Comparative study of collagen sheet versus paraffin gauze with silver sulfadiazine cream dressing for superficial partial thickness burn wounds: A Cross- Sectional Study.

Soni  Kumari; Divya  Kumari; Anant  Parashar; S.K. Gupta

doi:10.51168/sjhrafrica.v6i6.1895

Authors

Soni Kumari Mch Resident, Department of Plastic Surgery, Patna Medical College Hospital, Patna, Bihar, India
Divya Kumari Mch Resident, Department of Plastic Surgery, Patna Medical College Hospital, Patna, Bihar, India
Anant Parashar Mch Resident, Department of Neurosurgery, All India Institute of Medical Sciences, Patna, Bihar
S.K. Gupta Assistant Professor, Department of Plastic and Reconstructive Surgery, Patna Medical College Hospital, Patna, Bihar, India

DOI:

https://doi.org/10.51168/sjhrafrica.v6i6.1895

Keywords:

Silver sulfadiazine, Burns, Wound Healing, Collagen sheet, Dressing

Abstract

Background

It has been observed that a major health issue that generally affects both children and adults is burns. The superficial dermal layer and the epidermal skin layer are both impacted by superficial burns. In cases of deep or full-thickness burns, deeper dermal tissues, including blood vessels and nerves, may sustain damage.

Objectives

The need to conduct the study was mainly to compare the effectiveness of collagen sheet vs SSD with paraffin gauze dressing clinically for superficial partial thickness burn management.

Materials and Methods

It was a cross-sectional study. The study was carried out at the Department of Plastic and Reconstructive Surgery, Patna Medical College and Hospital (PMCH), Patna, Bihar, India. The study took place for one year, i.e., from October 2023 to October 2024. In all, 30 participants were enrolled. Twenty patients received traditional SSD with paraffin gauze dressing, while ten patients received collagen dressing.

Results

The study included 30 patients (mean age 32.5 ± 8.4 years; 60% male, 40% female; mean burn size 8.6% TBSA), with collagen dressing showing significantly fewer dressing changes, reduced analgesic use, faster healing, and lower infection rates compared to SSD with paraffin gauze. In most cases, Group B patients needed analgesic treatment for a week or longer, whereas Group A patients needed oral analgesics for two to three days. Following three weeks of monitoring, every incision had fully healed.

Conclusion

The study found that when it came to treating superficial partial thickness burns, collagen sheet dressing worked better than SSD with paraffin gauze.

Recommendation

Collagen dressing is recommended as a superior alternative to SSD with paraffin gauze for managing superficial partial thickness burns due to its faster healing and reduced patient discomfort.

References

Wasiak J, Cleland H, Campbell F, Spinks A. Dressings for superficial and partial thickness burns. Cochrane Database of Systematic Reviews. 2013(3). https://doi.org/10.1002/14651858.CD002106.pub4

Rowan MP, Cancio LC, Elster EA, Burmeister DM, Rose LF, Natesan S, Chan RK, Christy RJ, Chung KK. Burn wound healing and treatment: review and advancements. Critical care. 2015 Dec;19:1-2. https://doi.org/10.1186/s13054-015-0961-2

Atiyeh BS, Costagliola M, Hayek SN, Dibo SA. Effect of silver on burn wound infection control and healing: review of the literature. Burns. 2007 Mar 1;33(2):139-48. https://doi.org/10.1016/j.burns.2006.06.010

Sano S, Fujimori R, Takashima M, Itokawa Y. Absorption, excretion and tissue distribution of silver sulphadiazine. Burns. 1982 Mar 1;8(4):278-85. https://doi.org/10.1016/0305-4179(82)90010-9

Park SN, Lee HJ, Lee KH, Suh H. Biological characterization of EDC-crosslinked collagen-hyaluronic acid matrix in dermal tissue restoration. Biomaterials. 2003 Apr 1;24(9):1631-41. https://doi.org/10.1016/S0142-9612(02)00550-1

Motta G, Ratto GB, De Barbieri A, Corte G, Zardi L, Sacco A, Castagnola M. Can heterologous collagen enhance the granulation tissue growth? An experimental study. The Italian journal of surgical sciences. 1983;13(2):101-8.

Singh A, Bhatnagar A. Management of superficial partial thickness burn with collagen sheet dressing compared with paraffin gauze and silver sulfadiazine. Annals of burns and fire disasters. 2020 Sep 30;33(3):233.

Mehta MA, Shah S, Ranjan V, Sarwade P, Philipose A. Comparative study of silver-sulfadiazine-impregnated collagen dressing versus conventional burn dressings in second-degree burns. Journal of Family Medicine and Primary Care. 2019 Jan 1;8(1):215-9. https://doi.org/10.4103/jfmpc.jfmpc_291_18

Norman AT, Judkins KC. Pain in the patient with burns. Continuing education in anaesthesia, critical care & pain. 2004 Apr 1;4(2):57-61. https://doi.org/10.1093/bjaceaccp/mkh016

White RJ. A historical overview of the use of silver in wound management. British Journal of Community Nursing. 2001 Aug;6(Sup1):3-8. https://doi.org/10.12968/bjcn.2001.6.Sup1.12619

Polk Jr HC. Treatment of severe burns with aqueous silver nitrate (0.5 percent). Annals of Surgery. 1966 Oct;164(4):753. https://doi.org/10.1097/00000658-196610000-00018

Barret JP, Dziewulski P, Ramzy PI, Wolf SE, Desai MH, Herndon DN. Biobrane versus 1% silver sulfadiazine in second-degree pediatric burns. Plastic and reconstructive surgery. 2000 Jan 1;105(1):62-5. https://doi.org/10.1097/00006534-200001000-00010

Shanmugasundaram N, Sundaraseelan J, Uma S, Selvaraj D, Babu M. Design and delivery of silver sulfadiazine from alginate microspheres‐impregnated collagen scaffold. Journal of Biomedical Materials Research Part B: Applied Biomaterials: An Official Journal of The Society for Biomaterials, The Japanese Society for Biomaterials, and The Australian Society for Biomaterials and the Korean Society for Biomaterials. 2006 May;77(2):378-88. https://doi.org/10.1002/jbm.b.30405