Document Detail


Treatment of paediatric burns with a nanocrystalline silver dressing compared with standard wound care in a burns unit: a cost analysis.
MedLine Citation:
PMID:  22272852     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Burns are a leading cause of non-natural death in South African infants and children. Conventional care of partial-thickness burns often requires painful, time consuming and costly twice-daily dressing changes to clean the wound and apply antimicrobial topical agents. A new topical nanocrystalline silver-coated NS dressing (Acticoat; Smith & Nephew) has been developed and is the first-line treatment of choice in many burn centres. However, because of its cost the Department of Health has been reluctant to introduce it as a standard of care. We retrospectively studied 4 randomly selected paediatric burn patients, calculating the cost associated with the use of NS dressings and comparing this with the projected costs of three previously standard burn wound treatment regimens. NS dressings were changed every 3 days based on their sustained and slow release of silver ions over 72 hours. Using NS clearly saved costs compared with the three other regimens. The demonstrated cost savings resulted primarily from the decreased number of dressings, and the presumed shorter hospital stay.
Authors:
S G Cox; L Cullingworth; H Rode
Publication Detail:
Type:  Comparative Study; Letter; Multicenter Study     Date:  2011-09-27
Journal Detail:
Title:  South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde     Volume:  101     ISSN:  0038-2469     ISO Abbreviation:  S. Afr. Med. J.     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2012-01-25     Completed Date:  2012-04-05     Revised Date:  2014-01-09    
Medline Journal Info:
Nlm Unique ID:  0404520     Medline TA:  S Afr Med J     Country:  South Africa    
Other Details:
Languages:  eng     Pagination:  728-31     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Anti-Bacterial Agents / administration & dosage*,  economics*
Anti-Infective Agents, Local / administration & dosage*,  economics*
Bandages
Burn Units
Burns / therapy*
Child
Child, Preschool
Chlorhexidine / administration & dosage*,  economics*
Costs and Cost Analysis
Female
Humans
Infant
Male
Mupirocin / administration & dosage*,  economics*
Povidone-Iodine / administration & dosage*,  economics*
Retrospective Studies
Silver Sulfadiazine / administration & dosage*,  economics*
South Africa
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Anti-Infective Agents, Local; 25655-41-8/Povidone-Iodine; D0GX863OA5/Mupirocin; R4KO0DY52L/Chlorhexidine; W46JY43EJR/Silver Sulfadiazine

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


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