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(PDF) Management of Paediatric Second-degree Burn in a Developing Country: With or Without Closed Dressing?
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window.loswp.willEdgeCache = false; window.loswp.work = {"work":{"id":53635249,"created_at":"2021-09-28T00:41:17.764-07:00","from_world_paper_id":174295502,"updated_at":"2024-11-24T12:19:38.493-08:00","_data":{"publisher":"Bangladesh Journals Online (JOL)","grobid_abstract":"Objective: Our objective was to observe whether second-degree burn wound management can be done without using any occlusive dressing than conventional occlusive dressing in children. The purpose of this study was to evaluate our experience and to see the results of open dressing versus closed dressing in management of second-degree burn in children. Methods: A prospective comparative study was done on children (0-12 years) presented with second-degree burn during the period of August 2009 to December 2010. More than 10% total burn surface area (TBSA) involving any region of the body and any percentage of TBSA involving the hands, feet, face, and perineum were included. Patients arrived only after 24 hours after burn; burn with other systemic illnesses were excluded. By randomized controlled trial (RCT) sampling technique, study population was divided into two groups-group A and group B. In group A, exposure or without dressing technique was followed and in group B, occlusive dressing technique was followed. Results: 125 patients were treated in each group. Age range was from 2 months 15 days to10 years. The range of mean length of stay (LOS) in the hospital in group A was 5 to 26 days and in group B, 7 to 43 days. In group B, 42% (52) patients had wound infection, but in group A, it was only 15%. Pseudomonas infection in group B was found in 40 cases. In group A it was only in 5 patients. In group B, 94% patients needed cleaning and dressing under general anesthesia and in group A it was only 12%. Eleven patients from group B needed skin grafting, but none from group A needed it. Mean total costs of management was USD 111.13 in group A, it was USD 182.85 in group B. Conclusion: The present study demonstrated that the open or exposure or without dressing method is suitable and effective in reducing patients' morbidity when compared to the closed or with occlusive dressing method for the management of second-degree burn wound in children. This method is also significantly cost effective.","publication_date":"2013,5,1","publication_name":"Chattagram Maa-O-Shishu Hospital Medical College Journal","grobid_abstract_attachment_id":"70387933"},"document_type":"paper","pre_hit_view_count_baseline":null,"quality":"high","language":"en","title":"Management of Paediatric Second-degree Burn in a Developing Country: With or Without Closed Dressing?","broadcastable":false,"draft":null,"has_indexable_attachment":true,"indexable":true}}["work"]; window.loswp.workCoauthors = [31256039]; window.loswp.locale = "en"; window.loswp.countryCode = "SG"; window.loswp.cwvAbTestBucket = ""; window.loswp.designVariant = "ds_vanilla"; window.loswp.fullPageMobileSutdModalVariant = "control"; window.loswp.useOptimizedScribd4genScript = false; window.loginModal = {}; window.loginModal.appleClientId = 'edu.academia.applesignon'; window.userInChina = "false";</script><script defer="" src="https://accounts.google.com/gsi/client"></script><div class="ds-loswp-container"><div class="ds-work-card--grid-container"><div class="ds-work-card--container js-loswp-work-card"><div class="ds-work-card--cover"><div class="ds-work-cover--wrapper"><div class="ds-work-cover--container"><button class="ds-work-cover--clickable js-swp-download-button" data-signup-modal="{"location":"swp-splash-paper-cover","attachmentId":70387933,"attachmentType":"pdf"}"><img alt="First page of “Management of Paediatric Second-degree Burn in a Developing Country: With or Without Closed Dressing?”" class="ds-work-cover--cover-thumbnail" src="https://0.academia-photos.com/attachment_thumbnails/70387933/mini_magick20210928-24137-2iqa8y.png?1632815150" /><img alt="PDF Icon" class="ds-work-cover--file-icon" src="//a.academia-assets.com/images/single_work_splash/adobe_icon.svg" /><div class="ds-work-cover--hover-container"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span><p>Download Free PDF</p></div><div class="ds-work-cover--ribbon-container">Download Free PDF</div><div class="ds-work-cover--ribbon-triangle"></div></button></div></div></div><div class="ds-work-card--work-information"><h1 class="ds-work-card--work-title">Management of Paediatric Second-degree Burn in a Developing Country: With or Without Closed Dressing?