![]() In an in-use product evaluation (Davies and McCarty, 2017), a total of 320 questionnaires were returned for analysis. Despite its tensile strength, Exufiber ® is soft and conformable, making it easy to apply and remove, and maximising contact with the wound bed to avoid leakage (Smet et al, 2015 Chadwick and McCardle, 2016 Davies and McCarty, 2017). If a secondary dressing is needed, the Exufiber ® dressing range uses capillary action to transfer exudate away from the wound bed into the secondary dressing (Chadwick and McCardle, 2016 Molnlycke Health Care, 2018).Įxufiber ® has a high tensile strength that enables it to stay intact, facilitating one piece removal (Figure 1), which is of particular benefit in cavity wounds, ensuring no dressing fragments are left behind. The dressing also retains fluid when used under compression therapy (Smet et al, 2015 Chadwick and McCardle, 2016 Davies and McCarty, 2017). This gives Exufiber ® the ability to absorb and retain a large volume of exudate, avoiding leakage and associated skin damage. The May 1999 edition of Burns I think had a comparison article.Hydrolock ® Technology uses tightly packed, non-woven polyvinyl alcohol fibres which transform to a gel on contact with wound exudate. I also remember an article from Journal of Clinical Derm but I can't seem to find it right now. These are the two I had in my database, I'd have to do a more intensive search. Topical Bactroban (mupirocin): efficacy in treating burn wounds infected with PubMed PMID: 8150836.Ģ: Strock LL, Lee MM, Rutan RL, Desai MH, Robson MC, Herndon DN, Heggers JP. Collagenase ointment and polymyxin B sulfate/bacitracinspray versus silver sulfadiazine cream in partial-thickness burns: a pilot study. It's expensive also when Bacitracin cost spare change and does just as well1: Soroff HS, Sasvary DH. It's not really new research it's just that the Silvidine isn't supported in what is there. Most people don't clean the Silvidine off well enough when they do dressing changes. What topical do you all use in the acute phase of burns? What is best practice?ĭefinitely Bacitracin it pt is going to be taking care of at home. Plus, the benefit of SSD is that it cools down the burning sensations. I can see infection setting in if the silvadene burn dressing isn't changed BID, but not otherwise. It would be sacrilege to forgo the SSD at my burn center. I have seen SSD heal many many burns plus it is antimicrobial. I was shocked to hear that and I can't find this research, nor have I heard of it. It takes dedicated BID changes and SSD can macerate intact skin) and so he prefers to use just bacitracin and gauze. I started work at a new wound clinic that hardly sees many burns, but whenever we get one, the doctor says that there is "new research" that says silvadene causes terrible infections, is ineffective and it's hard/messy for patients to do at home ( I agree with the hard/messy part. I have read that the burn center at Mass General has long used silver nitrate soaks instead of SSD. They keep in silvadene (SSD) for long term if they aren't getting grafted, then downgrade to xeroform and then perhaps plain bacitracin. At my burn center, we place new burns in silvadene dressings BID (or we have a protocol for silver nitrate soaks if I'm on-call, the burn isn't life-threatening and the attending isn't coming in until the morning) for the few days before they are grafted.
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