Introduction: Burn is a complex disease process, a trauma to physique as well as psyche. Visible disfigurement caused by burns translates into an altered pattern of socialization which in turn can have serious psychological ramifications. Patients with burns require immediate specialized care in order to minimize morbidity and mortality. So, the important part of the management of burns is wound management. Objectives: To assess the efficacy of topical heparin and silver sulfadiazine cream in burn wound management. Methods: Prospective comparative interventional study was carried out at the Department of Burn & Reconstructive Surgery, Faculty of Paedicatric Surgery, Bangladesh Shishu Hospital and Institute. A total 42 patients were included in this study after fulfilment of all selection criteria during the study period. Patients were randomly selected into two groups. In group A (n=21) patients were treated with topical heparin and in group B (n=21) patients were treated with silver sulfadiazine cream. Results: The mean pain relief time was 1.76±0.54 days in group A and 5.52±0.98 days in group B. The difference was statistically significant (p<0.05). The mean wound healing time was 4.62±0.86 days in group A and 8.0±1.97 days in group B. The difference was statistically significant (p<0.05). The mean hospital stay was 5.57±0.75 days in group A and 8.10±1.97 days in group B. The difference was statistically significant (p<0.05). Conclusion: Topical use of heparin is safe and more effective than silver sulfadiazine cream in the management of second-degree burns in children.

Introduction: Burn is the most devastating of all injuries and a major global public health crisis. Biological dressings with collagen create the most physiological interface between the wound surface and environment and are impermeable to bacteria. Collagen dressing is easily applicable, non-immunogenic, non-pyrogenic, hypo allergic and pain free. Collagen is an endogenous substance which forms an important structural component in connective tissue. By applying it over the wound, exposed dermis and free nerve endings get covered leading to reduction in pain and infection. Objective: To assess the efficacy of collagen dressing in burn wound management. Methods: Prospective interventional study was carried out at the Department of Burn and Reconstructive Surgery, faculty of Paediatric Surgery, Bangladesh Shishu Hospital & Institute. A total 20 patients were included in this study after fulfillment of all selection criteria during the study period. Result: The mean pain relief time, wound healing and hospital stay were 2.7±0.6 days, 7.3±1.0 days and 4.5±0.6 days respectively. Conclusion: Collagen dressing is safe and effective in the treatment of superficial partial thickness burn in children.

Background: Aloe vera has been used traditionally for healing burn and inflammation. Though, the evidence for the effectiveness of aloe vera for healing burn is not sufficient. Objective: The aim of this study was to assess the effectiveness of aloe vera gel in management of superficial burn in children. Methods: This retrospective study was taken place in the Department of Burn and Reconstructive Surgery, Bangladesh Shishu Hospital & Institute, Dhaka and other two privet clinics at Dhaka, from September, 2019 to March, 2022. Total 47 patients with superficial partial thickness burn was included in the study. Results: In this study, majority (48.94%) patients were belonged to the age group of £24 months. The mean age was found 38.9±26.31 months. The current study observed that almost two third (61.70%) patients were male. In our study, majority (63.83%) patients stayed hospital for 1-5 days. In the present study, mean (±SD) pain relief time was 3.56±1.24 days and mean (±SD) wound healing time was found 8.19±1.6 days. The current study observed that only 3(6.38%) patients had found wound infection. In current study showed that mean treatment cost was found 76.46±31.88 Taka. Conclusion: Aloe vera gel facilitated early pain alleviation, wound healing, and costeffective superficial burn treatment in children. Therefore, it can be utilized to treat superficial burns in children to get better results. DS (Child) H J 2021; 38(1): 39-43