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Revista Iberoamericana de Educación e Investigación en Enfermería

Revista Iberoamericana de Educación e Investigación en Enfermería

OCTUBRE 2023 N° 4 Volumen 13

Treatments used for scald burns in the paediatric population, a scoping review

Section: Reviews

How to quote

Amaya-Meléndez M, Delgado-Romero LD, Sánchez-Ortiz VG, Sámano R, Núñez-Luna V, López-Hernández BE. Tratamientos empleados para las quemaduras por escaldadura en la población pediátrica, una revisión de alcance. Rev. iberoam. Educ. investi. Enferm. 2023; 13(4):38-51. Doi: https://doi.org/10.56104/Aladafe.2023.13.1021000419

Authors

1aMaría Amaya-Meléndez , 1bLaura D. Delgado-Romero, 1cVasthi G. Sánchez-Ortiz, 2dReyna Sámano, 3eVirginia Núñez-Luna, 1fBlanca E. López-Hernández

Position

1 Maestría en Terapia de Heridas, Estomas y Quemaduras. Escuela de Enfermería. Universidad Panamericana. México.2 Instituto Nacional de Perinatología Isidro Espinosa de los Reyes. México.3 Unidad de Quemados. Hospital Materno Pediátrico de Xochimilco. México.a ORCID: https://orcid.org/0000-0002-8255-372Xb ORCID: https://orcid.org/0000-0001-7234-0272c ORCID: https://orcid.org/0009-0007-7367-3301d ORCID: https://orcid.org/0000-0001-5490-1363e ORCID: https://orcid.org/0009-0008-6275-084Xf ORCID: https://orcid.org/0000-0002-8306-8734

Contact email: 0208632@up.edu.mx

Abstract

Objective: to describe the options for local treatment of scald burns in paediatric patients.
Methodology: a scoping review through bibliographic search in PubMed from January 2020 to July 2022, including original articles with participants of paediatric age. The search terms were “scald burn” AND “treatment” AND “children” NOT “adult”. Data from the articles selected were collected and structured into analysis tables, and their methodology quality was assessed, with scores of Poor, Moderate-Good, and Excellent.
Results: eight articles were identified: six studies with retrospective design and two randomized clinical trials. The quality of the controlled intervention studies was Moderate-Good, in contrast to the cohort one, observational and cross-sectional studies, which was Excellent. In seven out of the eight studies, more than one treatment option was used; the most widely used were dressings in 75%, mostly hydrofibre, hydrocolloid, polyurethane dressings and collagens; the rest were grafts and topical antimicrobial agents (silver sulfadiazine).
Conclusion: few studies were found regarding treatment for scald burns in paediatric patients; what was found in this review was the use of dressings, grafts, and topical antimicrobial agents. Regardless of the variety of options documented, no protocol for topical approach was found in developing countries.

Keywords:

burn; scald; treatment; pediatrics; wounds

Versión en Español

Título:

Tratamientos empleados para las quemaduras por escaldadura en la población pediátrica, una revisión de alcance

Artículo completo no disponible en este idioma / Full article is not available in this language