</h1><div class="ds-work-card--work-authors ds-work-card--detail"><a class="ds-work-card--author js-wsj-grid-card-author ds2-5-body-md ds2-5-body-link" data-author-id="31256039" href="https://independent.academia.edu/RashedulProdip"><img alt="Profile image of Rashedul Alam Prodip" class="ds-work-card--author-avatar" src="https://0.academia-photos.com/31256039/9196024/10253896/s65_rashedul.prodip.jpg_oh_52a149bc3a7aa7f336493b38c2e2bc60_oe_55fe2945___gda___1439844157_c0632b21d2f5a4600eef345aca11bbe8" />Rashedul Alam Prodip</a></div><div class="ds-work-card--detail"><p class="ds-work-card--detail ds2-5-body-sm">2013, Chattagram Maa-O-Shishu Hospital Medical College Journal</p><div class="ds-work-card--work-metadata"><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">visibility</span><p class="ds2-5-body-sm" id="work-metadata-view-count">…</p></div><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">description</span><p class="ds2-5-body-sm">6 pages</p></div><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">link</span><p class="ds2-5-body-sm">1 file</p></div></div><script>(async () => { const workId = 53635249; const worksViewsPath = "/v0/works/views?subdomain_param=api&work_ids%5B%5D=53635249"; const getWorkViews = async (workId) => { const response = await fetch(worksViewsPath); if (!response.ok) { throw new Error('Failed to load work views'); } const data = await response.json(); return data.views[workId]; }; // Get the view count for the work - we send this immediately rather than waiting for // the DOM to load, so it can be available as soon as possible (but without holding up // the backend or other resource requests, because it's a bit expensive and not critical). const viewCount = await getWorkViews(workId); const updateViewCount = (viewCount) => { try { const viewCountNumber = parseInt(viewCount, 10); if (viewCountNumber === 0) { // Remove the whole views element if there are zero views. document.getElementById('work-metadata-view-count')?.parentNode?.remove(); return; } const commaizedViewCount = viewCountNumber.toLocaleString(); const viewCountBody = document.getElementById('work-metadata-view-count'); if (!viewCountBody) { throw new Error('Failed to find work views element'); } viewCountBody.textContent = `${commaizedViewCount} views`; } catch (error) { // Remove the whole views element if there was some issue parsing. document.getElementById('work-metadata-view-count')?.parentNode?.remove(); throw new Error(`Failed to parse view count: ${viewCount}`, error); } }; // If the DOM is still loading, wait for it to be ready before updating the view count. if (document.readyState === "loading") { document.addEventListener('DOMContentLoaded', () => { updateViewCount(viewCount); }); // Otherwise, just update it immediately. } else { updateViewCount(viewCount); } })();</script></div><p class="ds-work-card--work-abstract ds-work-card--detail ds2-5-body-md">Objective: Our objective was to observe whether second-degree burn wound management can be done without using any occlusive dressing than conventional occlusive dressing in children. The purpose of this study was to evaluate our experience and to see the results of open dressing versus closed dressing in management of second-degree burn in children. Methods: A prospective comparative study was done on children (0-12 years) presented with second-degree burn during the period of August 2009 to December 2010. More than 10% total burn surface area (TBSA) involving any region of the body and any percentage of TBSA involving the hands, feet, face, and perineum were included. Patients arrived only after 24 hours after burn; burn with other systemic illnesses were excluded. By randomized controlled trial (RCT) sampling technique, study population was divided into two groups-group A and group B. In group A, exposure or without dressing technique was followed and in group B, occlusive dressing technique was followed. Results: 125 patients were treated in each group. Age range was from 2 months 15 days to10 years. The range of mean length of stay (LOS) in the hospital in group A was 5 to 26 days and in group B, 7 to 43 days. In group B, 42% (52) patients had wound infection, but in group A, it was only 15%. Pseudomonas infection in group B was found in 40 cases. In group A it was only in 5 patients. In group B, 94% patients needed cleaning and dressing under general anesthesia and in group A it was only 12%. Eleven patients from group B needed skin grafting, but none from group A needed it. Mean total costs of management was USD 111.13 in group A, it was USD 182.85 in group B. Conclusion: The present study demonstrated that the open or exposure or without dressing method is suitable and effective in reducing patients' morbidity when compared to the closed or with occlusive dressing method for the management of second-degree burn wound in children. This method is also significantly cost effective.