IMPROVING THE PREVENTION OF SECONDARY INFECTION OF BURN WOUNDS IN PATIENTS WITH THERMAL DAMAGE TO THE SKIN
DOI:
https://doi.org/10.11603/1811-2471.2020.v.i1.11081Keywords:
ожог, инфицирование раны, профилактикаAbstract
Burn injuries are the type of injury that occur most often today.
The aim – to improve prevention of secondary infection in patients with first and second degrees thermal burns of skin cover by applying modern innovative polymer coatings.
Material and Methods. The results of observations of 30 patients with first and second degree burns of the skin are based on the work. The main group consisted of 15 patients, who additionally used polymer films in the dressing, and in the control group (15 patients), traditional gauze-wet dressings were used in the dressing. We applied biodegradable polymer film "biodep-nano" (Pat. No. 110594 Ukraine, IPC 2016.01,), in its composition contains gelatin, polyvinyl alcohol, lactic acid, glycerol and nanoscale zinc oxide (30 nm) and is manufactured as "Hygiene agent". preventive. Biodegradable polymer film "Biodep-nano" 50 g according to TU 20.4-2950221612-001: 2017 ".
Results and Discussion. The microbiological data obtained showed that in 14 patients of the main group 93 %, the bacterial level was lower than 105 CFU/ml during the whole observation period, which in turn is non-pathogenic, the bacterial level gradually decreased, in the first patient 7 % the level of sown St. Aureus was above 16´105 CFU / ml.
Healing of the first degree burn in the main group occurred on (8.2±0.7) days, and in the control group on (10.5±1.4) days, which was caused by secondary infection in the control group. In patients with second degree burn healing occurred at (16.4±1.8) days, and in patients with the control group at (18.7±1.6) days.
Conclusion. Research results from scientific sources have shown that the use of foam-based wound coatings, compared with the traditional use of traditional treatment, has demonstrated the high effectiveness of such techniques in the treatment and prevention of secondary wound infection.
References
WHO. BURNS http:// www.who.int/en/news-room/fact sheets/detail/burns.
Peck, Michael, D. (2003). Epidemiology of burns throughout the world. Part I: Distribution and Risk Factors, 37 (7), 1087-1100.
Herndon, D.N. (2012). Total Burn Care (4 th). Saunders, Philadelphia PA. Hardcover ISBN: 9781437727869.
Kozynets, H.P., Komarov, M.P., & Voronin, A.V. (2014). Nova kontseptsiia rozvytku kombustiolohichnoi sluzhby v Ukraini [A new concept for the development of combustion service in Ukraine.] Vestnik neotlozhnoy i vosstanovitelnoy meditsinyi – Herald of Emergency and Restorative Medicine, 1 (15), 6-8 [in Ukrainian].
Kovalenko, O.M., Kovalenko, A.O., & Osadcha, O.I. (2017). Vplyv ranovykh pokryttiv na Ph rany pry poverkhnevykh opikakh shkiry [Influence of wound coatings on Ph wounds in skin surface burns]. Klinichna khirurhiia – Clinical Surgery, 2, 28-30 [in Ukrainian].
Supp, D.M. (2011). Skin substitutes for burn wound healing: current and future approaches. Expert Review of Dermatology, 6. 217-227. doi: 10.1586/edm.10.73. DOI: https://doi.org/10.1586/edm.10.73
Eremeev, S.A., Chyvkov, O.V., & Kovalenko, A.V. (2012). Klinicheskaya otsenka effektivnosti ispolzovaniya serebrosoderzhaschih ranevykh pokrytiy pri lechenii postradavshikh s 164 poverhnostnymi ozhogami [Clinical evaluation of the effectiveness of using silver-containing wound dressings in the treatment of patients with 164 superficial burns]. Vestnik Novgorodskogo gos. universiteta – Bulletin of the Novgorod State University, 66, 41-45 [in Russian].
Yurova, Yu.V., Shlyk, I.V., & Krylov, P.K. (2015). Obyektivnyye kriterii gotovnosti patsientov s granuliruyushchimi ozhogovymi ranami k svobodnoy autodermoplastike [Objective criteria for the readiness of patients with granular burn wounds for free autodermoplasty]. Vestnik khirurgii imeni I.I. Grekova – Herald of Surgery named after I.I. Grekov, 174 (2), 57-62. Retrieved from: https://doi.org/10.24884/0042-4625-2015-174-2-57-62 [in Russian]. DOI: https://doi.org/10.24884/0042-4625-2015-174-2-57-62
Vons, B.V., Chubka, M.B., & Hroshovyi, T.A. (2018). Problema likuvannia opikovykh travm i kharakterystyka likarskykh zasobiv dlia mistsevoho likuvannia opikiv [The problem of treatment of burn injuries and the characteristics of drugs for local treatment of burns.]. Aktualni pytannia farmatsevtychnoi i medychnoi nauky ta praktyky – Topical Issues in Pharmaceutical and Medical Science and Practice, 1 (26), 119-125 [in Ukrainian].
Kovalenko, A.O., Kozynets, H.P., Kovalenko, O.M., & Osadcha, O.I. (2018) Vplyv khirurhichnoho likuvannia dermalnykh opikiv na pryrodnu rezystentnist i rozvytok rubtsiv [The impact of surgical treatment of dermal burns on natural resistance and scarring]. Plastychna, rekonstruktyvna i estetychna khirurhiia – Plastic, Reconstructive and Aesthetic Surgery, 1-2, 48-60 [in Ukrainian].
Bystrov, S.A., Bezborodov, A.I., & Katorkin, S.E. (2017). Lechenie gnoynykh ran s primeneniem ranevykh pokrytiy na pennoy osnove s tekhnologiey Gidrofayber [Treatment of purulent wounds using wound dressings on a foam basis with Hydrofiber technology]. Khirurgiya – Surgery, 7, 49-53 [in Russian].
Kuranov, A.A., Sorokin, A.V., & Ignatov, E.Yu. (2012). Ispolzovanie penopoliuretanovoy povyazki II pokoleniya pri ozhogakh [The use of a polyurethane foam bandage of the second generation for burns]. Kubanskiy nauchnyy meditsinskiy vestnik – Kuban Scientific Medical Bulletin, 2 (131), 115-119 [in Russian].