550 A retrospective Study of a Zinc-oxide/dimethicone for Pediatric Perineal Burn Treatment

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S123-S124
Author(s):  
Waseem Diab ◽  
Elika Ridelman ◽  
Dawn Cloutier ◽  
Lisa C Vitale ◽  
Justin D Klein ◽  
...  
Keyword(s):  
Zinc Oxide ◽  
Medical Records ◽  
Total Body Surface Area ◽  
Healing Time ◽  
Silver Sulfadiazine ◽  
Control Group ◽  
Post Discharge ◽  
Burn Wounds ◽  
Burn Center ◽  
At Home

Abstract Introduction Silver-based treatments have seen widespread use for the management of burns. Recent literature, however, has demonstrated silver nanoparticles may negatively impact healing time due to its toxic effect on keratinocytes and fibroblasts at higher concentrations. At our institution, an ABA-verified pediatric burn center, the use of a silver sulfadiazine cream for management of post-discharge perineal and genital burn wounds has been replaced by a zinc-oxide/dimethicone spray-on solution initiated for its comparative ease of use. The dimethicone allows the spray to be occlusive without interfering with clothing, yet easily removed. We believed this would improve compliance with at-home treatments. Zinc-oxide’s antimicrobial activity has been demonstrated in vitro and the results from animal studies are promising for burn management. This is the first study of zinc-oxide’s efficacy as a burn management agent in humans. Our burn center’s experience with both silver sulfadiazine and zinc-oxide/dimethicone creates an opportunity to compare these products for the treatment of burn wounds. We sought to analyze the time to healing of burns treated by silver sulfadiazine against zinc-oxide/dimethicone in order to determine if zinc-oxide/dimethicone, in its easy-to-use form, is a viable alternative to silver sulfadiazine. Methods A retrospective review of medical records was conducted at a large pediatric verified burn center. Data on 98 patients was collected from the burn registry and electronic medical records. 58 patients received silver sulfadiazine while 40 received zinc-oxide/dimethicone. Four patients were removed from the silver sulfadiazine group due to incomplete data. All patients were initially treated by the burn team with follow up in burn clinic on a weekly basis until healing was achieved. Results Time to healing was significantly lower in the zinc-oxide/dimethicone intervention group (10.61 +/- .918 days) than the silver sulfadiazine control group (16.88 +/- 2.134 days). The silver sulfadiazine group contained patients with total body surface area burns significantly greater than the zinc-oxide/dimethicone group (mean: 11.57% versus 6.64%); likely due to selective treatment when zinc-oxide/dimethicone was first introduced at our facility. Differences in depth and size of burn wounds may have confound our results and negatively impacted healing time in the control group. No infection, allergic reaction, or other adverse events were noted in any patient. Conclusions Zinc-oxide/dimethicone had a significantly lower healing time than silver sulfadiazine in the treatment of at-home, post-discharge 2nd degree pediatric burns to the perineum, genitalia, suprapubis, and buttocks. Further study is needed to quantify its efficacy.

A Retrospective Study of Touchless Spray for Pediatric Perineal Burns Treatment

2021 ◽  
Author(s):  
Waseem C Diab ◽  
Elika Ridelman ◽  
Lisa Vitale ◽  
Dawn Cloutier ◽  
Justin D Klein ◽  
...  
Keyword(s):  
Antimicrobial Activity ◽  
Zinc Oxide ◽  
Total Body Surface Area ◽  
Healing Time ◽  
Complete Healing ◽  
Small Sample ◽  
Silver Sulfadiazine ◽  
Control Group ◽  
Burn Wounds ◽  
Burn Center

