Journal
INTERNATIONAL WOUND JOURNAL
Volume 18, Issue 4, Pages 478-486Publisher
WILEY
DOI: 10.1111/iwj.13548
Keywords
burn injury; burn treatment; paediatric burns; partial thickness burns; re-epithelialisation
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The use of nanocellulose-based dressing in treating burn wounds in children can achieve complete re-epithelialisation in a short period of time, reduce the frequency of dressing changes, and provide a more flexible and acceptable treatment option for patients and their parents.
The initial care of burn wounds and choice of dressing are pivotal to optimally support the healing process. To ensure fast re-epithelialisation within 10-14 days and prevent complications, an optimal healing environment is essential. An innovative dressing based on nanocellulose was used for the treatment of burns in children. Children (0-16 years) with clean, partial-thickness burn wounds, 1 to 10% of the total body surface area were included. Complete re-epithelialisation was achieved within 7-17 days, with 13 patients showing re-epithelialised >95% by day 10. Satisfying results concerning time to re-epithelialisation and material handling were obtained. The possibility to leave the dressing on the wounds for 7 days showed a positive effect in the treatment of children, for whom every hospital visit may cause massive stress reactions. The nanocellulose-based dressing is a promising tool in conservative treatment of burns. Reducing the frequency of dressing changes supports a fast and undisturbed recovery; moreover, the dressing provides an optimal moist healing environment. The time to re-epithelialisation is comparable to frequently used materials, and cost reduction effect can be achieved without loss of quality. Possible pain and distress levels are kept to a minimum; therefore, flexibility and compliance of the patients and their parents are enhanced.
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