title: Usability and effectiveness of Suprathel®in partial thickness burns in children.
abstract: OBJECTIVE
  Evaluation of usability and effectiveness of Suprathel®in the treatment of partial thickness burns in children.
  
  
  METHODS
  A prospective, observational study to evaluate adherence of Suprathel®to the wound bed, reepithelialization time, grafting, wound colonization and infection, pain, dressing changes, length of hospital stay (LOS) and scar formation.
  
  
  RESULTS
  Twenty-one children (median age 2.4 years, range 5 months-14 years) with a median total body surface area (TBSA) of 4 % (range 1-18) were included. Median LOS was 10 days (range 3-20). Median outer layer dressing changes was 3 (range 1-14). Suprathel®was only adherent in wounds debrided with Versajet®. Median reepithelialization time was 13 days (range 7-29). Three patients needed a split skin graft. There were 7 (33 %) patients with wound colonization before application of Suprathel®. This increased to 12 (57 %) patients during treatment. One patient developed a wound infection. Median visual analog scale (VAS) scores for background and procedural pain in patients >7 years were 3.2 (range 2-5) and 3.5 (range 2-5), respectively. In younger patients, median background and procedural COMFORT-B scores were 13.8 (range 10-23) and 14.8 (range 13-23, p = 0.03), respectively. Patient and Observer Scar Assessment Scale (POSAS) scores were favorable after 3 and 6 months post burn.
  
  
  CONCLUSIONS
  Suprathel®provides potential advantages regarding pain and scar formation, but extensive wound debridement is needed to achieve adequate adherence.
authors.affiliation: Department of Surgery, Leiden University Medical Center, PO Box 9600, 2333 ZA, Leiden, The Netherlands. zrashaan@rkz.nl.|Burn Centre, Red Cross Hospital Beverwijk, Vondellaan 3, PO Box 1074, 1942 LE, Beverwijk, The Netherlands. zrashaan@rkz.nl.
authors.forename: Z M
authors.initials: ZM
authors.lastname: Rashaan
authors.affiliation: Department of Surgery, Leiden University Medical Center, PO Box 9600, 2333 ZA, Leiden, The Netherlands.
authors.forename: P
authors.initials: P
authors.lastname: Krijnen
authors.affiliation: Department of Surgery, Haga Teaching Hospital-Juliana Children's Hospital, PO Box 60605, 2506 LP, The Hague, The Netherlands.
authors.forename: J H
authors.initials: JH
authors.lastname: Allema
authors.affiliation: Burn Centre, Red Cross Hospital Beverwijk, Vondellaan 3, PO Box 1074, 1942 LE, Beverwijk, The Netherlands.
authors.forename: A F
authors.initials: AF
authors.lastname: Vloemans
authors.affiliation: Department of Surgery, Leiden University Medical Center, PO Box 9600, 2333 ZA, Leiden, The Netherlands.
authors.forename: I B
authors.initials: IB
authors.lastname: Schipper
authors.affiliation: Department of Surgery, Leiden University Medical Center, PO Box 9600, 2333 ZA, Leiden, The Netherlands.|Burn Centre, Red Cross Hospital Beverwijk, Vondellaan 3, PO Box 1074, 1942 LE, Beverwijk, The Netherlands.|Associations of Dutch Burn Centers, PO Box 9100, 3079 DZ, Beverwijk, The Netherlands.
authors.forename: R S
authors.initials: RS
authors.lastname: Breederveld
mesh_terms: D000293:Adolescent; D001458:Bandages / Q000592:standards*; D002056:Burns / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007902:Length of Stay; D008297:Male; D010147:Pain Measurement; D011091:Polyesters / Q000592:standards*; D011446:Prospective Studies; D016038:Skin Transplantation; D016896:Treatment Outcome; D014945:Wound Healing; D014946:Wound Infection
chemical_list: D011091:Polyesters; C527789:poly(lactide-co-trimethylenecarbonate-co-epsilon-caprolactone)
keywords: Children; Effectiveness; Partial thickness burns; Suprathel®; Usability