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New Indian Journal of Surgery

Volume  16, Issue 2, April - June 2025, Pages 59-66
 

Original Article

Comparative Study of the Efficacy of Conventional and Collagen Dressing in First and Second Degree Superficial Burns in Paediatric Age Gro

Vishakha Iyer1, Sarojini Jadhav2, Suyash Deshmukh

1 Assistant Professor, Department of General Surgery, Government Medical College and Hospital, Chhatrapati,  Sambhajinagar, India. 2 Professor and HOD, Department of General Surgery, Government Medical College and Hospital, Chhatrapati, Sambhajinagar, India.  3 Junior Resident, Department of General Surgery, Government Medical College and Hospital, Chhatrapati,  Sambhajinagar, India.

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DOI: 10.21088/nijs.0976.4747.16225.3

Abstract

Introduction: Burns injury is one of the most common cause for hospitalization in the world. About 80% are first degree and second degree ones. Since paediatric skin has a faster rate of healing, superficial first and second degree burns have significant improvement. Recent advances show that collagen dressing in burns because of its biological properties have better outcomes reducing morbidity. A prospective, interventional observational study was conducted over 120 paediatric patients with less than 30% superficial burns dividing them in 2 groups (collagen and conventional dressing). The analgesic need, infection rate, rate of epithelialization, scarring, need for grafting and hospital stay were assessed. Chi square test was applied to obtain ‘p’ value to decide significance. 70 patients were offered collagen and 50 patients silver sulfadiazine(SSD) dressing. The mean rate of epithelialization with collagen and SSD dressing was 9.50 days and13.92 days respectively. The mean days for analgesic need was 4.02 days with collagen and 6.22 days with SSD dressing. Sterile culture at 1 week was seen in 88.57% patients with collagen and 52% patients with SSD. With collagen dressing healthy scarring was seen in 82.85% patients and with SSD dressing, 32%. Of 50  patients with SSD dressing 2 required skin grafting. Collagen rejection was seen in 4 of 70 patients. With collagen dressing the average hospital stay was 7.18 days and with SSD dressing, 12.10 days.  Collagen dressing showed lesser analgesics, faster epithelialization, lesser antibiotic use, healthy scarring, lesser hospital stay.
 


Keywords : Paediatric • Burns • Collagen • Conventional • Superficial • Biological • Silver sulfadiazine • Epithelialization • Scarring
Corresponding Author : Vishakha Iyer