Open Access
Treatment of partial thickness hand burn injuries in children with combination of silver foam dressing and zinc-hyaluronic gel
Author(s) -
Gergő Józsa,
Péter Vajda,
András Garami,
Alexandra Csenkey,
Zsolt Juhász
Publication year - 2018
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000009991
Subject(s) - medicine , wound dressing , hyaluronic acid , surgery , burn wound , wound healing , dentistry , materials science , composite material , anatomy
Abstract Rationale: Burns is a common type of traumatic injury in childhood. Nowadays, several wound dressings are available to treat the second-degree hand burns conservatively. Patient concerns, diagnoses: At the authors’ institute, 37 children were treated conservatively with a special dressing at first intervention containing Aquacel Ag foam and Zn-hyaluronic gel to determine their effectiveness on partial thickness hand burns. Interventions: The dressing was checked on the second day, and removed on the sixth or seventh day (unless it had spontaneously separated). Outcomes: None of the 37 children treated with this dressing were diagnosed with wound infection. The authors observed the epithelialization of the burned areas on the 6-7th day after primary conservative treatment. The dressing efficiently promotes epithelialization in all cases. Further advantage of Zn-hyaluronic gel is to enhance cell regeneration and inhibits dressing fixation into the wound. Lessons: Based on the authors’ experience, with this special combination of wound dressing, a gentle, child-friendly, cost-effective treatment and excellent wound healing observed with favourable cosmetic results.