Abstract Background Silver-based topical treatments have seen widespread use for the management of burns due to silver’s antimicrobial activity. Recent studies suggest silver nanoparticles could negatively impact healing time due to their toxic effect on keratinocytes and fibroblasts at higher concentrations [1, 2]. Zinc oxide antimicrobial activity has been demonstrated in vitro [3, 4] and results from animal studies are promising for burn management [5]. At our ABA-verified pediatric burn center, the use of silver sulfadiazine cream (“Silvadene”) has been slowly replaced by a zinc oxide/dimethicone spray-on solution (“Touchless Spray”). The dimethicone allows the spray to be occlusive without interfering with clothing, yet easily removed as opposed to Silvadene cream which requires wound scrubbing to remove and replace; potentially improving patient adherence with at-home treatments. This is the first study of zinc oxide’s efficacy as a burn wound management agent in humans. Objectives We sought to compare the efficacy of silver sulfadiazine and that of zinc oxide/dimethicone to determine if zinc oxide/dimethicone, in its easy-to-use form, is a viable alternative to silver sulfadiazine. Methods We conducted a retrospective review of the electronic medical records of all patients treated for perineal, genital, perianal, suprapubic or buttocks burn wounds at a large pediatric verified burn center from January 1, 2014 to October 28, 2019. Only patients with superficial 2 nd degree scald burns that arrived at our institution less than 24 hours after injury were included. Of a total 52 patients identified, 27 patients received silver sulfadiazine while 25 received zinc oxide/dimethicone. After initial evaluation and treatment by the burn team, all patients were followed at our weekly burn clinic until complete healing was achieved. We retrospectively extracted demographic data, wound size, depth, and location, management strategies, time to complete healing, and incidence of infectious and non-infectious complications. Results The control group contained patients with total body surface area burns significantly greater than the zinc oxide/dimethicone group likely due to selective treatment when zinc oxide/dimethicone was first introduced at our facility. Time to healing was significantly lower in the zinc oxide/dimethicone intervention group (12.16 +/- 8.644 days) than the silver sulfadiazine control group (16.89 +/- 11.342 days). No infections were observed. Limitations include the relatively small sample sizes and differences in size of burn wounds that confounded our results and likely negatively impacted healing time in the control group. Conclusion The zinc oxide/dimethicone group had a significantly lower healing time than silver sulfadiazine group in the treatment of pediatric burns to the perineum, genitalia, suprapubis, and buttocks. Zinc oxide/dimethicone may prove to be a useful tool for treating burn wounds and further study is needed to determine its efficacy and safety.

673 Effect of Subcutaneous Topical Ozone Therapy on Second Degree Burn Wounds in Rats: An Experimental Study

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S193-S193
Author(s):  
Emre Karakaya ◽  
Aydincan Akdur ◽  
H Ebru ◽  
Ayvazoglu Soy ◽  
Alev Ok Atilgan ◽  
...  
Keyword(s):  
Wound Healing ◽  
Healing Process ◽  
Silver Sulfadiazine ◽  
Male Rats ◽  
Control Group ◽  
Ozone Therapy ◽  
Burn Wounds ◽  
Degree Burn ◽  
Significant Difference ◽  
Second Degree

Abstract Introduction Burn is one of the most severe traumas that causes coagulative destruction of the skin. The use of various products that accelerate wound healing in patients with burn may affect the patient’s survival and reduce the complications that may be seen. In the present study we aimed effects of subcutaneous ozone injection on second degree burn wound. Methods A total of 72 Sprague-Dawley male rats included in the study were divided randomly into three groups (control group (CG), silver sulfadiazine group (SG), ozone group (OG)) and each group was divided randomly two subgroups (as sacrificed on d7 and on d14).A deep second degree scald burns were created on the lower back. In CG subcutaneous 0.9% serum saline was injected daily into the burn area. In SG, burns were dressed with silver sulfadiazine daily and in OG subcutaneous ozone was injected daily into the burn area. Tissue hydroxyproline level measurement and histopathological evaluation were done. Results When the groups were compared in terms of weight change, no significant difference was found on the 7th and 14th days. In the evaluation made in terms of tissue hydroxyproline, tissue hydroxyproline level in OG was found to be significantly higher on both the 7th and 14th days (p < 0.001). In histopathological evaluations, it was determined that wound healing in OG was significantly higher than in the other groups. Conclusions According to the results, subcutaneous ozone therapy is more effective than silver sulphadiazine in the healing process of second-degree burn wounds and it can be safely used in the treatment of burn wounds.

scholarly journals A RANDOMIZED, OPEN LABEL, COMPARATIVE STUDY OF LYSINE CREAM WITH STANDARD TREATMENT IN PATIENTS WITH SECOND DEGREE SUPERFICIAL BURNS

2017 ◽  
Vol 10 (5) ◽  
pp. 219
Author(s):  
Saravanan Periyannan ◽  
Chenthamarai G
Keyword(s):  
Comparative Study ◽  
Surface Area ◽  
Body Surface Area ◽  
Body Surface ◽  
Total Body Surface Area ◽  
Silver Sulfadiazine ◽  
Control Group ◽  
Open Label ◽  
Total Body ◽  
Second Degree

