Lőrincz Aba, Lamberti Anna Gabriella, Juhász Zsolt, Garami András, Józsa Gergő
Department of Thermophysiology, Institute for Translational Medicine, Medical School, University of Pécs, 12 Szigeti Street, H7624 Pécs, Hungary.
Division of Surgery, Traumatology and Otorhinolaryngology, Department of Pediatrics, Clinical Complex, University of Pécs, 7 József Attila Street, H7623 Pécs, Hungary.
Children (Basel). 2022 Jun 29;9(7):976. doi: 10.3390/children9070976.
Zinc-hyaluronan-containing burn dressings have been associated with enhanced reepithelialization and low infection rates, although their effectiveness has not yet been investigated in pediatric facial thermal injuries. This single-arm, retrospective cohort study assessed the characteristics of 23 children (≤17-year-old) with facial superficial partial-thickness burns and the wound closure capabilities of the applied zinc-hyaluronan gel. Patients were admitted consecutively to the Pediatric Surgery Division in Pécs, Hungary, between 1 January 2016 and 15 October 2021. The mean age of the children was 6.2 years; 30.4% of them were younger than 1 year. An average of 3% total body surface was injured in the facial region and 47.8% of the patients had other areas damaged as well, most frequently the left upper limb (30.4%). The mean time until complete reepithelialization was 7.9 days and the children spent 2 days in the hospital. Wound cultures revealed normal bacterial growth in all cases and follow-up examinations found no hypertrophic scarring. In conclusion, pediatric facial superficial partial-thickness burns are prevalent during infancy and coincide with left upper limb injuries. Rapid wound closure and low complication rates are accountable for the moderate amount of hospitalization. These benefits, along with the gel's ease of applicability and spontaneous separation, are linked to child-friendly burn care.
含锌透明质酸的烧伤敷料与上皮再形成增强和感染率低有关,尽管其在小儿面部热烧伤中的有效性尚未得到研究。这项单臂回顾性队列研究评估了23名(≤17岁)面部浅Ⅱ度烧伤儿童的特征以及所应用的含锌透明质酸凝胶的伤口闭合能力。2016年1月1日至2021年10月15日期间,患者连续入住匈牙利佩奇的小儿外科。儿童的平均年龄为6.2岁;其中30.4%小于1岁。面部区域平均有3%的体表面积受伤,47.8%的患者其他部位也有损伤,最常见的是左上肢(30.4%)。完全上皮再形成的平均时间为7.9天,儿童住院2天。伤口培养显示所有病例细菌生长正常,随访检查未发现增生性瘢痕。总之,小儿面部浅Ⅱ度烧伤在婴儿期很常见,且与左上肢损伤同时发生。伤口快速闭合和低并发症发生率导致住院时间适中。这些益处,连同凝胶易于应用和自行分离的特点,与儿童友好型烧伤护理相关。