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.

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DOI: 10.1097/JTN.0000000000000073


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.

Journal Title

Journal of trauma nursing : the official journal of the Society of Trauma Nurses





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MeSH Keywords

Bandages; Burns; Chi-Square Distribution; Child; Child, Preschool; Clinical Decision-Making; Collagenases; Female; Follow-Up Studies; Humans; Injury Severity Score; Male; Nursing Assessment; Ointments; Prospective Studies; Silver Sulfadiazine; Skin Care; Surveys and Questionnaires; Treatment Outcome

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