Saba SC, Tsai R, Glat P, et al.
Journal of burn care & research : official publication of the American Burn Association. Date of publication 2009 May 1;volume 30(3):380-5.
1. J Burn Care Res. 2009 May-Jun;30(3):380-5. doi: 10.1097/BCR.0b013e3181a2898f.
Clinical evaluation comparing the efficacy of aquacel ag hydrofiber dressing
versus petrolatum gauze with antibiotic ointment in partial-thickness burns in a
pediatric burn center.
Saba SC(1), Tsai R, Glat P.
Author information:
(1)Department of Surgery, Drexel University College of Medicine, Philadelphia,
Pennsylvania 19102, USA.
We conducted this Institutional Review Board-approved retrospective study to
compare Aquacel Ag Hydrofiber dressing (Aquacel Ag) to a standard dressing for
the treatment of partial thickness burns in children. We used the St.
Christopher's Hospital burn center registry to identify 20 pediatric patients who
had sustained partial thickness burns over a 10-month period. Ten of these
patients had been treated with Aquacel Ag Hydrofiber dressing and 10 were treated
with conventional Xeroflo gauze with Bacitracin Zinc ointment, the institutional
standard of care for nonoperative partial-thickness burn wounds. Inclusion
criteria included anyone with partial-thickness burns below the age of 18 years
and in excellent baseline health. Exclusion criteria included inhalation injury,
presence of full-thickness burns necessitating surgical debridement, cellulitic,
or infected wounds, and percentage total body surface area involvement greater
than 40%. Outcomes measured for the Aquacel Ag versus the Xeroflo gauze with
Bacitracin Zinc ointment group included hospital length of stay (2.4 vs. 9.6
days), total number of in-house dressing changes (2.7 vs. 17.1), pain on a
10-point scale associated with dressing changes (6.4 vs. 8.2), total number of
intravenous narcotic administrations (2.3 vs. 14.4), nursing time adjusted for
percentage total body surface area (1.9 vs. 3.5 min), time to wound
reepithelialization (10.3 vs. 16.3 days), and patient primary caregiver
satisfaction score using a 4-point scale--with four delineating maximum
satisfaction (3.8 vs. 1.8). Aquacel Ag proved to be a safe and effective means of
treating partial thickness burns with a significant reduction in nursing time and
patient pain involved with dressing changes.
DOI: 10.1097/BCR.0b013e3181a2898f
PMID: 19349897 [Indexed for MEDLINE]
