Evaluation of the Unna Boot for lower-extremity autograft burn wounds excoriated by pruritus in pediatric patients.
Six pediatric patients with lower-extremity excoriated autografts secondary to pruritus were treated randomly. Group 1 was treated with application of an Unna Boot that was changed every 7 days; Group 2 was treated with conventional dressing and antihistamines. Average time for complete wound closure was similar in the two groups: 32 days for group 1 versus 36 days for group 2. Treatment of group 1 cost $19.80/wk compared with $30.90/wk for treatment of group 2. The time for dressing change was 15 min/wk for group 1 and 3.5 hr/wk for group 2. The parents in group 1 gave their children better scores when asked about appetite, sleep, and play patterns.
Barone
C M
CM
Burn Center, Saint Christopher's Hospital for Children, Philadelphia, Pennsylvania.
Mastropieri
C J
CJ
Peebles
R
R
Mitra
A
A
D001458:Bandages / Q000191:economics; D002056:Burns / Q000191:economics / Q000601:surgery*; D002675:Child, Preschool; D005069:Evaluation Studies as Topic; D006801:Humans; D007223:Infant; D007869:Leg Injuries / Q000601:surgery*; D008297:Male; D011182:Postoperative Care / Q000191:economics; D011537:Pruritus / Q000209:etiology* / Q000628:therapy; D016038:Skin Transplantation