Predictors of re-epithelialization in pediatric burn

Evaluation of haemoglobin in blister fluid as an indicator of paediatric burn wound depth

“…In most cases, a delay in sample collection was due to delayed presentation to the treating tertiary burn centre. An association has previously been reported between the number of days taken to present to the burn centre and time to spontaneous re-epithelialisation [25]. In that study, it was hypothesised that the delayed healing observed within patients with delayed presentation could be due to the delay in access to specialised treatment from an expert burn team or delayed removal of devitalised tissue in the injured area [25].…”

Minor burn management: potions and lotions

“…As burns are very painful, fewer dressing changes, and therefore less associated procedural pain and distress, are highly desirable and may expedite healing. 13,14 The length of treatment depends on the time to healing. This is generally indicated by a pink, fully epithelialised wound surface.…”

A holistic exploration of paediatric partial thickness burn care in the outpatient setting

“…These changes in the inflammatory phase can, as a result, delay processes in the proliferation phase of wound re-epithelialization where the recruitment and replication of cells required for tissue generation and capillary growth occurs. In turn, the entire re-epithelialization process can become delayed [45,46,52].…”

“…It is proposed to adhere to normal, intact skin remaining in situ on the surface of a wound but not adhere to the wound bed, maintaining a moist wound environment while providing a less traumatic and painful removal and subsequently less epidermal damage [8,61]. This technology may be of great use in the pediatric burn population, where pain during dressing change procedures has been found to be detrimental to the child in terms wound of re-epithelialization [45][46][47]62]. Acticoat TM silver dressing can be used in conjunction with non-stick interface dressings such as Mepitel TM (Mölnlycke Healthcare, Mikkeli, Finland) or on its own.…”

“…Factors such as infection, wound dressing application, and removal and pain can all affect re-epithelialization rates of the wound and all must be considered during wound treatment decision-making [45,46].…”