Abstract |
Early excision and grafting cannot always be performed due to patient's medical status, and the lack of adequate donor sites. The use of cerium nitrate- silver sulphadiazine cream, which causes the formation of a leather-like eschar with excellent resistance to infection, is an alternative method. In order to postpone operations by using cerium nitrate- silver sulphadiazine, we compared the differences in contamination of the grafted areas between early and delayed excision. Eighteen patients underwent excision and grafting within 5 days post burn and nineteen patients were surgically treated after 5 days. Twelve months later the grafted areas were evaluated. Contamination of the grafted area occurred in 17 patients. No differences in contamination occurred between the early and delayed excision group, 8 versus 9. Also no differences in type of organism cultured and follow-up results were found between the early and delayed excision group. Cerium nitrate- silver sulphadiazine allows surgical treatment to be delayed without an increase of contamination of the grafted area and does not adversely affect the long-term outcome.
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Authors | M Vehmeyer-Heeman, T Tondu, E Van den Kerckhove, W Boeckx |
Journal | Burns : journal of the International Society for Burn Injuries
(Burns)
Vol. 32
Issue 1
Pg. 60-3
(Feb 2006)
ISSN: 0305-4179 [Print] Netherlands |
PMID | 16380214
(Publication Type: Evaluation Study, Journal Article)
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Chemical References |
- Anti-Infective Agents, Local
- cerium nitrate
- Cerium
- Silver Sulfadiazine
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Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Anti-Infective Agents, Local
(administration & dosage)
- Bacterial Infections
(microbiology, prevention & control)
- Burns
(surgery)
- Cerium
(administration & dosage)
- Child
- Cicatrix, Hypertrophic
(etiology)
- Female
- Humans
- Male
- Middle Aged
- Silver Sulfadiazine
(administration & dosage)
- Skin Transplantation
(methods)
- Treatment Outcome
- Wound Healing
(drug effects)
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