Burns And Silver In Children: A comparison of the silver based dressings Aquacell and Acticoat for paediatric burns.
A randomised controlled study of the effect of silver based burns dressings Aquacell and Acticoat on percentage epithelialisation in a paediatric emergency department.
Michael Shepherd
72 participants
Oct 31, 2009
Interventional
Conditions
Summary
This study aims to determine whether Aquacell is a superior silver based dressing compared to Acticoat for paediatric burns managed as an outpatient .
Eligibility
Inclusion Criteria2
- Partial Thickness Burn (blistering and with normal or increased capillary refill)
- Present to Starship Emergency Department within 24 hours of the burn injury
Exclusion Criteria10
- Superficial epidermal burn (no blistering)
- Full-thickness burns and Deep Partial-thickness burns
- Partial-thickness burns > 10% Body surface area
- Burns to the perineum, genitalia, face, hands or feet (Aquacel Ag contraindicated)
- Burns over major joints
- Circumferential Burns
- Chemical or Electrical burns
- Allergy to silver
- Patients referred for evaluation of Non-Accidental-Injury
- Patients expecting to reside outside Auckland during the 10 day follow-up period.
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Interventions
Aquacel Ag will be applied to the wound bed with a 3cm overlap to allow for the dressing to shrink. Telfa (an absorbent cotton fabric bonded on both sides with perforated non-adherent film) will be placed over the Aquacel Ag and then Hypafix will be used to hold the dressing in place. These patients will not be instructed to moisten the dressing at home. Patients will be reviewed in 3 days after the initial dressing placement. The Hypafix will be removed, and areas of non-adherence will be trimmed and replaced if still considered to be partial thickness and appropriate for outpatient management. Hypafix will then be re-applied. Patients will be reviewed at day 10 with dressing removal and photography to allow percentage epithelialisation to be assessed
Locations(1)
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ACTRN12609000451202