LOCAL CONSERVATIVE THERAPY IN CHILDREN WITH BURNS AT THE STAGE OF SPECIALIZED MEDICAL CARE

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Abstract

Purpose: to evaluate effectiveness and safety of wound dressings featuring Safetac ® technology in local conservative treatment of children with skin burns. Materials and methods: retrospective analysis of the results obtained when using a line of wound dressings with Safetac® technology in children aged 1 months old to 3 years old with superficial I– II‑degree skin burns and borderline III degree skin burns who have been staying at the burn center of G. N. Speransky Children’s Hospital No. 9 during the last 5 years. The area of burn wounds ranged from 1% of body surface area (BSA) to 25% of BSA. In the observed patients, hot fluid was the basic damaging agent. Routine examination methods were used to confirm effectiveness and safety of the following medical procedures: monitoring of the course of the wound process, estimation of temperature and possible allergic reactions against the background of dressing application, microbiological follow-up control of burn wounds determining sensitivity to antimicrobials, and epithelization duration of damaged skin areas. Some dressings that belong to this batch (Mepilex® Lite, Mepilex® Transfer and Mepilex® Border) are reviewed here. Results and conclusions: effectiveness and safety of therapeutic dressings in patients with thermal injuries are verified using clinical experience. It is proved that a combined line of dressings provides for a good therapeutic effect depending on the wound process phase and depth of tissue affected with hot fluid. Possible complications in the form of allergic reactions (and contact dermatitis, is particular) are found. Methods of their prevention are recommended. In case of their development, adequate local therapy is provided. According to the study, wound dressings with Safetac ® technology are effective and safe in children with local superficial I–II‑degree skin burns and borderline III degree skin burns (ICD‑10).

About the authors

L. I. Budkevich

N.I. Pirogov Russian State Medical University, Moscow;
G.N. Speransky Pediatric Hospital № 9, Moscow

Author for correspondence.
Email: mila-budkevich@yandex.ru
Dr. Sci (Med), professor, chief science specialist of Paediatric Surgery Institute N. I. Pirogov Russian State Medical University, Moscow. Chief of Paediatric Burn Department, G. N. Speransky Pediatric Hospital № 9, Moscow Россия

V. V. Soshkina

N.I. Pirogov Russian State Medical University, Moscow

Email: vsoshkina78@yandex.ru
Cand. Sci (Med), paediatric surgeon, Paediatric Burn Department, G. N. Speransky Pediatric Hospital № 9, Moscow Россия

T. S. Astamirova

N.I. Pirogov Russian State Medical University, Moscow

Email: tastamirova@yandex.ru
Paediatric surgeon, Paediatric Burn Department, G. N. Speransky Pediatric Hospital № 9, Moscow Россия

G. V. Mirsoyan

N.I. Pirogov Russian State Medical University, Moscow

Email: gayanemirzoyan@mail.ru
Paediatric surgeon, Paediatric Burn Department, G. N. Speransky Pediatric Hospital № 9, Moscow Россия

A. A. Avanesyan

N.I. Pirogov Russian State Medical University, Moscow

Email: anny271992@mail.ru
Paediatric surgeon, Paediatric Burn Department, G. N. Speransky Pediatric Hospital № 9, Moscow Россия

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Copyright (c) 2019 Budkevich L.I., Soshkina V.V., Astamirova T.S., Mirsoyan G.V., Avanesyan A.A.

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