Abstract

Introduction: Burn injury is a global problem that equally concerns under-developed, developing and developed countries. Goal in the management of burn wounds is to obtain physiological closure in the shortest period of time. An ideal dressing material has to maintain a moist environment, act as a bacterial barrier, and as a medium for free exchange of gases, while providing a barrier against toxic contaminants. Treatment of partial thickness burn wounds is directed towards promoting healing and a wide variety of dressings are currently available there effects on healing, but ease of application and removal, dressing change requirements, cost and patient comfort should also be considered. Materials and Methods: 34 Patients with partial thickness burns ≤ 20% BSA were randomly assigned to Collagen dressing (Group A ) and to conventional dressing Paraffin gauge (P.G) plus silver sulphadizine (SSD) (Group B) from April 2017 to 2018 were analyzed. 22 patient received Collagen dressing and 12 patients received to conventional dressing Paraffin gauge (P.G) plus silver sulphadizine (SSD). Patients were followed up for clinical outcome on alternate day until burns wound healed. Result: A total 34 Patients with partial thickness burns ≤ 20% BSA were analyzed. Patient were divided in to two group, Group A in which Collagen dressings were used (64.70% cases) and Group B in which Paraffin gauge (P.G) plus silver sulphadizine (SSD) dressing were used (35.29% cases). In our study of 34 patient, 20 (58.8%) patients were male and 14 (41.7%)Were female. We have included ≤ 20% partial thickness burns of which 22 (64.70%) cases were of scald burns, 10 (29.41%) cases of thermal burn, 2 (5.88%) cases of electric flash burn. 100% healing in 5-7days of 13 cases (59%) in Group A, in 8–12 days of 8 cases (66.66%) in Group B. 21 cases (95.5%) of Group A required analgesia only for ≤ 2 days, 11 cases (90.90%) of group required analgesia for ≥ 6 days. Hospital stay in 20 cases (90.90%) of Group A were ≤ 2 days, in Group B no patient required hospitalisation. In Group A 20 cases (90.90%) Nil or only one single dressing change were done, in only 2 cases (9.09%) two or more dressing change needed. In Group B 6 cases (50.00%) 4–5 times dressing done, 5 cases (41.66%) 2–3 times change of dressing done, in 1 case (8.33%) > 6 times dressing change done. Conclusion: Collagen dressing has proven to be highly advantageous for burn patients especially for small areas of partial thickness of burns (<20% BSA), and in paediatric age group of patient. It confer better pain relief, less analgesia is required, most of time no dressing change needed, rate of wound healing is better. However conventional dressings tend to adhere to the wound surface and their need for frequent changes traumatises newly epithelialised surfaces and delays healing.

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