332 Topical Steroids for Suppression of Granulation Tissue in Burns: Results of an ABA Member Survey

Topical steroids in burn patients: A systematic review of the literature and a descriptive analysis of topical KENACOMB use at a major tertiary burn centre

“…The publication years ranged from 2003 to 2019, comprising two case series, 11 , 12 one retrospective chart review, 13 one pre-post study, 14 and two surveys of burns unit professionals. 6 , 7 Patient age ranged from 14 months to 92 years with a total of 54 patients across all studies. One ongoing clinical trial comparing topical steroids to traditional dressings for non-healing wounds in burn patients was identified.…”

“…Two articles surveyed members of the American and European Burns Associations, finding that 60% 6 and 77% 7 had experience in using topical steroids for suppressing granulation tissue, respectively. Of those experienced, 97–100% found topical steroids safe and effective, although 67% of American and 1.2% of European members had witnessed possible side effects, and 11% of European professionals witnessed wound infection in <10% of patients.…”

“… 5 Due to their anti-inflammatory properties, topical steroids are widely used in inflamed and hypergranulated burn wounds. 6 , 7 However, despite anecdotal evidence supporting their application in treating these wound types, its use remains controversial due to concerns that steroids may interfere with the progression of healing 8 and increase vulnerability to infection. 9 …”