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Nursing preference of topical silver sulfadiazine versus collagenase ointment for treatment of partial thickness burns in children: survey follow-up of a prospective randomized trial.

Abstract
We performed a nursing survey to inquire about nursing preferences toward the use of silver sulfadiazine (SSD) and collagenase (CO). We performed a survey between September 2012 and December 2012 asking nurses to rate the application/removal of both products and provide a description of their preferences. Ten study nurses (83%) preferred CO over SSD (P < .001). Two nurses (17%) had no preference. Negative comments on SSD were pseudoeschar (50%), difficult application burns (25%), messiness (67%), and increased number of dressing changes (25%). Negative comments on CO were the need for an additional antimicrobial agent (58%), although 1 nurse noted the higher expense with CO. Nurses preferred CO because of cleanliness of dressing (17%), lack of pseudoeschar (25%), and less pain with dressing changes (8%). Despite no difference in outcomes between SSD and CO, experienced burn nurses prefer CO because of perceptions of decreased trauma and frequency of dressing changes.
AuthorsNicole E Sharp, Pablo Aguayo, Daniel J Marx, Erin E Polak, Diane E Rash, Shawn D Peter, Daniel J Ostlie, David Juang
JournalJournal of trauma nursing : the official journal of the Society of Trauma Nurses (J Trauma Nurs) 2014 Sep-Oct Vol. 21 Issue 5 Pg. 253-7 ISSN: 1078-7496 [Print] United States
PMID25198082 (Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)
Chemical References
  • Ointments
  • Collagenases
  • Silver Sulfadiazine
Topics
  • Bandages
  • Burns (drug therapy, nursing, pathology)
  • Chi-Square Distribution
  • Child
  • Child, Preschool
  • Clinical Decision-Making
  • Collagenases (therapeutic use)
  • Female
  • Follow-Up Studies
  • Humans
  • Injury Severity Score
  • Male
  • Nursing Assessment (methods)
  • Ointments
  • Prospective Studies
  • Silver Sulfadiazine (therapeutic use)
  • Skin Care (nursing)
  • Surveys and Questionnaires
  • Treatment Outcome

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