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KMID : 0853020070100010065
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Journal of Korean Burn Society
2007 Volume.10 No. 1 p.65 ~ p.70
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The Clinical Effectiveness of Medifoam-silver in Burns
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Ha Tae-Sun
Cho Yong-Suk
Kim Do-Hern
Hur Jun
Chun Wook
Kim Jong-Hyun
Shin Hyun-Sun
Kim Ae-Sim
Noh Soon-Ye
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Abstract
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Backgrounds: The polyurethane foam dressing has shown outstanding effectiveness in treating superficial second and mid-second degree burns. Yet its clinical usage in treating deep second and third degree burns has been limited because pathogens can proliferate during eschar separation due to lack of antibacterial property in conventional polyurethane foams. Medifoam-silver (Biopol, Korea) is newly developed polyurethane foam dressing with the silver ions impregnated to prevent proliferation of pathogens and enhance the clinical effectiveness compare to conventional polyurethane foam dressing available in current market. The study has been conducted to discover the effectiveness of polyurethane foam dressing with silver ions impregnated.
Methods: The clinical study was performed on second and third degree burn areas including donor sites.
Results: Medifoam-S was applied on donor sites of 24 patients. The mean age was 42.3 (4∼87) years and the mean burn area was 37.5 (5∼72)% of TBSA. Most donor sites were larger than 1,000 cm2. All donor sites of 24 patients were successfully re-epithelialized at the mean time of 9.5 (7∼ 15) days from the first date of skin grafts taken. Medifoam-S was applied on burn areas of 31 patients. The mean age was 30.6 (1∼77) years and the mean burn area was 12.6 (1∼38)% of TBSA. The area of Medifoam-S application was varied from 1∼18% of total body surface area. Re-epithelialization occurred in the mean of 18.6 (5∼29) days in 27 patients. Eschar separation occurred in the mean of 14.3 (12∼18) days in 4 patients and skin grafts were immediately applied since granulation tissue formed underneath the eschar. No complication and side effect were noted in all patients and all exudates were well absorbed.
Conclusions: Our study has shown successful clinical usage of Medifoam-S in all types of burns including deep dermal burns as primary dressing materials. (Journal of Korean Burn Society 2007;10:65-70)
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KEYWORD
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Polyurethane foam dressing, Burns
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