title: A silicone-coated nylon dressing reduces healing time in burned paediatric patients in comparison with standard sulfadiazine treatment: a prospective randomized trial.
abstract: Mepitel is a new grid like silicone coated nylon dressing containing no additional biological compounds. We describe a prospective randomized pilot study comparing Mepitel to the standard silver sulfadiazine cream (Flamazine) dressing for the topical treatment of paediatric burns. Seventy-six children presenting within 24 h of injury with a non previously treated burn were randomly assigned to Mepitel treatment (group M) or Flamazine treatment (group F). Age, sex, surface area of burn and causal agent were noted at admission. The depth of the burn, cumulative number of dressings, presence or absence of a complete epithelial cover, infection, bleeding and allergy were noted at each dressing change. There were 41 children in group M and 35 children in group F. Five children were subsequently withdrawn from each group because they required skin grafting. Analysis of the above mentioned criteria showed no statistical difference between the two groups except for the healing time (group M: 7.58+/-3.12, group F: 11.26+/-6.02, p < 0.01) and the number of dressings (group M: 3.64+/-1.5, group F: 5.13+/-2.9, p < 0.05). Mepitel has proved to be an easy-to-remove dressing, adhering only to intact skin. The faster healing time found in the Mepitel group may be related to a direct effect of silicone on epithelial growth or to a decrease in surface-cell damage compared to the silver sulfadiazine group. This attractive product will be further assessed on a larger scale trial to confirm our observations.
authors.affiliation: Service de Chirurgie Pédiatrique, Hôpital des enfants, Geneva, Switzerland.
authors.forename: P
authors.initials: P
authors.lastname: Bugmann
authors.forename: S
authors.initials: S
authors.lastname: Taylor
authors.forename: D
authors.initials: D
authors.lastname: Gyger
authors.forename: A
authors.initials: A
authors.lastname: Lironi
authors.forename: B
authors.initials: B
authors.lastname: Genin
authors.forename: A
authors.initials: A
authors.lastname: Vunda
authors.forename: G
authors.initials: G
authors.lastname: La Scala
authors.forename: J
authors.initials: J
authors.lastname: Birraux
authors.forename: C
authors.initials: C
authors.lastname: Le Coultre
mesh_terms: D000293:Adolescent; D000890:Anti-Infective Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D002056:Burns / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D020099:Coated Materials, Biocompatible; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009757:Nylons; D009779:Occlusive Dressings; D009824:Ointments; D010865:Pilot Projects; D011446:Prospective Studies; D012828:Silicones; D013411:Sulfadiazine / Q000008:administration & dosage / Q000627:therapeutic use*; D016896:Treatment Outcome; D014945:Wound Healing
chemical_list: D000890:Anti-Infective Agents; D020099:Coated Materials, Biocompatible; D009757:Nylons; D009824:Ointments; D012828:Silicones; C114834:mepitel; D013411:Sulfadiazine