Comparison of three different dressings for partial thickness burns in children: Study protocol for a randomised controlled trial

Gee Kee, E., Kimble, R.M., Cuttle, L. and Stockton, K. (2013) Comparison of three different dressings for partial thickness burns in children: Study protocol for a randomised controlled trial. Trials, 14 1: 1-8. doi:10.1186/1745-6215-14-403


Author Gee Kee, E.
Kimble, R.M.
Cuttle, L.
Stockton, K.
Title Comparison of three different dressings for partial thickness burns in children: Study protocol for a randomised controlled trial
Journal name Trials   Check publisher's open access policy
ISSN 1745-6215
1468-6708
Publication date 2013-11-25
Sub-type Article (original research)
DOI 10.1186/1745-6215-14-403
Open Access Status DOI
Volume 14
Issue 1
Start page 1
End page 8
Total pages 8
Place of publication London, England, U.K.
Publisher BioMed Central Ltd.
Language eng
Subject 2701 Medicine (miscellaneous)
2736 Pharmacology (medical)
Abstract Background: In the paediatric population, pain and distress associated with burn injuries during wound care procedures remain a constant challenge. Although silver dressings are the gold standard for burn care in Australasia, very few high-level trials have been conducted that compare silver dressings to determine which will provide the best level of care clinically. Therefore, for paediatric patients in particular, identifying silver dressings that are associated with lower levels of pain and rapid wound re-epithelialisation is imperative. This study will determine whether there is a difference in time to re-epithelialisation and pain and distress experienced during wound care procedures among Acticoat™, Acticoat™ combined with Mepitel™ and Mepilex Ag™ dressings for acute, paediatric partial thickness burns.Methods/Design: Children aged 0 to 15 years with an acute partial thickness (superficial partial to deep partial thickness inclusive) burn injury and a burn total body surface area of ≤10% will be eligible for the trial. Patients will be randomised to one of the three dressing groups: (1) Acticoat™ or (2) Acticoat™ combined with Mepitel™ or (3) Mepilex Ag™. A minimum of 28 participants will be recruited for each treatment group. Primary measures of pain, distress and healing will be repeated at each dressing change until complete wound re-epithelialisation occurs or skin grafting is required. Additional data collected will include infection status at each dressing change, physical function, scar outcome and scar management requirements, cost effectiveness of each dressing and staff perspectives of the dressings.Discussion: The results of this study will determine the effects of three commonly used silver and silicone burn dressing combinations on the rate of wound re-epithelialisation and pain experienced during dressing procedures in acute, paediatric partial thickness burn injuries.Trial registration: Australian New Zealand Clinical Trials Registry ACTRN12613000105741.
Keyword Burn injuries
Child
Distress
Healing
Pain
Partial thickness
Randomised clinical trial
Silver dressings
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

 
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