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      Nanosilver Dressing in Treating Deep II Degree Burn Wound Infection in Patients with Clinical Studies

      research-article
      , , ,
      Computational and Mathematical Methods in Medicine
      Hindawi

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          Abstract

          Background

          Patients' clinical antibiotic treatment of deep II degree burns usually fails to achieve the ideal effect; in order to avoid the late result in pigmentation, scarring, and even limb dysfunction, it also needs to deal effectively with burn wounds.

          Aim

          The purpose of this study is to evaluate nanosilver dressing in treating deep II degree burn wound infection in patients with clinical studies.

          Materials and Methods

          106 burn patients were classified into the Sulfadiazine Silver Cream (SSC) group ( n = 53) and the Nanosilver Burn Dressing (NSBD) group ( n = 53). Both of them received basic wound treatment, and wound healing time and pigmentation fading away time of all patients were recorded. And the wound healing rate of the patients was calculated. Serum levels of tumor necrosis factor alpha (TNF- α) and interleukin-1beta (IL-1 β) were detected pre- and posttreatment.

          Results

          After basic treatment for all patients, Sulfadiazine Silver Cream was used in the SSC group, and Nanosilver Burn Dressing was used in the NSBD group. It was observed that after treatment, compared with the SSC group, there was significant efficiency; wound healing rate, healing time, and pigmentation fading away time were shortened in the NSBD group, and IL-1 β levels were decreased, and the positive rate of bacterial culture was decreased (all P < 0.05).

          Conclusion

          Nanosilver Burn Dressing in treating deep II degree burns can effectively reduce the wound infection and promote wound healing. The curative effect was distinct, which was worthy of popularization and application.

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          Most cited references17

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          Efficacy and tolerability of a cocktail of bacteriophages to treat burn wounds infected by Pseudomonas aeruginosa (PhagoBurn): a randomised, controlled, double-blind phase 1/2 trial

          Wound infections are the main cause of sepsis in patients with burns and increase burn-related morbidity and mortality. Bacteriophages, natural bacterial viruses, are being considered as an alternative therapy to treat infections caused by multidrug-resistant bacteria. We aimed to compare the efficacy and tolerability of a cocktail of lytic anti-Pseudomonas aeruginosa bacteriophages with standard of care for patients with burns.
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            • Record: found
            • Abstract: not found
            • Article: not found

            Burn injury: Challenges and advances in burn wound healing, infection, pain and scarring

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              • Record: found
              • Abstract: found
              • Article: found
              Is Open Access

              Nanomedicine and advanced technologies for burns: Preventing infection and facilitating wound healing

              According to the latest report from the World Health Organization, an estimated 265,000 deaths still occur every year as a direct result of burn injuries. A widespread range of these deaths induced by burn wound happens in low- and middle-income countries, where survivors face a lifetime of morbidity. Most of the deaths occur due to infections when a high percentage of the external regions of the body area is affected. Microbial nutrient availability, skin barrier disruption, and vascular supply destruction in burn injuries as well as systemic immunosuppression are important parameters that cause burns to be susceptible to infections. Topical antimicrobials and dressings are generally employed to inhibit burn infections followed by a burn wound therapy, because systemic antibiotics have problems in reaching the infected site, coupled with increasing microbial drug resistance. Nanotechnology has provided a range of molecular designed nanostructures (NS) that can be used in both therapeutic and diagnostic applications in burns. These NSs can be divided into organic and non-organic (such as polymeric nanoparticles (NPs) and silver NPs, respectively), and many have been designed to display multifunctional activity. The present review covers the physiology of skin, burn classification, burn wound pathogenesis, animal models of burn wound infection, and various topical therapeutic approaches designed to combat infection and stimulate healing. These include biological based approaches (e.g. immune-based antimicrobial molecules, therapeutic microorganisms, antimicrobial agents, etc.), antimicrobial photo- and ultrasound-therapy, as well as nanotechnology-based wound healing approaches as a revolutionizing area. Thus, we focus on organic and non-organic NSs designed to deliver growth factors to burned skin, and scaffolds, dressings, etc. for exogenous stem cells to aid skin regeneration. Eventually, recent breakthroughs and technologies with substantial potentials in tissue regeneration and skin wound therapy (that are as the basis of burn wound therapies) are briefly taken into consideration including 3D-printing, cell-imprinted substrates, nano-architectured surfaces, and novel gene-editing tools such as CRISPR-Cas.
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                Author and article information

                Contributors
                Journal
                Comput Math Methods Med
                Comput Math Methods Med
                cmmm
                Computational and Mathematical Methods in Medicine
                Hindawi
                1748-670X
                1748-6718
                2021
                13 December 2021
                : 2021
                : 3171547
                Affiliations
                Department of Disinfection and Supply, Weifang People's Hospital, Weifang, China
                Author notes

                Academic Editor: Jianxin Shi

                Author information
                https://orcid.org/0000-0002-1958-5358
                Article
                10.1155/2021/3171547
                8687789
                a9ab699a-0f4c-46dd-b7c8-aee34d4a8b23
                Copyright © 2021 Bin'e Wu et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 22 September 2021
                : 20 October 2021
                : 22 October 2021
                Categories
                Research Article

                Applied mathematics
                Applied mathematics

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