Bibliography

  1. Ellison DL. Burns. Crit Care Nurs Clin North Am 2013 Jun; 25(2):273-85. Doi: http://dx.doi.org/10.1016/j.ccell.2013.02.003
  2. Aust MP. Critical Care Nursing: A Holistic Approach. Critical Care Nurse. 2013; 33(1):75. Doi: http://dx.doi.org/10.4037/ccn2013643
  3. Encuesta Nacional de Salud y Nutrición. ENSANUT [internet]. Instituto Nacional de Salud Pública; 2018. [citado 8 sep 2023]. Disponible en: https://www.inegi.org.mx/contenidos/programas/ensanut/2018/doc/ensanut_2018_diseno_conceptual.pdf
  4. Organización Mundial de la Salud (OMS). Quemaduras [internet]. Ginebra: OMS; 2018 [citado 8 sep 2023]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/burns
  5. Peck MD. Epidemiology of burn injuries globally. UpToDate. [internet] 2021 [citado 8 sep 2023]. Disponible en: https://uptodate.up.elogim.com/contents/epidemiology-of-burn-injuries-globally?search=Epidemiology%20of%20burn%20injuries%20globally&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1
  6. De Salud S. 170. Cuenta México con centro de alta especialidad para atender quemaduras graves. Gobierno de México; Secretaría de Salud [internet] 2021 [citado 8 sep 2023]. Disponible en: https://www.gob.mx/salud/prensa/170-cuenta-mexico-con-centro-de-alta-especialidad-para-atender-quemaduras-graves
  7. Moctezuma-Paz LE, Páez-Franco I, Jiménez-González S, Miguel-Jaimes KD, Foncerrada-Ortega G, Sánchez-Flores AY, et al. Epidemiología de las quemaduras en México. Rev Esp Med Quir [internet]. 2015 [citado 8 sep 2023]; 20(1):78-82. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=57212
  8. Krezdorn N, Könneker S, Paprottka FJ, Tapking C, Mett TR, Brölsch GF, et al. Biobrane versus topical agents in the treatment of adult scald burns. Burns 2017; 43(1):195-9. Doi: http://dx.doi.org/10.1016/j.burns.2016.07.022
  9. Wang J, First Hospital of Jilin University, Changchun, Province J, China PR, Yang B, et al. The Effectiveness of Silver-containing Hydrofiber Dressing Compared With Topical Silver Sulfadiazine Cream in Pediatric Patients With Deep Partial-Thickness Burns: A Retrospective Review, Wound Management & Prevention. 2022; 68:29-36. Doi: http://dx.doi.org/10.25270/wmp.2022.3.2936
  10. Roa GR, Taladriz RC. Uso actual de sustitutos dérmicos en cirugía reparadora. Rev Chil Cir [internet]. 2015 [citado 8 sep 2023]; 67(6):647-52. Disponible en: https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-40262015000600015
  11. Vloemans AFPM, Hermans MHE, van der Wal MBA, Liebregts J, Middelkoop E. Optimal treatment of partial thickness burns in children: a systematic review. Burns 2014; 40(2):177-90. Doi: http://dx.doi.org/10.1016/j.burns.2013.09.016
  12. Peters MDJ, Marnie C, Tricco AC, Pollock D, Munn Z, Alexander L, et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid Implement. 2021 Mar; 19(1):3-10.
  13. National Heart, Lung and blood Intitute. Study quality assessment tools [internet] 2021 [citado 8 sep 2023]. Disponible en: https://www.nhlbi.nih.gov/health-topics/study-quality-assessment-tools
  14. O’Connor SR, Tully MA, Ryan B, Bradley JM, Baxter GD, McDonough SM. Failure of a numerical quality assessment scale to identify potential risk of bias in a systematic review: a comparison study. BMC Res Notes 2015 Jun 6; 8:224. Doi: http://dx.doi.org/10.1186/s13104-015-1181-1
  15. Manterola C, Asenjo-Lobos C, Otzen T. Hierarchy of evidence: levels of evidence and grades of recommendation from current use. Rev Chilena Infectol 2014; 31(6):705-18. Doi: http://dx.doi.org/10.4067/S0716-10182014000600011
  16. Dokter J, Boxma H, Oen IM, van Baar ME, van der Vlies CH. Reduction in skin grafting after the introduction of hydrofiber dressings in partial thickness burns: a comparison between a hydrofiber and silver sulphadiazine. Burns [internet]. 2013 [citado 8 sep 2023]; 39(1). Disponible en: https://pubmed.ncbi.nlm.nih.gov/22480921/
  17. De Graaf E, van Baar ME, Baartmans MGA, Smhj SJ, Nieuwenhuis MK, Eshuis J, et al. Partial-thickness scalds in children: A comparison of different treatment strategies. Burns [internet]. 2017 [citado 8 sep 2023]; 43(4). Disponible en: https://pubmed.ncbi.nlm.nih.gov/28040360/