</p><div class="ds-work-card--button-container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{"location":"continue-reading-button--work-card","attachmentId":70387933,"attachmentType":"pdf","workUrl":"https://www.academia.edu/53635249/Management_of_Paediatric_Second_degree_Burn_in_a_Developing_Country_With_or_Without_Closed_Dressing"}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{"location":"download-pdf-button--work-card","attachmentId":70387933,"attachmentType":"pdf","workUrl":"https://www.academia.edu/53635249/Management_of_Paediatric_Second_degree_Burn_in_a_Developing_Country_With_or_Without_Closed_Dressing"}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div><div class="ds-signup-banner-trigger-container"><div class="ds-signup-banner-trigger ds-signup-banner-trigger-control"></div></div><div class="ds-signup-banner ds-signup-banner-control"><div id="ds-signup-banner-close-button"><button class="ds2-5-button ds2-5-button--secondary ds2-5-button--inverse"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">close</span></button></div><div class="ds-signup-banner-ctas"><img src="//a.academia-assets.com/images/academia-logo-capital-white.svg" /><h4 class="ds2-5-heading-serif-sm">Sign up for access to the world's latest research</h4><button class="ds2-5-button ds2-5-button--inverse ds2-5-button--full-width js-swp-download-button" data-signup-modal="{"location":"signup-banner"}">Sign up for free<span class="material-symbols-outlined" style="font-size: 20px" translate="no">arrow_forward</span></button></div><div class="ds-signup-banner-divider"></div><div class="ds-signup-banner-reasons"><div class="ds-signup-banner-reasons-item"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">check</span><span>Get notified about relevant papers</span></div><div class="ds-signup-banner-reasons-item"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">check</span><span>Save papers to use in your research</span></div><div class="ds-signup-banner-reasons-item"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">check</span><span>Join the discussion with peers</span></div><div class="ds-signup-banner-reasons-item"><span class="material-symbols-outlined" style="font-size: 24px" translate="no">check</span><span>Track your impact</span></div></div></div><script>(() => { // Set up signup banner show/hide behavior: // 1. 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There is little evidence on the clinical outcomes of the use of Cutimed® Sorbact® in adults and currently no evidence of use of Cutimed® Sorbact® on superficial-partial thickness burn injuries in children. Objective: To summarise the clinical outcome of burn wounds in children with superficial-partial thickness burns in which Cutimed® Sorbact® was used. Method: An observational case series was conducted in Edendale Hospital, Pietermaritzburg, South Africa over the course of four weeks. Patients where included if they were aged &lt; 10 years and had a ⩽ 15% superficial-partial burn. The primary outcome measure was time to 95% re-epithelialisation. Secondary outcome measures included wound complications, adverse healing and number of dressing changes. Results: Ten patients (five girls, five boys; age range...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"The use of a non-medicated dressing for superficial-partial thickness burns in children: a case series and review","attachmentId":75216094,"attachmentType":"pdf","work_url":"https://www.academia.edu/62458586/The_use_of_a_non_medicated_dressing_for_superficial_partial_thickness_burns_in_children_a_case_series_and_review","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/62458586/The_use_of_a_non_medicated_dressing_for_superficial_partial_thickness_burns_in_children_a_case_series_and_review"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="1" data-entity-id="12678264" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/12678264/Comparison_of_three_different_dressings_for_partial_thickness_burns_in_children_study_protocol_for_a_randomised_controlled_trial">Comparison of three different dressings for partial thickness burns in children: study protocol for a randomised controlled trial</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="31681520" href="https://uq.academia.edu/RoyKimble">Roy Kimble</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Trials, 2013</p><p class="ds-related-work--abstract ds2-5-body-sm">Background: In the paediatric population, pain and distress associated