1. The use of a novel burn dressing out of bacterial nanocellulose compared to the French standard of care in paediatric 2nd degree burns – A retrospective analysis
- Author
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V Luca-Pozner, Q Qassemyar, H Remy, S Ghezal, Sebastian P. Nischwitz, Hanna Luze, G Lipa, M Funk, E Conti, Service de Chirurgie plastique reconstructrice et brûlés [CHU Trousseau], CHU Trousseau [APHP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), JOANNEUM RESEARCH - Institute for Robotics and Mechatronics, Karl-Franzens-Universität [Graz, Autriche], and University of Graz
- Subjects
medicine.medical_specialty ,Standard of care ,Pain ,Length of hospitalization ,Intervention group ,Critical Care and Intensive Care Medicine ,030207 dermatology & venereal diseases ,03 medical and health sciences ,0302 clinical medicine ,Epicitehydro ,Retrospective analysis ,Humans ,Second-Degree Burn ,Medicine ,Child ,Retrospective Studies ,Pain experience ,Bacteria ,Exposure metho ,business.industry ,Standard of Care ,030208 emergency & critical care medicine ,Burn center ,General Medicine ,Bandages ,Burn dressing ,3. Good health ,Paediatric burn care ,Bacterial nanocellulose ,Emergency medicine ,Emergency Medicine ,d Pain management ,Surgery ,Burns ,business ,[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology - Abstract
International audience; PurposePaediatric burn care is a delicate discipline which benefits from special attention. Despite being highly effective, the current standard of care for second degree burns in the largest paediatric burn center in France – exposure to infrared light – involves long hospital stays, straining economic and professional resources, especially in times of a pandemic. The present study investigated this standard of care and compared it to the use of a bacterial nanocellulose dressing.Materials and methodsA retrospective analysis of two groups has been performed: the control group assessed thirty consecutive children treated with the standard of care, and the intervention group assessed thirty consecutive children treated with the bacterial nanocellulose dressing. Parameters evaluated were: healed wounds, additional treatments, rate of infections, hospital length of stay, pain experience and overall satisfaction.ResultsThe two groups did not differ significantly in terms of age and TBSA. A significant reduction in hospital length of stay (p < .001) and pain experience (p < .001) could be observed. In terms of healed wounds, additional treatments and infections, the two groups were equally matched (p > .05) with satisfactory results in both groups. Tendencies towards better results could be seen in the intervention group.ConclusionThe use of bacterial nanocellulose wound dressings is an important tool in the armamentarium of today’s burn surgeons. Satisfying results were achieved, ameliorating burn care for children. Future studies are indicated to further support its value and assess the economic impact.
- Published
- 2021
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