title: 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.
authors.affiliation: The Children's Mercy Hospital (Drs Sharp, Aguayo, St. Peter, and Juang, Mr Marx, and Mss Polak and Rash), Kansas City, Missouri; and University of Wisconsin (Dr Ostlie), Madison, Wisconsin.
authors.forename: Nicole E
authors.initials: NE
authors.lastname: Sharp
authors.forename: Pablo
authors.initials: P
authors.lastname: Aguayo
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Marx
authors.forename: Erin E
authors.initials: EE
authors.lastname: Polak
authors.forename: Diane E
authors.initials: DE
authors.lastname: Rash
authors.forename: Shawn D
authors.initials: SD
authors.lastname: Peter
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Ostlie
authors.forename: David
authors.initials: D
authors.lastname: Juang
mesh_terms: D001458:Bandages; D002056:Burns / Q000188:drug therapy* / Q000451:nursing / Q000473:pathology; D016009:Chi-Square Distribution; D002648:Child; D002675:Child, Preschool; D000066491:Clinical Decision-Making; D017364:Collagenases / Q000627:therapeutic use*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D009730:Nursing Assessment / Q000379:methods*; D009824:Ointments; D011446:Prospective Studies; D012837:Silver Sulfadiazine / Q000627:therapeutic use*; D017592:Skin Care / Q000451:nursing*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
chemical_list: D009824:Ointments; D017364:Collagenases; D012837:Silver Sulfadiazine