1. A Prospective, Randomized Trial of Acticoat Versus Silver Sulfadiazine in the Treatment of Partial-Thickness Burns: Which Method Is Less Painful?
- Author
-
Marlene Herrero Tellachea, Robin Varas, Qammar Rashid, Terence O'Keeffe, Nicholas Namias, Louis R. Pizano, C. Gillon Ward, and Olga Quintana
- Subjects
Adult ,Male ,medicine.medical_specialty ,Polyesters ,Pain ,Silver sulfadiazine ,law.invention ,Wound care ,Patient satisfaction ,Outcome variable ,Randomized controlled trial ,law ,medicine ,Humans ,Prospective Studies ,Prospective cohort study ,General Nursing ,Aged ,Pain Measurement ,Wound Healing ,Pain score ,integumentary system ,business.industry ,Rehabilitation ,Middle Aged ,Bandages ,Silver Sulfadiazine ,Surgery ,Clinical trial ,Treatment Outcome ,Patient Satisfaction ,Anesthesia ,General Health Professions ,Anti-Infective Agents, Local ,Emergency Medicine ,Female ,Polyethylenes ,Burns ,business ,medicine.drug - Abstract
Despite recent improvements in analgesia, pain control during dressing changes continues to be a major challenge in patients with burns. We investigated two different dressing modalities to compare how much pain the patient experienced during and after the dressing change. Patients with partial-thickness burns that required only topical wound care were assigned randomly to treatment with Acticoat (Smith and Nephew USA, Largo, FL) or silver sulfadiazine (AgSD). The outcome variable was pain during wound care, which was measured using visual analog pain scores. The mean visual analog pain scores for the wounds treated with Acticoat or AgSD wounds were 3.2 and 7.9, respectively (P < .0001; paired Student's t-test). In 41 of the 47 paired pain score observations, the pain in the wound treated with AgSD was perceived as greater than in the wound treated with Acticoat. Burn wound care with Acticoat is less painful than burn wound care with AgSD in patients with selected partial-thickness burns.
- Published
- 2005