with burn injuries during wound care procedures remain a constant challenge. Although silver dressings are the gold standard for burn care in Australasia, very few high-level trials have been conducted that compare silver dressings to determine which will provide the best level of care clinically. Therefore, for paediatric patients in particular, identifying silver dressings that are associated with lower levels of pain and rapid wound re-epithelialisation is imperative. This study will determine whether there is a difference in time to re-epithelialisation and pain and distress experienced during wound care procedures among Acticoat™, Acticoat™ combined with Mepitel™ and Mepilex Ag™ dressings for acute, paediatric partial thickness burns. Methods/Design: Children aged 0 to 15 years with an acute partial thickness (superficial partial to deep partial thickness inclusive) burn injury and a burn total body surface area of ≤10% will be eligible for the trial. Patients will be randomised to one of the three dressing groups: (1) Acticoat™ or (2) Acticoat™ combined with Mepitel™ or (3) Mepilex Ag™. A minimum of 28 participants will be recruited for each treatment group. Primary measures of pain, distress and healing will be repeated at each dressing change until complete wound re-epithelialisation occurs or skin grafting is required. Additional data collected will include infection status at each dressing change, physical function, scar outcome and scar management requirements, cost effectiveness of each dressing and staff perspectives of the dressings.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Comparison of three different dressings for partial thickness burns in children: study protocol for a randomised controlled trial","attachmentId":46011285,"attachmentType":"pdf","work_url":"https://www.academia.edu/12678264/Comparison_of_three_different_dressings_for_partial_thickness_burns_in_children_study_protocol_for_a_randomised_controlled_trial","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/12678264/Comparison_of_three_different_dressings_for_partial_thickness_burns_in_children_study_protocol_for_a_randomised_controlled_trial"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="2" data-entity-id="104316937" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/104316937/Early_management_of_paediatric_burn_injuries">Early management of paediatric burn injuries</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="212820288" href="https://independent.academia.edu/parneetgill8">parneet gill</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Paediatrics and Child Health, 2013</p><p class="ds-related-work--abstract ds2-5-body-sm">Introduction: Each year, nearly 1% of the world population suffers from burn injuries. However, thermal injuries most often occur in children. Aim of the study: Burn treatment should consider both local treatment and prevention of existing systemic disturbances. Frequency and importance of the problem requires a revision and optimisation of the existing therapeutic schemes applied for paediatric burns, which constitutes the purpose of this study. Material and methods: A retrospective analysis was performed on treatment of 310 paediatric patients hospitalised for burns in the years 2010-2017. Results: In the studied period, 310 patients were hospitalised for burns; the majority of them (66.8%, 207 patients) were boys. In most cases, hospitalisation was required by children between the first and third year of life (71.9%, 223 patients). The main cause of burn injuries was contact with hot liquid (98.1%, 304 patients), primarily in the upper body part. The majority of the patients required only conservative treatment, while split-thickness skin graft (STSG) was performed in 9% of patients. Early introduction of surgical treatment accelerated wound healing and normalisation of systemic disturbances and correlated with reduced length of stay (p = 0.0019). No prevalence of any of the applied professional dressings on the wound healing rate was observed. Substantially, all children required multidrug pain therapy. A low rate of analgesic administration at the pre-hospitalisation stage was recorded. Conclusions: The vast majority of the patients required only conservative treatment, although the need for introducing surgery should be considered as early as at the first treatment stage. The current condition of burn wound with particular focus on exudation rate and presence of eschar should be the key criterion for the selection of dressing.