None listed
Conditions
Brief summary
At the Royal Children's Hospital in Brisbane the standard of care in burns dressings for small to medium partial thickness burns has changed over the years. Currently, silver containing dressings are used to prevent infection and promote healing. However despite the large number of burns dressings available on the market, very few high level trials have been conducted in children or adults. This study aims to determine the effect of various silver and silicone containing burns dressings for the treatment of partial thickness burns in children. The study hypothesises that: 1. Rate of healing, need for grafting and subsequent scarring from a burn wound is partly determined by the choice of dressing used. 2. The choice of dressings used can partly assist with pain and anxiety strategies during dressing change procedures; and impacts on a child's comfort and engagement in activities. 3. The dressing which best fulfils the above qualities will also be the most cost effective.
Interventions
A comparison of three dressings currently being used. Group 1: Burn wound will be dressed with Acticoat (a silver containing dressing without a silicone skin interface). Participants will have their dressing changed twice weekly until the wound re-epithelialises or grafting is required; Group 2: Burn wound will be dressed with Acticoat and Mepitel (a silicone coated nylon grid dressing) Participants will have their dressing changed twice weekly until the wound re-epithelialises or grafting occur
A comparison of three dressings currently being used. Group 1: Burn wound will be dressed with Acticoat (a silver containing dressing without a silicone skin interface). Participants will have their dressing changed twice weekly until the wound re-epithelialises or grafting is required; Group 2: Burn wound will be dressed with Acticoat and Mepitel (a silicone coated nylon grid dressing) Participants will have their dressing changed twice weekly until the wound re-epithelialises or grafting occurs; Group 3: Burn wound will be dressed with Mepilex Ag (soft foam, silver containing dressing with safe-tac technology). Participants will have their dressing changed twice weekly until the wound re-epithelialises or grafting occurs.
Sponsors
The University of Queensland
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
1 No limit to 15 Years
Healthy volunteers
No
Inclusion criteria
Children with acute superficial partial to deep partial thickness burn injuries <10% TBSA (total body surface area), presenting to Royal Children's Hospital, Brisbane within 72hours of injury.
Exclusion criteria
Superficial and full thickness burns Burns >10% TBSA Known sensitivity to silver Chemical and friction burns Non-English speaking Cognitive impairment
Outcome results
None listed