the healing rate of mild diaper rash between groups A, B and C was significant (P<0.05), with the best healing rate in group A. Differences in the healing rate of grade I and II diaper rash between groups A, B and C was significant (P<0.05), with the best healing rate in group A. The incidence of adverse events in infants between groups A, B and C were significantly different (P<0.05), with the lowest incidence in group A (2.9%). The time to resolution of diaper rash, hospitalization duration and cost in infants were not significantly different (P<0.05). The satisfaction rate of nursing for the parents of groups A, B and C was 98.6, 87.1 and 80.0%, respectively (P<0.05). Hydrocolloid dressings combined with individualized nursing may prevent and treat infant diaper rash effectively, decrease the incidence of adverse reactions significantly, shorten time to resolution of diaper rash and hospitalization duration, reduce mean hospitalization cost, improve parent satisfaction and promote nursing-patient harmony. Thus, this method of treatment was worthy of clinical application.

show abstract

Section: Discussionmentioning

confidence: 99%

Clinical effect of hydrocolloid dressings in prevention and treatment of infant diaper rash

Xiao-ping

2016

Experimental and Therapeutic Medicine

View full text Add to dashboard Cite

show abstract

“…The ideal burn dressing would not only expedite healing but also prevent loss of protein and water from the zone of injury as well as inhibit growth of invading microorganisms. 22 Urgotul ® SSD reduces symptoms of pain and also exhibits antimicrobial activity. [17][18][19][20] The bioavailability of silver has greatly improved with the introduction of nanochemisty, increasing silver solubility in concentrations of upto seven times that are required to kill most pathogenic organisms invitro.…”

Section: Discussionmentioning

confidence: 99%

Challenging the Dogma

Hassan

Reynolds

Clarkson

et al. 2014

Journal of Burn Care & Research

View full text Add to dashboard Cite

Hypertrophic scarring (HTS) is defined as a scar, which is raised above the skin level and remains within the confines of the original lesion. The authors hypothesize that small surface area burns can be left to heal beyond 21 days without an increase in the incidence of HTS formation, within the confines of a carefully selected patient population. The authors have documented the number of days to healing in all patients conservatively managed in their outpatient burns clinic. All patients who took longer than 21 days to heal receive a follow-up telephone call. A multivariate regression analysis is used to confirm significant factors that impede healing time. This study included 181 conservatively managed burns with a male:female ratio of 1.63:1 and average age of 24.7 ± 21.69 years (range, 1 month to 85 years). In total, 32 patients (18%) took more than 21 days to heal (range, 22-88 days), of which five patients presented with HTS (days to healing range, 23-47; one mixed depth and four deep dermal). One patient did not attend for follow-up, two patients settled with silicone gel alone whereas one settled with pressure garments. One patient is still being seen. The only significant factor in predicting time to healing in the ANOVA model in this study was depth of burn (P = .01; confidence interval, 1.18-6.07). Advances in wound care and better understanding of the physiological processes involved in healing may now enable the management of smaller burns with dressings, delaying the need for early surgical debridement and skin grafting in certain individuals.

show abstract

“…Martin et al [103] studied the effect of Duoderm on partial-thickness scalds in the pediatric age group Two hundred forty-eight pediatric burns were analyzed and the Duoderm-managed patients demonstrated a significantly lower graft rate.…”

Section: Skin Substitutesmentioning

confidence: 99%

Topical Antimicrobials for Burn Wound Infections

Dai

Huang²,

Sharma³

et al. 2010

PRI

220

149

View full text Add to dashboard Cite

Throughout most of history, serious burns occupying a large percentage of body surface area were an almost certain death sentence because of subsequent infection. A number of factors such as disruption of the skin barrier, ready availability of bacterial nutrients in the burn milieu, destruction of the vascular supply to the burned skin, and systemic disturbances lead to immunosuppression combined together to make burns particularly susceptible to infection. In the 20th century the introduction of antibiotic and antifungal drugs, the use of topical antimicrobials that could be applied to burns, and widespread adoption of early excision and grafting all helped to dramatically increase survival. However the relentless increase in microbial resistance to antibiotics and other antimicrobials has led to a renewed search for alternative approaches to prevent and combat burn infections. This review will cover patented strategies that have been issued or filed with regard to new topical agents, preparations, and methods of combating burn infections. Animal models that are used in preclinical studies are discussed. Various silver preparations (nanocrystalline and slow release) are the mainstay of many approaches but antimicrobial peptides, topical photodynamic therapy, chitosan preparations, new iodine delivery formulations, phage therapy and natural products such as honey and essential oils have all been tested. This active area of research will continue to provide new topical antimicrobials for burns that will battle against growing multi-drug resistance.

show abstract

Hydrocolloid dressing in pediatric burns may decrease operative intervention rates

Cited by 28 publications

References 21 publications

Clinical effect of hydrocolloid dressings in prevention and treatment of infant diaper rash

Clinical effect of hydrocolloid dressings in prevention and treatment of infant diaper rash

Challenging the Dogma

Topical Antimicrobials for Burn Wound Infections

Contact Info

Product

Resources

About