title: [Hand burns in children and Aquacel(®) Burn gloves, an alternative to prolonged hospital stays].
abstract: OBJECTIVE
  Occlusive dressings for second-degree hand burns in children must prevent infection and promote healing. For good management of analgesia, these treatments often require children to be hospitalized. Our goal was to find an alternative to conventional care protocol that would reduce the number of dressings and therefore the length of hospitalization. We report our experience with the use of Aquacel(®) Burn.
  
  
  METHODS
  Non-randomized monocentric prospective study was conducted from 2012 to 2014. The glove was used in the operating room within 72hours after the burn in children younger than 15 years old with isolated superficial to deep 2nd degree hand burns. Once the glove was perfectly stuck to the burn, the children could go back home. We saw them 10 to 12 days after the accident to be sure there was no indication of skin graft.
  
  
  RESULTS
  Twenty gloves were used in 16 children aged from 16 months to 13 years. The average length of stay (ALOS) was five days to put the glove on and one day to remove it. Four hands were grafted.
  
  
  CONCLUSIONS
  Once we get used to the product, Aquacel(®) Burn gloves have reduced the ALOS before skin graft in cases of isolated hand burns in children.
authors.affiliation: Service de chirurgie plastique et reconstructrice, centre des brûlés, hôpital Jean-Monnet, CHU de Nantes, 44093 Nantes cedex 01, France.
authors.forename: P
authors.initials: P
authors.lastname: Ridel
authors.affiliation: Service de chirurgie plastique et reconstructrice, centre des brûlés, hôpital Jean-Monnet, CHU de Nantes, 44093 Nantes cedex 01, France.
authors.forename: P
authors.initials: P
authors.lastname: Perrot
authors.affiliation: Service de chirurgie plastique et reconstructrice, centre des brûlés, hôpital Jean-Monnet, CHU de Nantes, 44093 Nantes cedex 01, France.
authors.forename: M V
authors.initials: MV
authors.lastname: Truffandier
authors.affiliation: Service de chirurgie plastique et reconstructrice, centre des brûlés, hôpital Jean-Monnet, CHU de Nantes, 44093 Nantes cedex 01, France.
authors.forename: F
authors.initials: F
authors.lastname: Bellier-Waast
authors.affiliation: Service de chirurgie plastique et reconstructrice, centre des brûlés, hôpital Jean-Monnet, CHU de Nantes, 44093 Nantes cedex 01, France. Electronic address: franck.duteille@chu-nantes.fr.
authors.forename: F
authors.initials: F
authors.lastname: Duteille
mesh_terms: D000293:Adolescent; D002056:Burns / Q000628:therapy*; D002266:Carboxymethylcellulose Sodium; D002648:Child; D002675:Child, Preschool; D005260:Female; D006230:Hand Injuries / Q000628:therapy*; D006801:Humans; D007223:Infant; D007902:Length of Stay; D008297:Male; D009779:Occlusive Dressings; D011446:Prospective Studies
chemical_list: D002266:Carboxymethylcellulose Sodium
keywords: Brûlure; Burn injury; Children; Dressing; Enfant; Hand; Main; Pansement