Nanocellulose‐based wound dressing for conservative wound management in children with second‐degree burns

Abstract

The initial care of burn wounds and choice of dressing are pivotal to optimally support the healing process. To ensure fast re-epithelialisation within 10-14 days and prevent complications, an optimal healing environment is essential. An innovative dressing based on nanocellulose was used for the treatment of burns in children. Children (0-16 years) with clean, partial-thickness burn wounds, 1 to 10% of the total body surface area were included. Complete re-epithelialisation was achieved within 7-17 days, with 13 patients showing re-epithelialised >95% by day 10. Satisfying results concerning time to re-epithelialisation and material handling were obtained. The possibility to leave the dressing on the wounds for 7 days showed a positive effect in the treatment of children, for whom every hospital visit may cause massive stress reactions. The nanocellulose-based dressing is a promising tool in conservative treatment of burns. Reducing the frequency of dressing changes supports a fast and undisturbed recovery; moreover, the dressing provides an optimal moist healing environment. The time to re-epithelialisation is comparable to frequently used materials, and cost reduction effect can be achieved without loss of quality. Possible pain and distress levels are kept to a minimum; therefore, flexibility and compliance of the patients and their parents are enhanced.

Comparison of wound healing and patient comfort in partial‐thickness burn wounds treated with SUPRATHEL and epictehydro wound dressings

“…epicite hydro and SUPRATHEL are modern biosynthetic wound dressings that accelerate wound healing and minimise scarring 34‐36 . In this study, wound healing of partial‐thickness burn wounds was completed after 15.4 and 16.1 days with SUPRATHEL and epicite hydro , respectively, which was higher than the time of reepithelialisation reported in previous studies dealing with partial‐thickness burn wounds of 12 6 and 13 days 12 for adults as well as 10.2 days, 11 10 days, 37 and 12 days 8 for children, respectively. One explanation for this phenomenon is the higher mean of affected TBSA in this study compared with other studies (9.2% vs 5.5% and 4.0%, respectively) 6,11 as well as the inclusion of partial‐thickness burn wounds with deeper areas, which also prolongs wound healing.…”

To compare the effect of sea buckthorn and silver sulfadiazine dressing on period of wound healing in patients with second‐degree burns: A randomized triple‐blind clinical trial

“…Then the new dressing was put on the wounds. The bandage was changed for each participant until the complete wound healing of the second‐degree burns according to the standard burn healing checklist criteria was attained 36‐38 …”

“…The bandage was changed for each participant until the complete wound healing of the second-degree burns according to the standard burn healing checklist criteria was attained. [36][37][38] The data were collected before, during, and after the intervention by monitoring the process of wound healing of two sea buckthorn and SSD groups. During the study, day-to-day photographs and nursing notes were taken by the main researcher.…”

Management of Facial Second-Degree Burns with Nanocellulose-Based Dressing: A Case Series and Systematic Review

“…Six studies fulfilled the inclusion criteria after full-text assessment (Figure 3). 6,[23][24][25][26][27] We included three retrospective cohort studies (50%), one prospective cohort study (16.6%), one prospective case series (16.6%), and one preclinical study (16.6%) (Table 3). The OCEBM of five studies was IV and III for one study.…”