Objective: To evaluate the efficacy and tolerability of lysine cream in patients with second-degree superficial burns.Methods: In this randomized, open label, comparative study patients with second degree superficial burns received either combination of lysine cream 15% and silver sulfadiazine cream 1% or sulfadiazine cream 1% alone, twice daily for period of 4 weeks. The primary outcome, pain, discharge, size and total body surface area (TBSA) were assessed in each visits.Results: Patients in the study group showed significant change than the control group in pain, discharge, size, and TBSA during the first 4 weeks after treatment. In addition, significantly more patients in lysine group had adequate relief of itching and increased epithelialization.Conclusions: Combination of lysine cream and silver sulfadiazine cream for 4 weeks provided significant relief of pain, discharge, size, TBSA, and itching. Lysine cream was well tolerated.Keywords: Growth factor, Angiogenesis, Lysine, Body surface area.

The Efficacy of Five Different Wound Dressings on Some Histological Parameters in Children With Partial-Thickness Burns

2020 ◽  
Vol 41 (6) ◽  
pp. 1179-1187 ◽  
Author(s):  
Birsen Harma ◽  
Mehmet Gül ◽  
Mehmet Demircan
Keyword(s):  
Stratum Corneum ◽  
Gold Standard ◽  
Statistical Significance ◽  
Healing Process ◽  
Total Body Surface Area ◽  
Wound Dressings ◽  
Control Group ◽  
Burn Wounds ◽  
Partial Thickness ◽  
Partial Thickness Burns

Abstract An ideal dressing should ensure that the wound remains moist with exudates but not macerated. Currently, there is no dressing available to suit all wounds, at all stages of the healing process. Although silver-containing dressings are the gold standard for burn wound care, few high-level trials have been completed comparing the clinical utilities of these dressings. In our study, five different types of wound dressings: carboxymethyl cellulose hydrofiber dressing with ionized silver (CMCH-Ag), polyethylene-polyethylene terephthalate aqua fiber dressing with elementary silver (PPAF-Ag), calcium alginate (CA), calcium + zinc alginate (CZA), and 0.2% nitrofurazone-embedded (NF) gauze dressings were compared in regard to histopathological parameters. Children aged between 0 and 18 years with small or middle-sized partial-thickness burns that affected less than 30% of the total body surface area were included in this study. The study groups (CMCH-Ag, PPAF-Ag, CA, and CZA) and the control group (NF) were randomly attained. Wound healing was evaluated by punch biopsies on the 21st day. The thickness of the stratum corneum and the epithelium, the number of papillae, and the papillary length were calculated and compared. The histological parameters of healing, except the stratum corneum thickness, did not show any statistical significance among the groups (P > .05). The dressings that included silver, calcium, or zinc showed useful and similar effects in noninfective burn wounds when compared with nitrofurazone-only dressings. Thus, it may be concluded that silver-containing wound dressings should not be considered as the gold standard in noninfective partial-thickness burn wounds in children.

726 The Use of Xeroform Dressings for Partial Thickness Scald Burn Injuries in a Verified Pediatric Burn Center

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S194-S195
Author(s):  
Lisa C Vitale ◽  
Jennifer Livingston ◽  
Erica Curtis ◽  
Katherine Oag ◽  
Christina M Shanti ◽  
...  
Keyword(s):  
Burn Injury ◽  
Wound Care ◽  
Total Body Surface Area ◽  
Burn Injuries ◽  
Wound Complications ◽  
Burn Wound ◽  
Burn Center ◽  
Partial Thickness ◽  
Partial Thickness Burn ◽  
At Home

