Here - EWMA 2013

E-POSTER PRESENTATIONS
EP 432
E-Poster: Acute Wounds
Enzyme alginogels – hydrated alginates with an embedded
anti-bacterial enzyme system in the Treatment of
Pediatric Burn Patient: Our Experience
Giancarlo delli Santi 1 , Marco Palombo 1 , Agostino Bruno 1 , Carmela La Greca 2 ,
Paolo Palombo 1
1 Burn Centre and Plastic and Reconstructive Surgery Department, S. Eugenio Hospital
(Roma, Italy);
2 School of Plastic and Reconstructive Surgery ”A. Gemelli” Hospital -Catholic University
S.C (Roma, Italy).
Aim: The goal, in the treatment of deep second-degree burn, is to achieve, in the
shortest time, the debridement of the wound to prepare the patients for skin grafting, in
the treatment of the superficial second-degree burn, is to achieve, avoiding infections
and preventing scarring, the Restitutio ad integrum. The aim of this study is to evaluate
the clinical efficacy of enzyme alginogels – hydrated alginates with an embedded antibacterial
enzyme system in the second degree burns in a pediatric population.
Methods: Enzyme alginogels – hydrated alginates with an embedded anti-bacterial
enzyme system. In this prospective randomized study the products were used as wound
dressing in 27 patients with second degree burns: 16 male and 11 female from 4 months
old to 14 y.o. (average 5 y.o.). The dressing was applied and kept in situ covered by
paraffin gauze. We evaluated the ease of application, the pain, home management, the
times of healing and the cosmetic result.
Result: The medical treatment promoted a faster and complete wound healing whitout
major complications; no one children had to stop treatment. The the authors show
details.
Conclusion: Short terms topical application of the enzyme alginogels – hydrated
alginates in pediatric population with second degree burns promoted faster and
complete wound healing avoiding infections thanks to its formulation. In deep second
degree burn allows the chemical debridement is preparatory to of skin graft.
This study encouraged the enzyme alginogels – hydrated alginates with an embedded
anti-bacterial enzyme systemtreatment for II burns.
E-POSTER: ACUTE WOUNDS
EP 433
E-Poster: Acute Wounds
EXPERIENCE OF USING SILVER-CONTAINING HYDROCOLLOID WOUND
DRESSINGS IN TREATMENT OF CHILDREN WITH LOCAL BURNS
Vera Soshkina 1 , Liudmila Budkevich 1 , Tatiana Astamirova 1
1 Moscow Scientific Institute of Paediatrics and Children Surgery (Moscow, Russia).
Local treatment of young children with local burns remains an actual problem of pediatric
surgery
Aim: To determine the efficacy of silver-containing hydrocolloid wound dressings* in
treating children with burns.
Materials and Methods: In the Moscow children’s burn centre from October 2012 were
used dressings* as monotherapy in the treatment of 40 children in the first three years of
life (1.2 (0.8, 1.8)) with the local surface and part-thickness burns on the area of 0.5 to
10 % TBSA (3 (1.5, 7)). We observed well tolerated of wound coverings, no allergic and
temperature reactions. Epithelialization of wounds I-II degree was observed in 8 (7, 9)
day, part-thickness burn wounds II-III degree – on 13 (12, 14) days after the burn injury.
Changing bandages held one every 4-5 days.
Conclusions: The use of dressings* in the treatment of young children with burns
provides comfort for patients, prompt healing. It should be noted the economic benefits
of using these wound dressings.
*Fibrocold Ag, Silkofix Gel
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