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ORIGINAL ARTICLE
Year : 2021  |  Volume : 27  |  Issue : 2  |  Page : 127-131

Comparative study between conventional dressing and collagen-based dressing in burn patients


Department of General Surgery, Government Medical College, Kozhikode, Kerala, India

Correspondence Address:
Thomas Kurien
Department of General Surgery, Government Medical College, Kozhikode, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ksj.ksj_26_21

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Introduction: Burn is a devastating emergency with many physical and psychological disabilities, mortality and morbidity. The conventional treatment of burns is by daily washing of wound, removal of dead tissue and saline and silver sulfadiazine dressing till formation of granulation tissue. The current trend has shifted to more holistic approach of improvement in the long-term form and function of the healed wounds and quality of life. This has demanded the emergence of various skin substitutes. The biological skin substitutes may allow the construction of a more natural new dermis and allow excellent re-epithelialisation characteristics due to the presence of a basement membrane. This study aims to compare the efficacy of collagen dressing (a biological dressing) in treating burn wounds with that of conventional dressing materials. Objectives: The objective was to study the efficiency of collagen dressing in reducing pain, scar formation and infection in burn patients as compared to conventional dressing. Methodology: A comparative study was conducted for a period of 1 year which included 42 cases in burn intensive care unit in a tertiary care hospital on patients admitted with first-degree and second-degree burns covering 10%–50% of total body surface area (BSA). Half of the patients were dressed with collagen dressing and other half received conventional silver sulfadiazine dressing. They were interviewed with series of questions and laboratory parameters were compared. The data obtained were statistically analysed. Results: About 43% were male and the rest were female. Majority were in category 3 (31–40 years). Almost 86% were not having any co-morbidities. Majority had category 3 BSA burns (21%–30%). Haemoglobin (Hb) on the 5th day of dressing showed that in patients with collagen dressing, only 9.5% have anaemia, as against 38% anaemic in conventional dressing, which was found statistically significant. About 62% of patients with collagen dressing and 71% of patients with conventional dressing had low albumin value. On comparing both the dressings 52.4% of patients had no pain in collagen dressing and 28.6% of patients had no pain in conventional dressing which is nearly half of collagen dressing. Only 29% of patients developed infection with collagen dressing and 57% of patients developed infection with conventional dressing. Nearly 71% of patients with collagen dressing produced less scar when compared to conventional dressing where 52% developed bad scars. Conclusion: Collagen-based dressing is a safe and effective alternative for treating burns. Use of collagen for dressing causes rapid epithelialisation and decreased pain though statistically not significant over conventional dressing. Other advantages of using collagen-based dressing for burn wounds include ready availability commercially; simple storage and application; prevents protein/blood loss through wound and it combats infection.


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