Abstract Introduction For children who have suffered a burn injury one of the greatest challenges is managing pain with an adequate yet practical burn wound dressing that will ultimately be managed at home. Medical product companies have created a variety of wound care products available on the market. These products are advertised to be more superior over one another in categories such as decrease in wound infections, minimization of pain, ease of dressing application, increased dressing wear time, and better wound healing. With all the options for burn wound care there are many factors to consider when choosing a burn dressing such as cost, ease of dressing for families at home, comfort, and efficacy. At our ten year verified pediatric burn center we have tried many different burn wound care products, however we have found Xeroform and bacitracin to be the most practical and easy to use for our patient population. Methods A retrospective chart review was performed from 2016–2018 of all cascading scald injuries to children 0–5 years of age treated at our verified pediatric burn center. 179 patients were included in this review. Of those patients a total of 52 patients were excluded, 28 patients had no follow up, 21 patients received alternate dressings, and 3 patients had full thickness injuries requiring a split thickness skin graft (STSG). Charts were reviewed for total body surface area (TBSA), length of stay (LOS), discharge dressing type, complications, and time to healing. All patients included routinely received consistent application of the Xeroform and bacitracin. Results 127 patients discharged with Xeroform dressings were included in this study with an average age of 1.4 years old (range 0–5 years) and average TBSA of 2.5% (range 0.25–13%). The average LOS was 1.6 days (range 1–10 days). In this sample 32 (25%) patients were healed within 7 days. 77 (61%) patients were healed within 7–14 days. 11 (9%) patients were healed within 14–21 days. 7 (5%) patients were healed in greater than 21 days. There were no wound complications identified within this study group. Conclusions Using Xeroform as our standard of practice has streamlined the care provided to our patients. We have demonstrated consistent effective re-epithelization, protection from infection, and ease of dressings for families and burn providers. In our experience Xeroform has provided a versatile way to care for partial thickness burn injuries. Applicability of Research to Practice We suggest Xeroform and bacitracin dressings be used for partial thickness burn injuries in patients under 5 years of age. This dressing may be superior to other products because it allows for bathing while providing good wound epithelization and is easy to use.

scholarly journals Evaluation of chitosan gel with 1% silver sulfadiazine as an alternative for burn wound treatment in rats

2009 ◽  
Vol 24 (6) ◽  
pp. 460-465 ◽  
Author(s):  
Ednaldo Gomes do Nascimento ◽  
Tarcísio Bruno Montenegro Sampaio ◽  
Aldo Cunha Medeiros ◽  
Eduardo Pereira de Azevedo
Keyword(s):  
Healing Process ◽  
Healing Time ◽  
Silver Sulfadiazine ◽  
Topical Formulation ◽  
Burn Wound ◽  
Burn Wounds ◽  
Group Iii ◽  
Group I ◽  
New Formulation ◽  
Chitosan Gel

PURPOSE: Evaluation of the rheological, biological and therapeutic properties of a new topical formulation consisting of chitosan gel containing 1% silver sulfadiazine, as an alternative for the treatment of burn wounds. METHODS: An experimental study was done with 21 Wistar rats divided into three groups. Group I was treated with chitosan gel without the antimicrobial, group II was treated with chitosan gel with 1% silver sulfadiazine and group III was treated with commercially available 1% silver sulfadiazine cream. RESULTS: Due to its pseudoplastic characteristic and good bioadhesiveness, the chitosan gels showed a satisfactory retention time over the wounds. No statistical difference was found in the amount of drug released from the chitosan gel and commercially available cream, as well as in the healing time among the groups. Wounds treated with chitosan gel with silver sulfadiazine showed a higher fibroblast production and a better angiogenesis than in the other groups, which are important parameters on the evolution of the healing process. CONCLUSION: The topical use of chitosan gel in association with silver sulfadiazine ameliorated the neovascularization and inflammatory reaction in burn wounds. This new formulation showed advantageous rheological properties and efficient release of the drug.

scholarly journals Preparation and evaluation of burns wound healing ointment base of leaves and stem bark of Anthocleista djalonensis (L) extract using animal model.

2020 ◽  
Vol 1 (02) ◽  
pp. 25-32
Author(s):  
Chinenye Nnenna Ugwu ◽  
Ezinwanne Nneoma Ezeibe ◽  
Chinekwu Sherridan Nwobi ◽  
Chinelo Charity Eze ◽  
Somtochukwu Amuche Evurani ◽  
...  
Keyword(s):  
Wound Healing ◽  
Stem Bark ◽  
Positive Control ◽  
Silver Sulfadiazine ◽  
Wound Contraction ◽  
Bark Extract ◽  
Control Group ◽  
Burn Wound ◽  
Burn Wounds ◽  
Ointment Base

