521 Silk A Biological Dressing for Superficial Burns Treatment: Randomized Controlled Trial Versus Silver Sulfadiazine

Abstract Introduction Silver Sulfadiazine is currently the standard treatment for superficial second-degree burns. These burns are common and should not necessarily require hospital treatment. However, caretaking may become an issue: dressing technique always mastered by home health care nurses, their practical realization be more difficult considering surface to treated; duration of can also too long painful. We have evaluated interest a based on natural silk with this indication. Methods In preliminary study, we compared SSD (S) in 2nd degree Following diagnosis, topical used was determined drawing lots. The associated fatty gauze applied then covered dry gauzes bandages. Silk directly lesion Dressings were changed every 48 hours. each after cleansing saline; one left place until healing, only bandages changed. Pain, healing time assessed. Results 80 patients included 25 men, 15 women (7 83years) treated SSD; 22 18 (17 84 years) silk. average area 5% both groups (1% 20% SSD) 23% S). Pain (EVA) between 3 4/10 group 0 2 S group. Dressing 20-30 minutes 10-15 13 days groups. complications, as infections , observed Conclusions flexibility facilitates smooth application all surfaces localisations like SSD. has same that obtained SSD, i.e. physiological allowed shorter treatments, because it technically simple, less painful never exposed air. This reduction analgesics. A larger study confirm managed outpatients, inexperienced even reduce cost effective need painkillers. Applicability Research Practice immediate