title: Efficacy of Hydrofiber Silver Dressing in the Treatment of Posttraumatic Skin Wounds in Children.
abstract: Three case reports on conservative treatment of posttraumatic open conquassant wounds in children are presented. In 2 cases, the wounds opened after rejection of a previously applied skin graft, whereas in the third case, the wound was consequential to toe amputation and treated conservatively. Based on the authors' long-standing favorable experience with this type of dressing in healing of deep burns in children, treatment was continued with the use of a hydrofiber supportive silver-containing dressing (AQUACEL Ag, ConvaTec, Bridgewater, NJ). From the beginning of treatment, wound dressing was performed on an outpatient basis and without antibiotic therapy. The wounds healed within 4-8 weeks. The process of wound healing and treatment, the mechanisms that may compromise it, and the possibilities offered by hydrofiber silver dressing in conservative treatment of posttraumatic conquassant skin wounds are discussed.
authors.affiliation: Clinical Department of Pediatric Surgery, Clinical Hospital Center Rijeka, Istarska 43, 51000 Rijeka Croatia.
authors.forename: Nedeljka
authors.initials: N
authors.lastname: Glavan
authors.affiliation: Department of Pathology, School of Medicine, University of Rijeka, Croatia.
authors.forename: Nives
authors.initials: N
authors.lastname: Jonjić
mesh_terms: D000891:Anti-Infective Agents, Local / Q000627:therapeutic use*; D001458:Bandages; D002648:Child; D017439:Cicatrix, Hypertrophic / Q000517:prevention & control*; D005260:Female; D006084:Graft Rejection; D006801:Humans; D008297:Male; D012837:Silver Sulfadiazine / Q000627:therapeutic use*; D016038:Skin Transplantation / Q000009:adverse effects*; D017695:Soft Tissue Injuries / Q000473:pathology* / Q000628:therapy; D016896:Treatment Outcome; D014945:Wound Healing
chemical_list: D000891:Anti-Infective Agents, Local; D012837:Silver Sulfadiazine