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 Russian Federation

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 Russian Federation

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 Russian Federation

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 Russian Federation

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 Russian Federation

References

  1. Назаренко Г. И. Рана. Повязка Больной. Современные медицинские технологии. Назаренко Г. И., Сугурова И. Ю., Глянцев С. П.. М.: Медицина. 2002; 472 с.
  2. European Wound Management Association. Position Document: Pain at Wound Dressing Changes. Medical Education Partnership Ltd, London; 2002. doi: 10.1111/j.1742–481X.2012.01038.x
  3. Kassira W., Namias N. Outpatient management of pediatric burns. J. Craniofac Surg. 2009;19(4):1007–9. doi:10.1097/ SCS.0b013e318175f440
  4. Будкевич Л. И., Ковальчук В. И., Глуткин А. В., Бразоль М. А., Мирзоян Г. В., Гнипов П. А., Салистый П. В., Чекинев Ю. В., Шмырин А. А., Габитов Р. Б. Клиническая эффективность биопластического коллагенового материала «Коллост» у детей с термической травмой (многоцентровое исследование). Российский вестник детской хирургии, анестезиологии и реаниматологии. 2018;8(3):34–44. Доступно: https://www.rps-journal.ru/jour/article/view/446/427
  5. Будкевич Л. И., Сошкина В. В., Астамирова Т. С., Мирзоян Г. В., Аванесян А. А. Современные перевязочные средства в комбустиологии детского возраста. Российский вестник детской хирургии, анестезиологии и реаниматологии. 2018;8(4):48–56. https://doi.org/10.30946/2219–4061–2018–8–4–48–57
  6. Кузин М. И. Раны и раневая инфекция: руководство для врачей. М. И. Кузин, Б. М. Костюченок. – М.: Медицина, 1990; 592c.
  7. World Union of World Healing Societies. Principles of Best Practice: Minimizing Pain at Dressing-related Procedures: Implementation of Pain Relieving Strategies. Evidence Informed Practice. WoundPedia Inc, Toronto. 2007. Доступно: https://crh.arizona.edu/sites/default/files/u35/Consensus_document_ENG_printfile.pdf
  8. Wilson R. Massive tissue loss: burns. In: Acute & Chronic Wounds Nursing Management, 2nd Edition. Bryant R. A. eds. Mosby, St. Louis 2000;197–220
  9. Waring M., Bielfeldt S., Matzold K., Wilhelm K-P., Butcher M. An evaluation of the traumatic impact (skin stripping) of wound dressing adhesives on skin. Submitted for publication in J. Wound Care. 2011;20(9):412–422 .
  10. Hermans M. H.E. A survey: silver is still the gold standard in burn care. J. Wound Technol. 2008;(2):56–7. doi: 10.1089/ sur.2011.097
  11. Кричевский Г. Е. Нано-, био-, химические технологии и производство нового поколения волокон, текстиля и одежды. Г. Е. Кричевский. – М.: Известия 2016;526 с. DOI 677.014(075.8)677.017(075.8)620.3(075.8)
  12. Meuleneire F. Using a soft silicone-coated net dressings to manage skin tears. J. Wound Care. 2002;11(10):365–9. doi: 10.12968/jowc.2002.11.10.26440.
  13. White R. Evidence fir atraumatic soft silicone dressing use. Wounds UK. 2005;1(3):104–9. doi: 10.1007/978–3–319– 89608–3.
  14. Joint Formulary Committee. British National Formulary.2008; 56 p. BMA &RPS Publishing, London. DOI: 10.1136/ qshc.2005.016881
  15. Krasner D. L., McNeil M. Six strategies for minimizing wound pain: translating the results from US pain survey in clinical practice. Extended Care Product News. 2008; 125(11):16–21. doi: 10.1097/WON.0b013e31821759f2
  16. 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. DOI.org/10.12968/jowc.2008.17.5.29156
  17. 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;38(7)960–6 (Epub ahead of print). doi: 10.1016/j.burns.2012.04.007
  18. Bache S. E., Kannan R. Y., Ralston D. R. The use of Mepitel instead of tieover dressing for lower-limb split skin grafts. Eur. J. Plastic 2016 January; 49(1):124.
  19. Clarc C. Scars: how pharmacists can help. Pharm. J. Care. 2005;275:7370:451–4. doi: 10.1177/1715163514530098
  20. Richardson C., Upton D. A discussion of the potential mechanisms for wound dressings apparent analgetic effects. J. Wound Care. 2010; 19(10):424–30. doi: 10.3390/brainsci9030065.
  21. Newman J. P., Fitzgerald P., Koch R. J. Review of closed dressings after laser resurfacing. Dermatol. SURG. 2005; 26(6):562–71. doi: 10.1046/j.1524–4725.2000.99071.x
  22. Tredget E. E., Nedelec B., Scott P. G., Ghahary A. Hypertrophic scars, keloids & contractures. The cellular and molecular basis for the therapy. Surg Clin North Am. 1997; 77(3): 701–30. doi: 10.1186/s41038–015–0026–4
  23. Beldon P. Skin grafts 2: management of donor site wounds in the community. Br J. Community Nurs. 2003; 8(9):6–14. doi: 10.12968/bjcn.2003.8.Sup4.11583
  24. Wagner G. Treatment of severe keloid formation in childhood by using occlusive dressing. Aktuelle Dermatologie. 2002; 28 (10):359–62. doi: 10.1055/s-2002–35206

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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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