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Cross-Sectional Study on the Management of Non-Operative Burns at American Burn Association-Verified Burn Centers
Hilary Y. Liu, University of Pittsburgh School of Medicine
Siddhi A. Shockey, University of Pittsburgh School of Medicine
Mario Alessandri-Bonetti, MD, Department of Plastic Surgery, University of Pittsburgh Medical Center
Alain C. Corcos, MD, FACS, Department of Surgery, University of Pittsburgh Medical Center
Jenny A. Ziembicki, MD, Department of Surgery, University of Pittsburgh Medical Center
Francesco M. Egro, MBChB, MSc, MRCS, Department of Plastic Surgery, University of Pittsburgh Medical Center
University of Pittsburgh School of Medicine
2023-01-30
Presenter: Hilary Liu
Affidavit:
I certify that the material proposed for presentation in this abstract has not been published in any scientific journal or previously presented at a major meeting.
Director Name: Francesco Egro
Author Category: Medical Student
Presentation Category: Clinical
Abstract Category: General Reconstruction
Introduction
Non-fatal burn injuries are a leading cause of morbidity. However, among a variety of burn treatment options, there is no standard of care for the conservative management of burns that do not require excision and skin grafting. We aimed to identify the most used agents for non-operative burns among burn surgeons in the US.
Methods
A survey related to the management of non-operative superficial, superficial partial thickness, deep partial thickness, and full thickness burns was sent to 64 directors of American Burn Association (ABA)-verified burn centers. Results were tabulated and expressed as percentages of the total number of answers for each question.
Results
For superficial burns, the top choice agents identified were Eucerin (50%), Aquaphor (35.7%), and antimicrobial ointment such as bacitracin, neomycin, or polymyxin (14.3%). For superficial partial thickness burns, antimicrobial ointment (25%) and Mepilex Ag (25%) were the preferred agents, followed by Aquaphor (10%). The preferred agents for deep partial thickness burns were Mepilex Ag (23.5%), antimicrobial ointment (17.7%), and chemical debridement by agents such as Santyl, Xenaderm, or Granulex (11.8%). The preferred agents for full thickness burns were silver sulfadiazine cream 1% (50%), antimicrobial ointment (10%), chemical debridement (10%), Silverlon (10%), and Exsalt (10%).
Conclusion
The standard method of treatment for non-operative burns differed by burn depth, with humectants being favored for superficial burns and antimicrobial agents being preferred for partial thickness and full thickness burns. Burn surgeons are willing to consider newer treatments such as the highly favored Mepilex Ag in addition to well-established methods.
