The efficacy of collagen based dressings for treatment of scald burns in under 5 years paediatric population: a non-comparative, prospective single centre experience
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20183963Keywords:
Pediatric burns, Scald burn, CollagenAbstract
Background: One of the major challenges faced worldwide is management of burn wounds, particularly among the pediatric population. Immense research is going on to overcome the challenges associated with survival of these patients and healing of burnt areas. Newer dressing materials are being developed and one of them is collagen. The collagen is biocompatible. The aim was to achieve earlier and better healing of wounds, and to obviate the need for frequent change of dressings; which besides being painful, is quite troublesome in pediatric population.
Methods: A prospective study was conducted in 38 patients of scald burns under-5 years of age, from October 2016 till July 2017. After thorough cleaning of burn wounds and thorough rinsing of collagen sheets with normal saline, the wounds were covered with sheets of collagen. Paraffin with chlorhexidine impregnated gauze dressing was applied over the sheet of collagen followed by dry gauze, cotton and bandage application. First dressing was opened after 5 days and then after 3 to 4 days.
Results: The wounds healed in 10 to 14 days in most of them. Infection developed in one case, warranting removal of collagen sheet. None developed any adverse reaction to the application of collagen dressing.
Conclusions: We conclude that collagen based dressing is a very good modality of treatment for the burn wounds with advantages of being cost effective, requiring lesser number of dressings and blood transfusions, and shorter duration of hospital stay.
References
Khan TS, Bijli AH, Wani AH. Microbiological and quantitative analysis of burn wounds in the burn unit at a tertiary care hospital in Kashmir. Indian J Burns. 2016;24:62-8.
Waghmare M, Shah H, Tiwari C, Makhija D, Desale J, Dwivedi P. Collagen dressings in the management of partial thickness pediatric burns: Our experience. Indian J Burns. 2016;24:53-7.
Vartak AM. Care of the burn wound: As I do it. Indian J Burns. 2016;24:3-7.
Ramesh BA, Jayalakshmi BK, Mohan J. A comparative study of collagen dressing versus petrolatum gauze dressing in reducing pain at the donor area. J Cutan Aesthet Surg. 2017;10:18-21.
Singh O, Gupta SS, Soni M, Moses S, Shukla S, Mathur RK. Collagen dressing versus conventional dressings in burn and chronic wounds: A retrospective study. J Cutan Aesthet Surg. 2011;4:12-6.
Kumar R, Parashar A. Special consideration in pediatric burn patients; Indian J Plast Surg. 2010;43(1):43-50.
Marriappan N. Collagen dressing for thermal burns. Sch J App Med Sci. 2015;3(1):58-61.
Stenzel KH, Miyata T, Rubin AL. Collagen as a biomaterial. Ann Rev Biophys Bioeng. 1974;3:231-53.
Veves A, Sheehan P, Pham HT. A randomized, controlled trial of promogran (a collagen/oxidized regenerated cellulose dressing) vs standard treatment in the management of diabetic foot ulcers. Arch Surg. 2002;137:822-7.
Sreekumar NC, Bhandari PL, Praveen N. Comparative study of collagen and paraffin gauze dressing on skin graft donor site. Indian J Burns. 2015;23:81‑3.
Rai R, Sudarshan SH, Dsouza R, Saldhana E, Aithala PS. Collagen dressing versus heparin dressing in burn wound management. J Evol Med Dent Sci. 2013;2:9124‑30.
Shettigar UR, Jagannathan R, Natarajan R. Collagen film for burn wound dressings reconstituted from animal intestines. Artif Organs. 1982;6(3):256-60.
Gao ZR, Hao ZQ, Li Y, Im MJ, Spence RJ. Porcine dermal collagen as a wound dressing for skin donor sites and deep partial skin thickness burns. Burns. 1992;18(6):492-6.
Lazovic G, Colic M, Grubor M, Jovanovic M. The Application of collagen Sheet in Open Wound Healing. Ann Burns Fire Disasters. 2005;18(3):151-6.
