Assessment and management of minor burns in children

Tran, Sonia; Jacques, Madeleine; Holland, Andrew J. A.

doi:10.31128/ajgp-04-19-4919

Cited by 11 publications

(13 citation statements)

References 3 publications

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“…Tran S et al have pointed out that pain is known to cause delayed wound healing. 15 Our experimental study showed that the longer the pain time, the longer the wound healing time. They were positively correlated, which coincides with the study of Chester SJ et al, indicating that pain can also be used as an index to determine the degree of large-area wound healing.…”

Section: A H E a D O F P R I N Tmentioning

confidence: 85%

Effects of punctate skin grafting combined with or without irrigation on skin graft survival, redness and swelling score and pain in treatment of large-area residual burn wounds

Wan¹,

Zhou²,

2022

Pak J Med Sci

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Objective: To investigate the effects of punctate skin grafting combined with or without irrigation on skin graft survival, redness and swelling score and pain in the treatment of large-area residual burn wounds. Methods: A prospective study was conducted on 102 patients with large-area burns treated in Huangshi Central Hospital from May 2017 to May 2020. According to different treatment methods, they were divided into combination group (treated with punctate skin grafting combined with irrigation) and grafting group (mainly treated with punctate skin grafting). The positive rate of bacterial culture of wound secretions, pain score and redness and swelling score were analyzed and compared between the two groups. Additionally, linear logistic analysis of the influencing factors was carried out. Results: The positive rate of bacterial culture of wound secretions decreased to 29.4% in the combination group and 49.0% in the grafting group (p< 0.05). The skin graft survival rate of the combination group was (82.17 ± 7.44) %, which was higher than that of the grafting group (61.53 ± 7.46) %, the wound healing time was (14.56 ± 3.51) d, which was shorter than that of the grafting group (21.36 ± 4.69) d, and the pain score (3.26 ± 0.36) and redness and swelling score (1.16 ± 0.68) were lower than those of the grafting group (4.79± 0.46) and (2.56 ± 0.85), respectively (all p< 0.05). The wound healing time was positively correlated with pain score (r = 0.767, p< 0.05) and redness and swelling score (r = 0.672, p< 0.05), while negatively correlated with skin graft survival rate (r= -0.289, P<0.01), meeting linear equation y = -8.451 + 4.542a + 0.087b + 1.012c (a, pain score; b, skin graft survival rate; c, redness and swelling score). Conclusions: Punctate skin grafting combined with irrigation in the treatment of large-area residual burn wounds presents great effects on skin graft survival, redness and swelling score and pain, and is worthy of clinical application and promotion. doi: https://doi.org/10.12669/pjms.38.7.5522 How to cite this:Wan L, Zhou J, Li L. Effects of punctate skin grafting combined with or without irrigation on skin graft survival, redness and swelling score and pain in treatment of large-area residual burn wounds. Pak J Med Sci. 2022;38(7):---------. doi: https://doi.org/10.12669/pjms.38.7.5522 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: A H E a D O F P R I N Tmentioning

confidence: 85%

Effects of punctate skin grafting combined with or without irrigation on skin graft survival, redness and swelling score and pain in treatment of large-area residual burn wounds

Wan¹,

Zhou²,

2022

Pak J Med Sci

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“…One Cochrane study reported that 75% of burn cases died from life-threatening microbial infection after a preliminary emergency procedure [49]. Most dermatological burns are minor and treated with domiciliary care [50,51]. Minor skin burns are often managed at home with cold water and several over-the-counter burn creams and gels [52].…”

Section: Burn and Infectionmentioning

confidence: 99%

Pediatric First-Degree Burn Management With Honey and 1% Silver Sulfadiazine (Ag-SD): Comparison and Contrast

Moniruzzaman¹,

Khan²,

Haq³

et al. 2022

Cureus

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BackgroundThe cardinal area of managing fire wounds is guided by adequately evaluating the burn-induced lesion's profundity and size. Superficial second-degree burns are often treated through daily reinstating with fresh sterile bandaging with appropriate topical antimicrobials to allow rapid spontaneous epithelialization. Around the world, a wide variety of substances are used to treat these wounds, from honey to synthetic biological dressings. ObjectiveThis study intended to determine honey's therapeutic potential compared with 1% silver sulfadiazine (Ag-SD) in arsenal-caused contusion medicament fulfillment. MethodsA total of 70 cases were evaluated in this research work after fulfilling the required selection criteria during the study period of January 2014 to December 2014 and January 2017 to December 2017. Purposive selection criteria were adopted in the study to select research patients. The patients in Group-1 (n = 35) relied on honey as medication, while patients in Group-2 (n = 35) relied on 1% Ag-SD. ResultsIn Group-1, exudation (68.4%) and sloughing (82.9%) were substantially reduced by Days 3 and 5 of therapeutic intervention, respectively. However, in Group-2, a reduction of exudation (17.1%) and sloughing (22.9%) occurred after Days 3 and 5 of treatment, respectively. Completion of the epithelialization process was observed among Group-1 and Group-2 cases. It was detected after Days 7 and 10 of treatment at 36.3% and 77% (Group-1) and 27% and 67% (Group-2), respectively. Around 3 ml of 1% honey was required per body surface area per dressing in Group-1. On the other hand, in Group-2, 2 gm Ag-SD was needed per body surface area per dressing. ConclusionPatients treated with honey found better clinical outcomes in managing superficial partial-thickness burns.

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“…Existing knowledge on the epidemiology for burn injuries in general practice is based on a few paediatric studies from the UK [9,10] and a small outdated Dutch cohort study from 1991 [11]. Other publications on burns in primary care describe the diagnosis and treatment of minor burns in high income countries [12][13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%