BACKGROUND: Burn wounds are inescapable life events especially in low income areas. Contamination of the burn wound site results in localized wound infection, hence the need for potent phytochemicals readily available for wound healing. The use of stem bark of Anthocleista djalonensis efficacy for burn wound has not been evaluated to the best of our knowledge. AIM: The study is aimed at evaluating and comparing the wound healing potential of ointment base of leaves and Stem bark of Anthocleista djalonensis on burn wounds created on wistar albino rats. METHODS: The leaves and Stem bark of Anthocleista djalonensis collected were extracted using 95%v/v methanol and phytochemical analysis conducted. Simple ointments of varying concentrations were formulated to screen for wound healing activity using the burn wound model on experimental rats grouped into six (n=4). Group 1 was treated with silver sulfadiazine cream (positive control), group 2 with ointment base (negative control), group 3 with 1% stem bark extract ointment, group 4 with 2% stem bark ointment, group 5 with 1% leave extract ointment, and group 6 with 2% leave extract ointment.  All animals were anesthetized before the creation of burn wounds. Measurement was taken on day zero and the wound was left untreated for 48 hours in order to allow bacterial colonization before daily treatment of the wound for 16 days. RESULTS: The result of the phytochemical screening revealed that both extract of Anthocleista djalonensis contains flavonoids, tannins and saponins. On day 2, 1% stem bark, 2% stem bark and 1% leaf extract had 16%, 15%, and 10% wound contraction respectively which was higher than the 8.5% wound contraction of silver sulfadiazine. Also as the concentration of the extract increased, the wound healing effect also increased as seen by the percentage wound contraction on day 16 for all treatment.  CONCLUSION: The findings of the study have shown that methanolic extracts of stem bark and leaf of Anthocleista djalonensis contained bioactive constituents which have burn wound healing activity. The stem bark extract showed better activity when compared with the leaf extract and also the positive control (silver sulfadiazine).    

scholarly journals Comparison of topical zinc oxide and silver sulfadiazine in burn wounds: an experimental study

2012 ◽  
Vol 18 (5) ◽  
pp. 376-383 ◽  
Author(s):  
Kemal Arslan ◽  
Omer Karahan ◽  
Ahmet Okus ◽  
Yasar Unlu ◽  
Mehmet Ali Eryilmaz ◽  
...  
Keyword(s):  
Experimental Study ◽  
Zinc Oxide ◽  
Silver Sulfadiazine ◽  
Burn Wounds

scholarly journals Study of healing effects of the “Fomitop” gel on artificial burn wounds

2021 ◽  
Vol 31 (3) ◽  
pp. 20-26
Author(s):  
Undraa Bold ◽  
Gerelt Gaadan ◽  
Byambajav Tseesuren ◽  
Undrakhbayar Tserendorj ◽  
Naranmandakh Shinen
Keyword(s):  
Staphylococcus Aureus ◽  
Wound Healing ◽  
Healing Rate ◽  
Histological Analysis ◽  
Micrococcus Luteus ◽  
Silver Sulfadiazine ◽  
Control Group ◽  
Standard Group ◽  
Burn Wounds ◽  
Wound Healing Rate

