Journal
LIFE-BASEL
Volume 12, Issue 5, Pages -Publisher
MDPI
DOI: 10.3390/life12050619
Keywords
paediatric second-degree burn; silver sulphadiazine; silver foam; biosynthetic dressing; skin substitutes
Categories
Funding
- National Research, Development, and Innovation Office [FK 124483, FK 138722]
- Comprehensive Development for Implementing Smart Specialization Strategies at the University of Pecs [EFOP-3.6.1.-16-2016-00004]
- European Union
- European Social Fund
- Janos Bolyai Scholarship of the Hungarian Academy of Sciences
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This study conducted a meta-analysis to evaluate the effectiveness of different dressings for paediatric second-degree burn injuries. The results showed that biosynthetic, silver foam, and amnion membrane dressings were associated with faster healing times and reduced complication rates. The number of dressing changes also had an impact on pain, narcosis, and treatment duration. However, due to heterogeneity among studies, no significant difference was found in the main outcomes. Further research is needed to determine the most effective treatment for these burns.
Background: Paediatric second-degree burn injuries are a significant source of medical challenges to the population that may cause severe, lifelong complications. Currently, there are dozens of therapeutic modalities and we aimed to summarise their reported outcomes and determine their effectiveness, compared to the widely used silver sulphadiazine (SSD). Methods: We conducted the meta-analysis and systematic review of randomised controlled trials (RCTs), which investigated the performance of dressings in acute paediatric partial-thickness burns. The evaluated endpoints were time until wound closure, grafting and infection rate, number of dressing changes and length of hospitalisation. Results: Twenty-nine RCTs were included in the qualitative and 25 in the quantitative synthesis, but only three trials compared SSD directly to the same intervention (Biobrane). Data analysis showed a tendency for faster healing times and a reduced complication rate linked to biosynthetic, silver foam and amnion membrane dressings. A substantial difference was found between the number of dressing changes associated with less pain, narcosis and treatment duration. Conclusions: Considerable between-study heterogeneity was caused by the unequal depth subcategory ratio and surface area of the injuries; therefore, no significant difference was found in the main outcomes. Further research is necessary to establish the most effective treatment for these burns.
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