Abstract

SOLIS F, FRESIA; CORTES P, LILIANA; SAAVEDRA O, ROLANDO  and  RAMIREZ C, CLAUDIA. Effectiveness of silver sulfadiazine in reepithelization of hot liquid burns affecting neutral zones in children. Rev. chil. pediatr. [online]. 2007, vol.78, n.6, pp.607-614. ISSN 0370-4106.  http://dx.doi.org/10.4067/S0370-41062007000700006.

Background: The treatment of burn injuries with Silver Sulfadiazine is used in many burn centers. Objective: Determine the duration of clinical reepithelization in children treated with enriched Silver Sulfadiazine, according to sex, age, neutral zone burned (thorax - abdomen - limbs without joint damage), extention, presence of infections, bandage adherence and derivation to rehabilitation. Method: Retrospective review of 263 clinical records during 2004 that fulfilled the items for inclusion (children age under 15 years-old, with burn injuries of partial thickness caused by scalding liquids, treated at COANIQUEM Acute Unit with Silver Sulfadiazine plus Lidocaine plus Vitamin A and not needing grafts). Normal and median position between period of clinical reepithelization and variables considered with p < 0.05 were proven. Results: The median for clinical reepithelization was 10 days (range 5 - 23); if rehabilitation was required: 15 days and not required: 9 days (p < 0.0001). Lower limbs, children under 5 years-old and girls need longer reepithelization time. 0.4%> cases presented infections and 1.1% gauze adherence. Conclusions: Duration of clinical reepithelization with enriched Silver Sulfadiazine, associated to low infection rate and few adverse effects make it highly efficient for ambulatory treatments

Keywords : Children; partial thickness burns; scalding liquids; reepithelization time; Silver Sulfadiazine; effectiveness; neutral zone.

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