CONTEMPORARY WOUND DRESSINGS IN PAEDIATRIC COMBUSTIOLOGY

Cover Page

Abstract


Purpose: To estimate effectiveness and safety of innovative dressings in local conservative therapy of children with burns.

Materials and methods: the study was based on the results of using innovative dressings in children aged 1–4 years with I–II–III degree skin burns occupying 1–10% of body surface (b. s.). Routine methods of examination such as follow-up visual examination of wounds, temperature monitoring, follow-up microbiological control of burn wounds determining sensitivity to antimicrobials were used; duration of spontaneous epithelization of the burnt areas, lack or availability of allergic and other adverse reactions were determined.

Results and conclusions: effectiveness and safety of using therapeutic dressings in patients with thermal injuries are verifed using clinical cases. Good therapeutic effect is confrmed when a line of dressings is combined depending on the phase of the wound process and tissue affection depth with hot liquid. Possible complications in the form of allergic reactions are found (contact dermatitis, in particular). Methods of their prevention or adequate local conservative therapy are recommended. Results of using LikoTul Ag+, PoviTex, JelleSorb Ag + Tube and AquaColl Ag+ dressings display their effectiveness and safety.


About the authors

L. I. Budkevich

Pirogov Russian National Research Medical University ; G. N. Speransky City Children’s Hospital № 9

Email: mila-budkevich@yandex.ru

Russian Federation

Liudmila I. BUDKEVICH Dr. Sci.(Med), professor, professor, chief science specialist, Chief of Paediatric Burn Department,

Shmitovsky pr., 29, Moscow, 123317

V. V. Soshkina

G. N. Speransky City Children’s Hospital № 9

Author for correspondence.
Email: vsoshkina78@yandex.ru

Russian Federation

Vera V. SOSHKINA Cand. Sci.(Med), paediatric surgeon, Paediatric Burn Department,

Shmitovsky pr., 29, Moscow, Russia,123317

T. S. Astamirova

G. N. Speransky City Children’s Hospital № 9

Email: tastamirova@yandex.ru

Russian Federation

Tatiana S. ASTAMIROVA Paediatric surgeon, Paediatric Burn Department,

Shmitovsky pr., 29, Moscow, Russia,123317

G. V. Mirsoyan

G. N. Speransky City Children’s Hospital № 9

Email: gayanemirzoyan@mail.ru

Russian Federation

Gayane V. MIRSOYAN Paediatric surgeon,

Moscow; Shmitovsky pr., 29, Moscow, Russia, 123317

A. A. Avanesyan

G. N. Speransky City Children’s Hospital № 9

Email: anny271992@mail.ru

Russian Federation

Anna A. AVANESYAN Paediatric surgeon

Moscow; Shmitovsky pr., 29, Moscow, Russia,123317

References

  1. Будкевич Л.И., Старостин О.И., Кобринский Б.А. Информационные технологии в совершенствовании лечения детей с термической травмой //Российский педиатрический журнал.– 2008.– № 3.– с. 22–25.
  2. Будкевич Л.И., Сошкина В.В., Астамирова Т.С. Оценка эффективности применения новых перевязочных средств у детей с ожоговыми ранами //Хирургия. Журнал им. Н.И. Пирогова.– 2013. -. № 6.– с. 65–68
  3. Корякин Н.Н., Клименова И.А. Технологии лечения ожогов в условиях влажной среды //Международный журнал прикладных и фундаментальных исследований.– 2015.–№ 9 (часть 3).– с. 495–499.
  4. Алексеев А.А., Бобровников А.Э, Малютина Н.Б., Авагимян А.Г. Применение перевязочных материалов на основе липидоколлоидной технологии при местном лечении ожоговых ран./ Методическая разработка. М – 2010.
  5. Атясов И.Н. Местное лечение ожогов серебросодержащими препаратами. Сульфаргин – препарат выбора //Хирургия.– 2011.– № 5.– с. 66–68.
  6. Блатун Л.А. Местное медикаментозное лечение ран // Хирургия.– 2011.– № 4.– с. 51–59.
  7. Nímia H.H., Carvalho V.F., Isaac C., Souza F.Á., Gemperli R., Paggiaro A.O. Comparative study of Silver Sulfadiazine with other materials for healing and infection prevention in burns: A systematic review and meta-analysis. Burns. 2018, Jun 11. pii: S0305–4179(18)30399–1. doi: 10.1016/j.burns.2018.05.014. [Epub ahead of print]
  8. Carlsson A., Uden G., Hakansson A., Karlsson E.D. Burn Injuries in Small Children, a Population Based Study in Sweden.J. clin. Nurs. 2006 Feb; 15(2):129–34.
  9. Venter T.H., Karpelowsky J.S., Rode H. Cooling of the burn wound: the ideal temperatur of the coolant. Burns 2007; 33:917–22.
  10. British Burn Association. Emergency management of severe burns course manual, UK version. Wythenshawe Hospital, Manchester, 2008.
  11. White R. Evidence for atraumatic soft silicone wound dressing use Text. R. White. Wou Rippon M., Davies P., White R., Bosanquet N. Cost implications of using an atraumatic dressing in the treatment of acute wounds. J. Wound Care. 2008;17(5):224–7.
  12. Selig H.F., Lumenta D.B., Giretzlehner M. The properties of an «ideal» burn wound dressing – What do we need in daily clinical practice? Results of a worldwide online survey among burn care specialists. Burns. 2012 [Epub ahead of print]
  13. Wasiak J., Cleland H., Campbell F., Spinks A. National Network for Burn Care. National burn care standards. NNBC, 2013.14. Dressings for superfcial and partial thickness burns. Cochrane Database of Systematic Reviews 2013, Issue 3. Art. No.: CD002106. doi: 10.1002/14651858. CD002106.pub 4.

Statistics

Views

Abstract - 133

PDF (Russian) - 0

PlumX

Dimensions

Refbacks

  • There are currently no refbacks.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies