Silver Foam Dressing Superior to Porcine Xenograft in Pediatric Scalds
- Conditions
- Burns Scald
- Registration Number
- NCT04410497
- Lead Sponsor
- University Hospital, Linkoeping
- Brief Summary
Prospective randomized trial where two dressings has been compared for partial thickness scald burns in children 6 months to 6 years.
- Detailed Description
Aim: The aim of this study was to compare two different treatment regimes for children with partial-thickness scald burns. Burns were treated with either a porcine xenograft (EZderm®, Mölnlycke Health Care, Gothenburg, Sweden) or a silver foam dressing (Mepilex® Ag, Mölnlycke Health Care, Gothenburg, Sweden).
Methods: A prospective randomized clinical trial including 58 children admitted between May 2015 and May 2018 for partial-thickness scalds to The Burn Centre in Linkoping, Sweden. Primary outcome was time to wound closure. Secondary outcomes were pain, need of surgery, wound infection, length of hospital stay, required dressings changes, and labour time.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 58
- Partial-thickness scald burns admitted within 72 hours of injury and with burns suitable for porcine xenograft according to the burn surgeon on duty were eligible and enrolled after (guardians) consenting to participate.
- Children with other severe concomitant cutaneous trauma, skin disease, or children with a known hypersensitivity to silver.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Time to complete wound closure Evaluated 2-3 times per week until complete wound closure, approximatley 15-20 days after injury (injury-complete healing) Calculated from the date of injury to the date when the wound bed was assessed as completely reepithelialized with no necessity for further wound dressings other than a protective dressing against shearing, according to both the attending physician and nurse
- Secondary Outcome Measures
Name Time Method Pain (at wound site) Evaluated before,during and after dressing changes, performed 2-3 times per week until complete wound closure, approximatley 15-20 days after injury. Pain is to evaluated by staff before, during and after wound dressing Changes using the Face, Legs, Activity, Cry, Consolability, behavioural pain scale (FLACC) is a five-category behavioral instrument where each category is scored on a scale of 0-2, resulting in a result between 0-10
Need of surgery Evaluated at dressing changes, performed 2-3 times per week until complete wound closure, approximatley 15-20 days after injury. Evaluated as yes or no (surgery perfomered according to the medical record)
Burn wound infection Evaluated at each dressing change; 2-3 times per week until complete wound closure, approximatley 15-20 days after injury. Children were diagnosed with burn wound infection by the burn surgeon and a consultant physician specialized in infectious diseases if fulfilling at least two of the following criteria based on American Burn Association definition of burn wound infection
* Clinical signs such as localised pain and swelling, spreading erythema (redness), and heat at the affected site.
* Surface wound swab culture presenting a minimum of 106 colony-forming units (CFU)/L (equivalent to the ABA definition of 105 CFU/g) \[29\].
* Systemic signs of infection indicated as a rise of C-reactive protein (CRP) level (reference range \< 10 mg/L for capillary sampling) together with increased body temperature exceeding 38 °C- 48 hours after injury where other sources of infection are excludedLength of hospital stay Evaluated after complete wound closure, approximatley 15-20 days after injury. number of days when the child received in hospital care (including readmissions)
number of dressing changes required Evaluated at dressing changes, performed 2-3 times per week until complete wound closure, approximatley 15-20 days after injury. documented in CRF and in medical records
adverse events Evaluated at dressing changes, performed 2-3 times per week until complete wound closure, approximatley 15-20 days after injury. any local reaction seen in or around wound during the time when study dressings were used
Minutes needed for application and removal of dressing Evaluated at dressing changes, performed 2-3 times per week until complete wound closure, approximatley 15-20 days after injury. documented in CRF and in medical records
Trial Locations
- Locations (1)
The Burn Centre at Linköping University Hospital,
🇸🇪Linköping, Sweden
The Burn Centre at Linköping University Hospital,🇸🇪Linköping, Sweden