A comparison of outcome following open silver sulfadiazine dressing and closed dressing with honey in second degree thermal burns. | [Pakistan Postgraduate Medical Journal • 2003]

Author(s):

1. J. S. Khan: Department of Surgery, Services Hospital, Lahore, Pakistan

2. R. D. Nadeem: Department of Surgery, Services Hospital, Lahore, Pakistan

3. N. Iqbal: Department of Surgery, Services Hospital, Lahore, Pakistan

4. M. Saleem: Department of Surgery, Services Hospital, Lahore, Pakistan

Abstract:

The objective of this study was to determine the short and long-term results of closed dressing with honey in comparison to a conventional dressing for Second Degree burns. This prospective, comparative study was conducted in Services Hospital, Lahore between January 2000 and February 2002. Data was collected during the hospital stay at one year follow-up and compared for results. Six men and 32 women presented with burns during the study period. They were divided into Group A (mean age 24.6), treated with closed honey dressings and Group B (mean age 26.2) treated with open Silver Sulfadiazine dressings. The mean duration of hospital stay was 22.6 days in Group A and 28.4 days in Group B for a mean percentage of Total Body Surface Area burned of 20.3% in Group A and 25% in Group B. Six patients in Group A and 10 in Group B required systemic antibiotic cover with Vancomycin 500mg IN thrice daily. There was a single in-hospital death in Group B and two patients presented with contractures at one year follow-up; no deaths or contractures occurred in Group A. Data suggest that honey dressings are a cost effective means of preventing wound infection in burn patients and were better tolerated by `the patients, with easier changes of dressings, early recovery from oedema and less hypopigmentation and scarring. A shift in treatment protocol from conventional synthetic dressing towards closed honey dressings will definitely benefit patient outcome.

Page(s): 71-74

DOI: DOI not available

Published: Journal: Pakistan Postgraduate Medical Journal, Volume: 14, Issue: 2, Year: 2003

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