Treatment Option of Partial Thickness Burn Injuries in Children

Introduction: There are several wound dressings available for the conservative treatment of second-degree burn injuries.

Aims: To determine the effectiveness of silver-laden foam and Zn-hyaluronan gel for the treatment of partial thickness burns was carried out.

Patients, methods: Prospective study has been carried out between January 1, 2013 and December 1, 2015. A total of 73 children were treated with silver-laden foam and Zn-hyaluronan gel. For the first 24 hours, in order to assess the exact depth of the burn, 0.5% silver nitrate solution dressing was applied in 25% of the cases. In the rest of the children silver-laden foam with Zn-hyaluronan gel already as the first intervention was used. The dressing was removed on the seventh day.

Results: In the study population hot water scalds were the main cause of burn injury. Other causes included hot oil, flame, contact, and other types of burns. Wound size was 5% of the total body surface area on average. Burns were seen on all body parts; in 38 cases burns were noted in more than one area. Out of the 73 children were treated with this dressing. Wound infection was not noted. Epithelialization of the burned areas was observed on the 7 days after primary treatment.

Conclusions: The investigated dressing efficiently promotes epithelialization the burned areas. Further advantage of the Zn-hyaluronan gel is to enhance the regeneration of the dermal cells and inhibits the fixation of the dressing into the wound. Based on our experiences, we could achieve gentle, child-friendly, and cost-effective treatment, excellent wound healing and favorable cosmetic results in children.