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Early management of paediatric burn injuries","attachmentId":104079878,"attachmentType":"pdf","work_url":"https://www.academia.edu/104316937/Early_management_of_paediatric_burn_injuries","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/104316937/Early_management_of_paediatric_burn_injuries"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="3" data-entity-id="88312560" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/88312560/A_comparison_between_occlusive_and_exposure_dressing_in_the_management_of_burn_wound">A comparison between occlusive and exposure dressing in the management of burn wound</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="28157472" href="https://iums.academia.edu/MohammadAkhoondinasab">Mohammad Akhoondinasab</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Burns : journal of the International Society for Burn Injuries, 2016</p><p class="ds-related-work--abstract ds2-5-body-sm">Two types of dressing, occlusive and exposure dressing, are commonly used in burn units. A dressing is said to be occlusive if a moist wound surface is maintained when the dressing is in place. This study was designed to compare the effectiveness of occlusive and exposure dressing in controlling burn infections. Two hundred patients with second-degree burns admitted to Mottahari Hospital, Tehran, Iran, over a period of 12 months from May 2012 to May 2013 were studied. They were divided into two groups of 100 each, to receive either occlusive or exposure dressing. During the first week of treatment, wound specimens were obtained by sterile swab and cultured in selective media. Demographics (age and gender), burn areas, cause of burn, length of hospital stay (LOS), type of infections and time to total healing were compared between the two groups. Occlusive dressing was more susceptible to microbial contamination and infections than exposure dressing. The mean duration of treatment bas...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"A comparison between occlusive and exposure dressing in the management of burn wound","attachmentId":92310311,"attachmentType":"pdf","work_url":"https://www.academia.edu/88312560/A_comparison_between_occlusive_and_exposure_dressing_in_the_management_of_burn_wound","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/88312560/A_comparison_between_occlusive_and_exposure_dressing_in_the_management_of_burn_wound"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="4" data-entity-id="125567128" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/125567128/Assessment_of_care_protocol_using_hyaluronic_acid_dressing_in_Second_Degree_skin_burns_in_children">Assessment of care protocol using hyaluronic acid dressing in Second-Degree skin burns in children</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="41521882" href="https://independent.academia.edu/FredericMauny">Frédéric Mauny</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Burns Open, 2021</p><p class="ds-related-work--abstract ds2-5-body-sm">Background: In France, almost 40% of burn hospitalizations involve children between 0 and 15 years old. A care protocol with a dressing using hyaluronic acid (ialuset</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Assessment of care protocol using hyaluronic acid dressing in Second-Degree skin burns in children","attachmentId":119587021,"attachmentType":"pdf","work_url":"https://www.academia.edu/125567128/Assessment_of_care_protocol_using_hyaluronic_acid_dressing_in_Second_Degree_skin_burns_in_children","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/125567128/Assessment_of_care_protocol_using_hyaluronic_acid_dressing_in_Second_Degree_skin_burns_in_children"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="5" data-entity-id="98106084" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/98106084/Open_burn_wound_dressing_a_practical_option_in_resource_constrained_settings">Open burn wound dressing: a practical option in resource constrained settings</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="250792827" href="https://independent.academia.edu/BabatundeAdeteruAyoade">Babatunde Adeteru Ayoade</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Annals of burns and fire disasters, 2013</p><p class="ds-related-work--abstract ds2-5-body-sm">Various types of wound care products abound for the treatment of burn injuries. Most of these products are rather expensive and beyond the means of many patients in poorer countries. This poses a challenge to burn care workers in these environments and calls for the adoption of practical solutions with the use of less expensive and readily available alternatives. The aim of this study is to review the outcome of our burn patients managed with topical silver sulphadiazine dressing in terms of time to wound healing and length of hospital stay. Consecutive burn patients admitted over a four year period were included in the study. The patients were resuscitated along standard protocols and their wounds were dressed daily with dermazin. The demographic and clinical characteristics of the patients were retrieved and analyzed using the SPSS version 16. The primary outcome measure for the study was the time to complete re-epithelialization of the wounds and discharge of the patients. 