Related Experiment Video
Updated: May 26, 2025

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis
Published on: March 14, 2025
Healing Rates and Dressing Frequency of Silver Foam Dressings in Paediatric Burns: A Systemic Review and
Nathanael Q E Yap1,2,3, Dilip K Vankayalapati2,3,4, Sum-Yu C Lee3
1Addenbrookes, Cambridge University Hospital NHS Trust, Hills Rd., Cambridge CB2 0QQ, UK.
Insights
Silver foam dressings are safe and effective for pediatric burn patients, showing good healing rates and fewer dressing changes. Further research is needed to optimize their use and assess long-term outcomes.
Area of Science:
- Pediatric Burn Management
- Wound Healing
- Silver Dressings
Background:
- Silver foam dressings are widely used for burn injuries but their use in children needs more investigation.
- Pediatric burn management requires specialized approaches to ensure optimal outcomes.
Purpose of the Study:
- To evaluate the efficacy and safety of silver foam dressings in pediatric patients with burns or scalds.
- To synthesize existing evidence on healing rates, hospitalization duration, and complications.
Main Methods:
- A comprehensive literature search was conducted from database inception to October 2023.
- Included 18 studies with 701 pediatric patients (under 21 years) treated with silver foam dressings.
- Pooled data analyzed for time to re-epithelization, hospitalization, dressing changes, and complications.
Main Results:
- Pooled mean time to re-epithelization was 12.9 days.
- Pooled mean hospitalization duration was 9.8 days.
- Mean dressing changes were 3.6 per patient, with 98 complications reported (infections, surgical needs, scarring).
Conclusions:
- Silver foam dressings demonstrate safety and effectiveness in pediatric burn patients regarding healing and dressing frequency.
- Further comparative studies are necessary to refine selection criteria and understand long-term effects.
Abstract:
Silver foam dressings have been extensively used in the management of burn injuries; however, its application in children requires elucidation. A literature search was conducted from database inception to October 2023. Eligible studies reported paediatrics patients under 21 years of age receiving silver dressings for burns or scalds. This review was registered prospectively with PROSPERO (CRD42023470239). 18 studies met the inclusion criteria with a total of 701 patients. The pooled mean time to re-epithelisation (TTRE) was 12.9 days (95% CI: 11.2, 14.6, I2 = 94%). The pooled mean duration of hospitalisation was 9.8 days (95% CI: 3.9, 15.7; I2 = 100%). Mean number of total dressing changes per patient was 3.6 (95% CI: 2.2, 4.9; I2 = 99%). There were a total of 98 complications, including 30 (30.6%) infections, 29 (29.6%) surgical requirements, 14 (14.3%) hypertrophic scarring, 17 (17.3%) escalations of care, 5 (5.1%) burn depth progression, and 3 (3.1%) others. Silver foam dressings appear as a safe and effective approach in terms of healing rate and dressing change frequency for selected paediatric patients with burn injuries. Despite the promising results, further comparative studies are required to evaluate the selection criteria and long-term effect of silver foam dressing.
Related Concept Videos
Burn Injuries
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Clinical Applications of Epidermal Stem Cells
SBAR II: Application of SBAR
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
Phases of Wound Repair
Formation of Blood Clot
In case of deep injuries, trauma to blood vessels results in blood loss. In the meantime, phospholipids released from the ruptured endothelial cellular membrane are converted into arachidonic...
Decreased Body Temperature

