Document Detail


Comparison of four drugs for local treatment of burn wounds.
MedLine Citation:
PMID:  10340734     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Effective local treatment is very important in preventing wound infection and its generalization and ensuring successful skin grafting. The aim of our study is to compare the activity of four topical agents [deflamol (20 patients), polyvidone-iodine (21 patients), flammazine (silver sulphadiazine--SSD) (28 patients) and flammacerium (SSD with cerium nitrate) (five patients)] for treatment of patients with burns by confirming our clinical observations of their efficacy with comparative bacteriological investigations. The final estimation of our results showed the undoubted priority of flammazine and flammacerium over deflamol and polyvidone-iodine, as the treatment of all the patients with these two drugs gave very good and good results, respectively. In contrast, the results in 70% of the patients from the deflamol group and in 52.4% of those from the polyvidone-iodine group were unsatisfactory. At this stage we cannot find any significant differences in the antibacterial activity between flammazine and flammacerium. However, the excision of the firm eschars formed by flammacerium is easier and it gives the opportunity to postpone operation for a month or more. In conclusion we found suitable indications for preference of each of the topical agents included in our study.
Authors:
O G Hadjiiski; M I Lesseva
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  European journal of emergency medicine : official journal of the European Society for Emergency Medicine     Volume:  6     ISSN:  0969-9546     ISO Abbreviation:  Eur J Emerg Med     Publication Date:  1999 Mar 
Date Detail:
Created Date:  1999-07-19     Completed Date:  1999-07-19     Revised Date:  2010-07-22    
Medline Journal Info:
Nlm Unique ID:  9442482     Medline TA:  Eur J Emerg Med     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  41-7     Citation Subset:  IM    
Affiliation:
Burns Section and Plastic Surgery Centre, Scientific Institute of Emergency Medicine N.I. Pirogov, Sofia, Bulgaria.
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MeSH Terms
Descriptor/Qualifier:
Administration, Topical
Adolescent
Adult
Aged
Anti-Infective Agents, Local / pharmacology,  therapeutic use*
Bulgaria
Burn Units
Burns / diagnosis,  drug therapy*
Cerium / therapeutic use
Child
Child, Preschool
Drug Combinations
Female
Follow-Up Studies
Humans
Infant
Injury Severity Score
Male
Middle Aged
Ointments / therapeutic use
Povidone-Iodine / therapeutic use
Silver Sulfadiazine / therapeutic use
Treatment Outcome
Wound Healing / drug effects
Wound Infection / prevention & control*
Chemical
Reg. No./Substance:
0/Anti-Infective Agents, Local; 0/Drug Combinations; 0/Ointments; 0/cerous nitrate, sulfadiazine silver drug combination; 22199-08-2/Silver Sulfadiazine; 25655-41-8/Povidone-Iodine; 7440-45-1/Cerium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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