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Effect of prehospital topical application of water and other agents on outcome in burn injured patients: A prospective study.

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Severe Burn Injury in a Swine Model for Clinical Dressing Assessment
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Open burn wound dressing: a practical option in resource constrained settings.

O A Olawoye1, O O Osinupebi2, B A Ayoade3

  • 1Department of Surgery, University of Ibadan, Nigeria ; Department of Plastic and Reconstructive Surgery, University College Hospital, Ibadan, Nigeria.

Annals of Burns and Fire Disasters
|February 25, 2014
PubMed
Summary

Topical silver sulphadiazine is an effective and affordable burn dressing for low-resource settings. This study found it promotes timely wound healing and shorter hospital stays for burn patients.

Keywords:
burn wound dressingopen wound dressingsilver sulphadiazine

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Area of Science:

  • Burn Care
  • Wound Healing
  • Dermatology

Background:

  • Expensive burn care products limit treatment accessibility in low-income countries.
  • There is a need for cost-effective and readily available wound care alternatives.
  • Silver sulphadiazine is a potential solution for burn management in resource-limited environments.

Purpose of the Study:

  • To evaluate the efficacy of topical silver sulphadiazine dressing in burn patients.
  • To assess the impact of silver sulphadiazine on time to wound healing and hospital stay.
  • To determine the suitability of silver sulphadiazine for burn care in low-resource settings.

Main Methods:

  • Retrospective analysis of 144 burn patients managed over four years.
  • Standard resuscitation protocols and daily wound dressing with silver sulphadiazine (Dermazin).
  • Analysis of demographic data, clinical characteristics, time to wound healing, and length of hospital stay using SPSS v.16.

Main Results:

  • The mean time to wound healing was 21.5 days (median 17 days).
  • The study included patients with varying burn severity (1-99% TBSA).
  • Silver sulphadiazine dressing demonstrated satisfactory outcomes in burn wound management.

Conclusions:

  • Open burn wound dressing with silver sulphadiazine provides satisfactory outcomes.
  • Silver sulphadiazine is a viable and recommended option for burn dressing in low-resource settings.
  • This approach addresses the challenge of expensive alternatives in resource-limited environments.