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Published on: November 6, 2018
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BACTERIAL NANOCELLULOSE DRESSING COMPARED WITH HYDROCOLLOID DRESSING FOR THE TREATMENT OF PARTIAL-THICKNESS
M Rehan1, T Iqbal1, M H Tariq1
1Department of Burn and Reconstructive Surgery, National Burn Care Centre, Pakistan Institute of Medical Sciences, Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan.
Annals of Burns and Fire Disasters
|October 1, 2024
Summary
Bacterial nanocellulose dressing showed faster healing and lower pain for burn wounds compared to hydrocolloid dressings. However, hydrocolloid dressings are more cost-effective and less prone to infection, despite higher pain scores and longer healing times.
Area of Science:
- Wound healing research
- Biomaterials science
- Clinical trial methodology
Background:
- Burn wound management presents global challenges, with severe injuries necessitating antimicrobial dressings and surgical interventions.
- Partial-thickness burns often require advanced wound care to optimize healing and minimize complications.
- Evaluating novel dressings like bacterial nanocellulose is crucial for improving patient outcomes.
Purpose of the Study:
- To compare the efficacy of bacterial nanocellulose dressing against hydrocolloid dressing for partial-thickness second-degree burns.
- To assess key parameters including pain, infection rates, epithelialization time, and hospital stay.
- To determine the cost-effectiveness and clinical utility of each dressing type.
Main Methods:
- A randomized control trial involving 130 patients with partial-thickness second-degree burns (65 per group).
- Patients received either bacterial nanocellulose or hydrocolloid dressings, with regular wound assessments.
- Data collected included demographics, burn severity (%TBSA), infection signs, healing time, and pain scores.
Main Results:
- Bacterial nanocellulose group reported significantly lower wound pain scores (mean 2.6) and faster epithelialization times.
- The hydrocolloid group experienced higher pain scores and a greater propensity for infection due to frequent dressing changes.
- Fewer surgical interventions (excisions, skin grafts) were needed in the bacterial nanocellulose group.
Conclusions:
- Bacterial nanocellulose dressing offers advantages in pain reduction and accelerated healing for burn wounds.
- Hydrocolloid dressing remains a cost-effective option but is associated with increased pain and infection risk.
- Further research may explore optimizing bacterial nanocellulose for broader clinical application in burn care.

