Rustogi R, Mill J, Fraser J F, Kimble R M
Royal Children's Hospital Burns Research Group, The Stuart Pegg Paediatric Burns Centre, Royal Children's Hospital, Brisbane, Australia.
Burns. 2005 Nov;31(7):878-82. doi: 10.1016/j.burns.2005.04.030. Epub 2005 Jul 18.
To evaluate the safety and efficacy of Acticoat use in primary burn injuries and other skin injuries in premature neonates.
An audit of eight premature neonates who sustained burn injuries and other cutaneous injuries from various agents were treated with Acticoat. Serum silver levels were measured in three neonates. Wounds were assessed for infection and blood cultures were taken where sepsis was suspected.
Neonates ranged from 23 to 28 weeks gestation (weight: 578-1078 g). Causative injury mechanisms included: alcoholic chlorhexidine, alcoholic wipes, electrode jelly, extravasated intravenous fluids, artery illuminator, temperature probe and adhesive tape removal. Total burned body surface area ranged from 1 to 30%. All neonates were treated with Acticoat dressing changed every 3-7 days. All wounds re-epithelialised by day 28 and scar management was not required. There were four mortalities secondary to problems associated with extreme prematurity. Serum silver levels ranged from 0 to 1 micromol/L. There were no wound infections or positive blood cultures during the treatment period.
Acticoat is a suitable dressing for premature neonates who have sustained burn injury, with the advantage of minimal handling as the dressing need only be changed every 3-7 days.
评估Acticoat用于早产儿原发性烧伤及其他皮肤损伤的安全性和有效性。
对8例因各种因素导致烧伤及其他皮肤损伤的早产儿使用Acticoat进行治疗。对3例新生儿测量血清银水平。评估伤口是否感染，怀疑有败血症时进行血培养。
新生儿孕周为23至28周（体重：578 - 1078克）。致伤机制包括：酒精洗必泰、酒精擦拭巾、电极凝胶、静脉输液外渗、动脉照明器、温度探头和去除胶带。烧伤总面积为1%至30%。所有新生儿均使用Acticoat敷料，每3 - 7天更换一次。所有伤口在第28天重新上皮化，无需进行瘢痕处理。有4例因极早产相关问题死亡。血清银水平为0至1微摩尔/升。治疗期间无伤口感染或血培养阳性。
Acticoat是适用于遭受烧伤的早产儿的敷料，优点是只需每3 - 7天更换一次敷料，操作极少。
