APPLICATION OF CLING FILM OVER BURN WOUNDS (OCCLUSIVE WOUND DRESSING): OUR EXPERIENCE

Authors

  • Zain ul Abidin Jinnah burn and reconstructive surgery centre ,Lahore
  • Asma ilyas Jinnah Burn & Reconstructive surgery centre Lahore
  • Farrukh Aslam Khalid Jinnah Burn & Reconstructive surgery centre Lahore
  • Muhammad Younas Mehrose Jinnah Burn & Reconstructive surgery centre Lahore
  • Imran Shahzad Jinnah Burn & Reconstructive surgery centre Lahore
  • Abdul Malik Mujahid Jinnah Burn & Reconstructive surgery centre Lahore
  • Muhammad Amin Alam Jinnah Burn & Reconstructive surgery centre Lahore
  • Moazzam Nazeer Tarar Jinnah Burn & Reconstructive surgery centre Lahore

Abstract

Background: This study shares our experience and review the outcome of the use of cling film with silver sulfadiazine cream in terms of healing time, and patient’s satisfaction score. Methods: It was a descriptive case series conducted at Jinnah Burn and Reconstructive Surgery Center, Lahore, from March 2018 to February 2019. In this study, a thick layer of silver sulfadiazine was applied and then wrapped with cling film on 35 patients sustained mix thickness burns on the trunk and limbs. Dressing was done daily after wound wash with normal saline. Consultant Plastic surgeon assessed the wound healing by observation and serial photographs. Duration of wound healing and complications were noted. Results: Complete wound healing was achieved in 25 (71.4%) patients with mean healing time of 13.3 days (range 11–15 days). The wound infection was seen in 5 (14.2%) patients, that were diagnosed by change in colour of wound edges and patients with signs of sepsis (ABA scoring). Sepsis was treated in 5 patients with debridement and culture specific antibiotics. split skin graft done in 8 (22.8%) cases Conclusion: Moist wound dressing with Silver Sulfadiazine and cling film is cost effective, easy to apply with good visibility of the wound and has good patient satisfaction, but is labour intensive.

Author Biographies

Zain ul Abidin, Jinnah burn and reconstructive surgery centre ,Lahore

Senior registrar

Asma ilyas, Jinnah Burn & Reconstructive surgery centre Lahore

Senior Registrar

Abdul Malik Mujahid, Jinnah Burn & Reconstructive surgery centre Lahore

Senior Registrar

Muhammad Amin Alam, Jinnah Burn & Reconstructive surgery centre Lahore

Senior Registrar

Moazzam Nazeer Tarar, Jinnah Burn & Reconstructive surgery centre Lahore

Professor,Executive Director

References

Mock C, Peck M, Peden M, Krug E. A WHO plan for burn prevention and care. Geneva: World Health Organization; 2008.

Jackson DM. The evolution of burn treatment in the last 50 years. Burns 1991;17(4):329–34.

Odeyinde SO, Ademola SA, Oluwatosin OM. Predictors of mortality in paediatric burn at Ibadan, Nigeria. Afr J Paediatr Surg 2007;4(1):29–32.

Carrougher G. Burn wound assessment and topical treatment. In: Carrougher G, editor. “Burn Care and Therapy”, Mosby, Missouri, 1998; p.133–65.

Sood A, Granick MS, Tomaselli NL. Wound Dressings and Comparative Effectiveness Data. Adv Wound Care (New Rochelle) 2014;3(8):511–29.

Park JO1, Shin SD, Kim J, Song KJ, Peck MD. Association between socioeconomic status and burn injury severity. Burns 2009;35(4):482–90.

Wilson G, French G. Plasticized polyvinylchloride as a temporary dressing for burns. BMJ 1987;294(6571):556–7.

Bourke PM, Dunn KW. The use of polyvinyl chloride film (cling film) with burn injury in the pre hospital setting - the clear facts. J Paramed Pract 2015;7(1):20–4.

Allison K, Porter K. Consensus on the prehospital approach to burns patient management. Emerg Med J 2004;21(1):112–4.

Fisher JD, Brown SN, Cooke M, Walker A, Moore F, Chrispin P. Uk ambulance services clinical practice guidelines: 2013. Class Professional Publishing; 2013.

Hudspith J, Rayatt S. ABC of burns, First aid and treatment of minor burns. BMJ 2004;328(7454):1487–9.

Australian and New Zealand Burn Association. Emergency management of severe burns course manual. Sydney ANZBA; 1996.

Atiyeh B, Masellis A, Conte F. Optimizing burn treatment in developing low- and middle-income countries with limited health care resources (Part 3). Ann Burns Fire Disasters 2010;23(1):13–28.

Olawoye OA, Osinupebi OO, Ayoade BA. Open burn wound dressing: a practical option in resource constrained settings. Ann Burns Fire Disasters 2013;26(3):154–7.

Coultate TP. Food: the chemistry of its components. 6th edition. Cambridge, UK: The Royal Society of Chemistry, 2016; p.599.

Takahashi J, Miyagawa M, Yokota O, Aoki H, Aoki T. Plastic Wrap Versus Occlusive Dressings for the Management of Skin Ulcers: Comparison of Two Symmetrical Wounds in Two Individual Patients. Dermatol Case Rep 2017;2(1):1–3.

Wei L. The application of moist dressing in treating burn wound. Open Med (Wars) 2015;10(1):452–6.

Waffle C, Simon RR, Joslin C. Moisture-vapour-permeable film as an outpatient burn dressing. Burns 1988;14(1):66–70.

Wendling P. Think Plastic Wrap as Wound Dressing for Thermal Burns. ACEP (American College of Emergency Physicians) News. [Internet]. Elsevier Global Medical News. August 2008 [cited 2020 Mar]. Available from: http://docshare01.docshare.tips/files/29280/292805406.pdf

Adhya A, Bain J, Ray O, Hazra A, Adhikari S, Dutta G, et al. Healing of burn wounds by topical treatment: a randomized controlled comparison between silver sulfadiazine and nano- crystalline silver. J Basic Clin Pharm 2014;6(1):29–34.

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Published

2021-04-23

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