144 pa...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Open burn wound dressing: a practical option in resource constrained settings","attachmentId":99548063,"attachmentType":"pdf","work_url":"https://www.academia.edu/98106084/Open_burn_wound_dressing_a_practical_option_in_resource_constrained_settings","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/98106084/Open_burn_wound_dressing_a_practical_option_in_resource_constrained_settings"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="6" data-entity-id="104779557" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/104779557/Deep_and_extensive_paediatric_burns_retrospective_evaluation_of_scheme_of_patients_in_Department_of_Childrens_Developmental_Defects_Surgery_and_Traumatology_SUM">Deep and extensive paediatric burns: retrospective evaluation of scheme of patients in Department of Children's Developmental Defects Surgery and Traumatology SUM</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="277611842" href="https://sum.academia.edu/JakubKufel">Jakub Kufel</a></div><p class="ds-related-work--metadata ds2-5-body-xs">2022</p><p class="ds-related-work--abstract ds2-5-body-sm">Introduction: Burns are one of the most common injuries among children. Despite the scale of the problem, there is no generally accepted algorithm for dealing with burn wounds in children in Poland. Aim: The aim of our study was to evaluate our treatment scheme as well as the long-term effects of burn treatment in our department. Material and methods: We conducted a telephone survey with the parents of patients treated at our ward in 01.01.2016–01.01.2021 due to thermal burns. To assess the cosmetic effect of treatment, the modified Vancouver Scar Scale (mVSS) was used, as well as the evaluation of parents’ satisfaction with the treatment of patients on a scale from 1 to 10. Criteria to be included were the thermal burn of the skin to at least a 2b degree and/or burns with not less than 8% of the Total Body Surface Area (TBSA), as well as answering all the questions included in the questionnaire. The inclusion criteria were met by 38 out of 97 hospitalized patients. Results: 26.32% of patients achieved 0 points on the mVSS, 21.05% achieved 1 point, 15.79% achieved 2 points, 15.79% achieved 3 points, 2.63% patients received 4 points, 5.26% patients received 5 points, 5.26% patients received 7 points, 2.63% patients received 8 points, 2.63% patients received 9 points, 2.63% of patients received 10 points, none of the patients received 6 and 11 points higher. 3% of parents rated their satisfaction at 5 points, 3% of caretakers as 7 points, 8% as 8 points, 8% as 9 points, and 89% as 10 points. Discussion: Our treatment algorithm brings good therapeutic effects and is also very well received by the patients' parents. In order to carry out a nationwide standardization of the treatment of childhood burn wounds, it would be necessary to conduct a similarly constructed study in a multicenter setting.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Deep and extensive paediatric burns: retrospective evaluation of scheme of patients in Department of Children's Developmental Defects Surgery and Traumatology SUM","attachmentId":104467477,"attachmentType":"pdf","work_url":"https://www.academia.edu/104779557/Deep_and_extensive_paediatric_burns_retrospective_evaluation_of_scheme_of_patients_in_Department_of_Childrens_Developmental_Defects_Surgery_and_Traumatology_SUM","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/104779557/Deep_and_extensive_paediatric_burns_retrospective_evaluation_of_scheme_of_patients_in_Department_of_Childrens_Developmental_Defects_Surgery_and_Traumatology_SUM"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="7" data-entity-id="113120200" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/113120200/Comparative_effectiveness_of_Biobrane_RECELL_Autologous_skin_Cell_suspension_and_Silver_dressings_in_partial_thickness_paediatric_burns_BRACS_randomised_trial_protocol">Comparative effectiveness of Biobrane®, RECELL® Autologous skin Cell suspension and Silver dressings in partial thickness paediatric burns: BRACS randomised trial protocol</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="8235553" href="https://independent.academia.edu/AnjanaBairagi">Anjana