As a result of previous studies, we have established the “Fomitop” gel with extracts from the fungus Fomitopsis officinalis has antibacterial properties against some strains such as Staphylococcus aureus, Micrococcus luteus, Bacillus subtilis, and Enterococcus faecalis. Based on these results, we have conducted this research to identify the “Fomitop” gel has a healing effect on the burn wound. For this purpose, were conducted the comparative analysis of healing effects of the “Fomitop” gel with the standard ointment - silver sulfadiazine cream, on artificial burn wounds created on the back skin of a mouse. Total 27 Balb/c mice were included in the experiment and they are divided into three equivalent groups. In the first treatment, the group was applied to the “Fomitop” gel, the second standard group was applied silver sulfadiazine cream, and the third control group untreated by any ointment. On the 1, 5, 12, 21, and 35th days after wound creation, were taken the histological samples from the wound and near areas of the wound. The wound healing process was evaluated based on histological analysis. The burn wounds of the treatment group of mice (applied “Fomitop” gel) fully healed on the 33rd day of the experiment. While the wound healing rate of the standard group of mice (applied silver sulfadiazine cream) was 92.2% on the same day. And the control group mice wound healing rate was 78% (p<0.05). The results of the histological analysis were confirmed an active regeneration of epithelial cells and wound healing in the treatment group. It was good compared to the standard and control groups. As a result of this study, were determined the “Fomitop” gel application is accelerated the tissue regeneration of burn wounds and so on heals wound in a short time. Фомитоп гелин түрхлэгийн түлэнхийн шарханд үзүүлэх үйлдлийн судалгаа Бид өмнө гүйцэтгэсэн хар модны агил мөөгнөөс бэлтгэсэн “Фомитоп” гелин түрхлэгийн антибиотик төст үйлдлийг шалгах шинжилгээгээр Staphylococcus aureus, Micrococcus luteus, Bacillus subtilis, Enterococcus faecalis зэрэг бактерийн ургалтыг дарангуйлдаг болохыг илрүүлсэн. Уг үр дүнд үндэслэн “Фомитоп” гелин түрхлэг шархыг идээлүүлэхгүйгээр эдгээх боломжтой эсэхийг тогтоох энэхүү судалгааг гүйцэтгэв. Энэ зорилгоор “Фомитоп” гелин түрхлэгийг хулганы нурууны арьсанд үүсгэсэн химийн гаралтай түлэгдэлтийн зохиомол шарханд үзүүлэх нөлөөг стандарт эм болох мөнгөний сульфадиазин түрхлэгтэй харьцуулан судлав. Судалгаанд Balb/c үүлдрийн нийт 27 цагаан хулганыг тэнцүү тоогоор гурван бүлэгт хувааж хамруулав. Үүнд: 1-р бүлэг-агил мөөгнөөс бэлтгэсэн гелин түрхлэгийг хэрэглэсэн туршилтын бүлэг, 2-р бүлэг-мөнгөний сульфадиазин түрхлэг хэрэглэсэн стандарт бүлэг, 3-р бүлэг түрхлэг хэрэглээгүй хяналтын бүлэг. Шарх үүсгэснээс хойш 1, 5, 12, 21, 35 хоногуудад шарх, түүний ойр орчмын эдээс дээж авч гистологийн шинжилгээ хийж, шархны эдгэрэлтийг үнэлсэн. “Фомитоп” гелин түрхлэгийг хэрэглэсэн эмчилгээний бүлгийн түлэнхийн шарх туршилтын 33 дахь хоногт бүрэн эдгэрсэн бол мөнгөний сульфадиазин түрхлэг хэрэглэсэн стандарт бүлгийн шархны эдгэрэлт тухайн хоногт 92.2%, харин эм хэрэглээгүй хяналтын бүлгийн шархны эдгэрэлт нь 78% байлаа (p<0.05). Мөн гелин түрхлэг хэрэглэсэн бүлэг нь стандарт болон хяналтын бүлэгтэй харьцуулахад түлэнхийн шархны эдгэрэл, хучуур эсийн нөхөн төлжилт идэвхтэй явагдаж байгаа нь гистологийн шинжилгээний үр дүнгээр батлагдав. Судалгааны үр дүнд “Фомитоп” гелин түрхлэг нь түлэнхийн шархны нөхөн төлжилтийг хурдасгах, улмаар богино хугацаанд аниулах үйлдэл үзүүлж байгааг тогтоов.  Түлхүүр үг: Агил мөөг, мөнгөний сульфадиазин, гистологийн шинжилгээ, шархны эдгэрэл

Clinical Impact of eCASH Combined with Nano-Silver Dressings for the Treatment of II Burn Wounds

2021 ◽  
Vol 11 (3) ◽  
pp. 359-365
Author(s):  
Minlie Yang ◽  
Xiaojin Zhou ◽  
Xian Ding ◽  
Yugang Zhu ◽  
Donglin Jiang ◽  
...  
Keyword(s):  
Effective Rate ◽  
Healing Time ◽  
Control Group ◽  
Observation Group ◽  
Bacterial Detection ◽  
Nano Silver ◽  
Burn Wounds ◽  
Degree Burn ◽  
Positive Rate ◽  
Second Degree

92 cases of second degree burn wounds treated in our hospital from January 2019 to December 2019 were selected as the research objects, and the clinical effect of eCASH concept treatment combined with nano silver dressing on the second degree burn wounds was studied. The patients were randomly divided into control group (n = 46) and observation group (n = 46). The control group was treated with conventional treatment combined with eCASH concept nursing, and the observation group was treated with eCASH concept combined with nano silver dressing. We found that the effective rate of the observation group was 95.65% higher than that of the control group (76.09%); the wound healing time of the observation group was significantly lower than that of the control group; the average VAS pain score of the observation group during wound treatment was significantly lower than that of the control group The total positive rate of bacterial detection in the observation group was 8.70%, which was lower than 28.26% in the control group; the incidence of complications in the observation group was 2.17% lower than that in the control group (17.39%); the differences were statistically significant (all P < 0.05). These results indicate that eCASH concept combined with nano silver dressing in the treatment of second degree burn wounds has a significant effect, which can accelerate the recovery, reduce the pain, and effectively reduce the total positive rate of bacterial detection and the incidence of complications.

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