  18. Caruso DM, Foster KN, Blome-Eberwein SA, Twomey JA, Herndon DN, Luterman A, et al. Randomized clinical study of Hydrofiber dressing with silver or silver sulfadiazine in the management of partial-thickness burns. J Burn Care Res [internet]. 2006 [citado 8 sep 2023]; 27(3). Disponible en: https://pubmed.ncbi.nlm.nih.gov/16679897/
  19. Martin FT, O’Sullivan JB, Regan PJ, McCann J, Kelly JL. Hydrocolloid dressing in pediatric burns may decrease operative intervention rates. J Pediatr Surg [internet]. 2010 Mar [citado 8 sep 2023]; 45(3). Disponible en: https://pubmed.ncbi.nlm.nih.gov/20223327/
  20. Cassidy C, St Peter SD, Lacey S, Beery M, Ward-Smith P, Sharp RJ, et al. Biobrane versus duoderm for the treatment of intermediate thickness burns in children: a prospective, randomized trial. Burns [internet]. 2005 [citado 8 sep 2023]; 31(7). Disponible en: https://pubmed.ncbi.nlm.nih.gov/16023298/
  21. Al Himdani S, Javed MU, Hughes J, Falconer O, Bidder C, Hemington-Gorse S, et al. Home remedy or hazard? management and costs of paediatric steam inhalation therapy burn injuries. Br J Gen Pract [Internet]. 2016 [citado 8 sep 2023]; 66(644). Disponible en: https://pubmed.ncbi.nlm.nih.gov/26917659/
  22. Gee KE, Stockton K, Kimble RM, Cuttle L, McPhail SM. Cost-effectiveness of silver dressings for paediatric partial thickness burns: An economic evaluation from a randomized controlled trial. Burns [internet]. 2017 [citado 8 sep 2023]; 43(4). Disponible en: https://pubmed.ncbi.nlm.nih.gov/28408145/
  23. Wood F, Martin L, Lewis D, Rawlins J, McWilliams T, Burrows S, et al. A prospective randomised clinical pilot study to compare the effectiveness of Biobrane® synthetic wound dressing, with or without autologous cell suspension, to the local standard treatment regimen in paediatric scald injuries. Burns 2012; 38(6):830-9. Doi: http://dx.doi.org/10.1016/j.burns.2011.12.020
  24. Valencia-Gómez LE, Martel-Estrada SA, Vargas-Requena CL, Rodriguez-González CA, Olivas-Armendariz I. Apósitos de polímeros naturales para regeneración de piel. Rev mex ing bioméd [Internet]. 2016 [citado 8 sep 2023]; 37(3):235-49. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_abstract&pid=S0188-95322016000300235&lng=es&nrm=iso&tlng=es
  25. Greenhalgh DG. Management of Burns. N Engl J Med. 2019; 380(24):2349-59. Doi: http://dx.doi.org/10.1056/NEJMra1807442
  26. Elmasry M, Steinvall I, Thorfinn J, Abbas AH, Abdelrahman I, Adly OA, et al. Treatment of Children With Scalds by Xenografts: Report From a Swedish Burn Centre. J Burn Care Res 2016; 37(6):e586-91. Doi: http://dx.doi.org/10.1097/BCR.0000000000000379
  27. Diegidio P, Hermiz SJ, Ortiz-Pujols S, Jones SW, van Duin D, Weber DJ, et al. Even Better Than the Real Thing? Xenografting in Pediatric Patients with Scald Injury. Clin Plast Surg  2017; 44(3):651-6. Doi: http://dx.doi.org/10.1016/j.cps.2017.02.001    
  28. Karlsson M, Elmasry M, Steinvall I, Sjöberg F, Olofsson P, Thorfinn J. Superiority of silver-foam over porcine xenograft dressings for treatment of scalds in children: A prospective randomised controlled trial. Burns 2019; 45(6):1401-9. Doi: http://dx.doi.org/10.1016/j.burns.2019.04.004
  29. Singer AJ, Boyce ST. Burn Wound Healing and Tissue Engineering. J Burn Care Res  2017; 38(3):e605-13. Doi: http://dx.doi.org/10.1097/BCR.0000000000000538
  30. Sheckter CC, Meyerkord NL, Sinskey YL, Clark P, Anderson K, Van Vliet M. The Optimal Treatment for Partial Thickness Burns: A Cost-Utility Analysis of Skin Allograft vs. Topical Silver Dressings. J Burn Care Res 2020; 41(3):450-6. Doi: http://dx.doi.org/10.1093/jbcr/iraa003
  31. Kowal S, Kruger E, Bilir P, Holmes JH, Hickerson W, Foster K, et al. Cost-Effectiveness of the Use of Autologous Cell Harvesting Device Compared to Standard of Care for Treatment of Severe Burns in the United States. Adv Ther 2019; 36(7):1715-29. Doi: http://dx.doi.org/10.1007/s12325-019-00961-2
  32. Rashaan ZM, Krijnen P, Kwa KA, van Baar ME, Breederveld RS, van den Akker-van Marle ME. Long-term quality of life and cost-effectiveness of treatment of partial thickness burns: A randomized controlled trial comparing enzyme alginogel vs. silver sulfadiazine (FLAM study). Wound Repair Regen [internet]. 2020 [citado 8 sep 2023]; 28(3):375-84. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/wrr.12799