Bairagi</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Burns & Trauma, 2019</p><p class="ds-related-work--abstract ds2-5-body-sm">Background: Mixed partial thickness burns are the most common depth of burn injury managed at a large Australian paediatric hospital specialty burns unit. Prolonged time until re-epithelialisation is associated with increased burn depth and scar formation. Whilst current wound management approaches have benefits such as anti-microbial cover, these are not without inherent limitations including multiple dressing changes. The Biobrane® RECELL® Autologous skin Cell suspension and Silver dressings (BRACS) trial aims to identify the most effective wound management approach for mixed partial thickness injuries in children. Methods: All children presenting with an acute burn injury to the study site will be screened for eligibility. This is a single-centre, three-arm, parallel group, randomised trial. Children younger than 16 years, with burns ≥ 5% total body surface area involving any anatomical location, up to 48 h after the burn injury, and of a superficial partial to mid-dermal depth, will be included. A sample size of 84 participants will be randomised to standard silver dressing or a Regenerative Epithelial Suspension (RES™) with Biobrane® or Biobrane® alone. The first dressing will be applied under general anaesthesia and subsequent dressings will be changed every 3 to 5 days until the wound is ≥ 95% re-epithelialised, with re-epithelialisation time the primary outcome. Secondary outcomes of acute pain, acute itch, scar severity, health-related quality of life, treatment satisfaction, dressing application ease and healthcare resource use will be assessed at each dressing change and 3, 6 and 12 months post-burn injury. Discussion: The findings of this study can potentially change the wound management approach for superficial partial to mid-dermal burns in children locally and worldwide. Trial registration: The Australian New Zealand Clinical Trials Registry (ACTRN12618000245291) approved prospective registration on 15 February 2018. Registration details can be viewed at https://www.anzctr.org.au/Trial/ Registration/TrialReview.aspx?id=374272&isReview=true.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Comparative effectiveness of Biobrane®, RECELL® Autologous skin Cell suspension and Silver dressings in partial thickness paediatric burns: BRACS randomised trial protocol","attachmentId":110164135,"attachmentType":"pdf","work_url":"https://www.academia.edu/113120200/Comparative_effectiveness_of_Biobrane_RECELL_Autologous_skin_Cell_suspension_and_Silver_dressings_in_partial_thickness_paediatric_burns_BRACS_randomised_trial_protocol","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/113120200/Comparative_effectiveness_of_Biobrane_RECELL_Autologous_skin_Cell_suspension_and_Silver_dressings_in_partial_thickness_paediatric_burns_BRACS_randomised_trial_protocol"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="8" data-entity-id="93468876" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/93468876/A_retrospective_analysis_of_ambulatory_burn_patients_focus_on_wound_dressings_and_healing_times">A retrospective analysis of ambulatory burn patients: focus on wound dressings and healing times</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="52749276" href="https://independent.academia.edu/Montone">Antonio Montone</a></div><p class="ds-related-work--metadata ds2-5-body-xs">The Annals of The Royal College of Surgeons of England, 2010</p><p class="ds-related-work--abstract ds2-5-body-sm">INTRODUCTION In this study, we retrospectively analysed healing times of ambulatory burn patients after silver-based dressings were introduced in late December 2005, and compared the results with those obtained before. PATIENTS AND METHODS Data were collected in November–December 2005 and in January–February 2006. We excluded from the study: (i) admitted patients; (ii) patients with mixed superficial partial thickness and deep partial thickness burns; (iii) patients with full-thickness burns; and (iv) operated patients that came for follow-up. We recorded the age, sex, cause (flame vs scald), burn depth, dressings used and healing times. RESULTS We selected 347 patients corresponding to 455 burned areas (64.4% superficial and 35.6% deep; 47.7% treated in 2005 and 52.3% in 2006). During the years 2005 and 2006, there was an increase in the use of silver-based dressings (2005, 9.7%; 2006, 38.7%; chi-squared test, P &lt; 0.001) and a decrease in the use of paraffin gauzes (2005, 66.4%;...