DUODERM HYDROACTIVE DRESSING VERSUS SILVER SULFADIAZINE BACTIGRAS IN THE EMERGENCY TREATMENT OF PARTIAL SKIN THICKNESS BURNS

被引：31

作者：

AFILALO, M

DANKOFF, J

GUTTMAN, A

LLOYD, J

机构：

[1] Department of Emergency Medicine, Sir Mortimer B. Davis Jewish General Hospital, McGill University, Montreal

来源：

BURNS | 1992年 / 18卷 / 04期

关键词：

D O I：

10.1016/0305-4179(92)90153-L

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The study compared DuoDERM Burn Pack Hydroactive Dressings (DHD) with silver sulphadiazine/Bactigras dressings (SSD/Bactigras) in the outpatient management of small partial skin thickness burns. Forty-eight patients were entered into the study, and randomly allocated into either the DHD or SSD/Bactigras group. Burn wounds were followed until complete re-epithelialization occurred. There were no statistical differences between the groups, either with respect to their composition or characteristics of healing in days, and patients' subjective responses to treatment, However, application was easier in the DHD group (93 per cent), compared with 71 per cent in the SSD/Bactigras group (P=0.0009), and the SSD/Bactigras were easier to remove (96 per cent) versus DHD (66 per cent, P=0.0004). Furthermore, the DHD group had significantly less dressing changes; a mean of three changes per subject in the DHD group compared with eight in the SSD/Bactigras group (P=0.117). Two bum wounds became infected in the DHD group, and one in the SSD/Bactigras group. In this study both modalities were found to be equally suitable and effective for small partial skin thickness burns.

引用

页码：313 / 316

页数：4

共 20 条

[1]

Alvarez, Muntz, Eaglestein, The effect of occlusive dressings on collagen synthesis and reepithelialization in superficial wounds, J. Surg. Res., 35, (1983)

[2]

Burleson, Eiseman, Effect of skin dressings and topical antibiotics on the healing of partial thickness skin wounds in rats, Surg. Gynecol. Obstet., 136, (1973)

[3]

Chvapil, Chvapil, Owen, Comparative study of four wound dressings on epithelialization of partial thickness wounds in pigs, J. Trauma, 27, (1987)

[4]

Cruse, Daniels, Minor bums: treatment using a new drug delivery system with silver sulfadiazine, South Med. J., 82, (1989)

[5]

Gerding, Imbembo, Fratianne, Biosynthetic skin substitute vs 1 per cent silver sulfadiazine for treatment of inpatient partial-thickness thermal bums, J. Trauma, 28, (1988)

[6]

Gerding, Emerman, Effron, Et al., Outpatient management of partial-thickness burns: Biobrane versus 1 per cent silver sulfadiazine, Ann. Emerg. Med., 19, (1990)

[7]

Healy, Boorman, Comparison of E-Z Derm and Jelonet dressings for partial skin thickness bums, Burns, 15, (1989)

[8]

Hermans, Hermans, Duoderm, an alternative dressing for smaller bums, Burns, 12, (1986)

[9]

Keswani, Patil, The boiled potato peel as a bum wound dressing: a preliminary report, Burns, 11, (1985)

[10]

Madden, Nolan, Finkelstein, Et al., Comparison of an occlusive and a semi-occlusive dressing and the effect of the wound exudate upon keratinocyte proliferation, J. Trauma, 29, (1989)

← 1 2 →