A comparison between occlusive and exposure dressing in the management of burn wound
| Autor: | Mohammad Kazem Sharifi-Yazdi, Sara Sharifi-Yazdi, MM Soltan Dallal, Mohammad Reza Akhoondinasab, R. Safdari, Mohammad Reza Pourmand, H. Emadi Koochak, A. Hadayatpour |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Demographics Wound surface Occlusive Dressings Iran Critical Care and Intensive Care Medicine 03 medical and health sciences 0302 clinical medicine Re-Epithelialization medicine Humans Pseudomonas Infections 030212 general & internal medicine Escherichia coli Infections Wound Healing Burn wound integumentary system biology business.industry Occlusive Enterobacteriaceae Infections 030208 emergency & critical care medicine General Medicine Staphylococcal Infections Acinetobacter Burn units equipment and supplies biology.organism_classification Bandages Surgery Occlusive dressing Pseudomonas aeruginosa Wound Infection Emergency Medicine Female Burns business human activities Acinetobacter Infections Burn infections |
| Zdroj: | Burns. 42:578-582 |
| ISSN: | 0305-4179 |
| Popis: | Background and aim Two types of dressing, occlusive and exposure dressing, are commonly used in burn units. A dressing is said to be occlusive if a moist wound surface is maintained when the dressing is in place. This study was designed to compare the effectiveness of occlusive and exposure dressing in controlling burn infections. Patients and methods Two hundred patients with second-degree burns admitted to Mottahari Hospital, Tehran, Iran, over a period of 12 months from May 2012 to May 2013 were studied. They were divided into two groups of 100 each, to receive either occlusive or exposure dressing. During the first week of treatment, wound specimens were obtained by sterile swab and cultured in selective media. Demographics (age and gender), burn areas, cause of burn, length of hospital stay (LOS), type of infections and time to total healing were compared between the two groups. Results Occlusive dressing was more susceptible to microbial contamination and infections than exposure dressing. The mean duration of treatment based on epithelialization and healing in occlusive dressing was longer than for exposure dressing. The most common isolate was Pseudomonas spp., followed by Enterobacter , Escherichia coli , Staphylococcus aureus , Acinetobacter , and Klebsiella spp. Conclusions Exposure dressing was more suitable than occlusive dressing for treating partial-thickness at our center. Pseudomonas aeruginosa was the most common organism encountered in burn infection. |
| Databáze: | OpenAIRE |
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