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.
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 of trauma nursing : the official journal of the Society of Trauma Nurses
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
Sharp, Nicole E.; Aguayo, Pablo; Marx, Daniel J.; Erkmann, Erin A.; Rash, Diane E.; St Peter, Shawn D.; Ostlie, Daniel J.; and Juang, David, "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." (2014). Manuscripts, Articles, Book Chapters and Other Papers. 775.