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"A retrospective analysis of ambulatory burn patients: focus on wound dressings and healing times","attachmentId":96198796,"attachmentType":"pdf","work_url":"https://www.academia.edu/93468876/A_retrospective_analysis_of_ambulatory_burn_patients_focus_on_wound_dressings_and_healing_times","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/93468876/A_retrospective_analysis_of_ambulatory_burn_patients_focus_on_wound_dressings_and_healing_times"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="9" data-entity-id="100770164" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/100770164/Management_of_Paediatric_Burns">Management of Paediatric Burns</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="267188397" href="https://independent.academia.edu/AliNasser187">Ali Nasser</a></div><p class="ds-related-work--metadata ds2-5-body-xs">2002</p><p class="ds-related-work--abstract ds2-5-body-sm">Almost one-third of all burn centre admissions involve children under the age of ten years. Caring for the burned child continues to demand the close attention of a multidisciplinary team to the patient's many needs. Paediatric burns impose enormous economic burdens on families and on society as a whole. Scald burns secondary to household accidents predominate in most series, constituting 70% of all thermal injuries in infants, toddlers, and preschool children. Most of these injuries are potentially preventable. Children with 5% TBSA third-degree burns or more than 10% TBSA second-and third-degree burns need to be hospitalized for proper resuscitation and burn wound management. Children with burn injuries involving the face, hands, or genital areas also require hospitalization. The goal of the resuscitation of hospitalized burn victims is to restore circulating blood volume and to minimize the early stress response. This is accomplished with adequate fluid replacement, correction of hypoxia and ventilatory disturbances, prevention of hypothermia, and adequate control of pain and anxiety. Minor burns can be treated at home with topical ointments. The recently introduced MEBO (Moist Exposed Burn Ointment) seems to be highly promising in this regard. Burn wounds should be encouraged to heal in the shortest possible period by a judicious combination of topical therapy, eschar excision, and skin grafting.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Management of Paediatric Burns","attachmentId":101497253,"attachmentType":"pdf","work_url":"https://www.academia.edu/100770164/Management_of_Paediatric_Burns","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/100770164/Management_of_Paediatric_Burns"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div></div></div><div class="ds-sticky-ctas--wrapper js-loswp-sticky-ctas hidden"><div class="ds-sticky-ctas--grid-container"><div class="ds-sticky-ctas--container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{"location":"continue-reading-button--sticky-ctas","attachmentId":70387933,"attachmentType":"pdf","workUrl":null}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{"location":"download-pdf-button--sticky-ctas","attachmentId":70387933,"attachmentType":"pdf","workUrl":null}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div></div></div><div class="ds-below-fold--grid-container"><div class="ds-work--container js-loswp-embedded-document"><div class="attachment_preview" data-attachment="Attachment_70387933" style="display: none"><div class="js-scribd-document-container"><div class="scribd--document-loading js-scribd-document-loader" style="display: block;"><img alt="Loading..." src="//a.academia-assets.com/images/loaders/paper-load.gif" /><p>Loading Preview</p></div></div><div style="text-align: center;"><div class="scribd--no-preview-alert js-preview-unavailable"><p>Sorry, preview is currently unavailable. You can download the paper by clicking the button above.</p></div></div></div></div><div class="ds-sidebar--container js-work-sidebar"><div class="ds-related-content--container"><h2 class="ds-related-content--heading">Related papers</h2><div class="ds-related-work--container js-related-work-sidebar-card" data-collection-position="0" data-entity-id="9880970" data-sort-order="default"><a class="ds-related-work--title js-related-work-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/9880970/Analysis_of_cost_of_dressings_in_the_care_of_burn_patients">Analysis of cost of dressings in the care of burn patients</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="23973891" href="https://independent.academia.edu/MariaCelia1">Maria Celia</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Burns, 2000</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link 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