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Comparative Clinical Study of Bactigras and Telfa AMD for Skin Graft Donor-Site Dressing

The Bactigras(®) paraffin tulle coated with chlorhexidine is normally used for the treatment of donor-site wounds in burn patients who received split-thickness skin grafts in several centers. It has some disadvantages, such as adhesion to wound surfaces and pain from the irritation caused by this dr...

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Autores principales: Muangman, Pornprom, Nitimonton, Sooksan, Aramwit, Pornanong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Molecular Diversity Preservation International (MDPI) 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3179149/
https://www.ncbi.nlm.nih.gov/pubmed/21954342
http://dx.doi.org/10.3390/ijms12085031
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author Muangman, Pornprom
Nitimonton, Sooksan
Aramwit, Pornanong
author_facet Muangman, Pornprom
Nitimonton, Sooksan
Aramwit, Pornanong
author_sort Muangman, Pornprom
collection PubMed
description The Bactigras(®) paraffin tulle coated with chlorhexidine is normally used for the treatment of donor-site wounds in burn patients who received split-thickness skin grafts in several centers. It has some disadvantages, such as adhesion to wound surfaces and pain from the irritation caused by this dressing. The Telfa AMD(®), a non-adherent wound dressing which consists of absorbent cotton fibers impregnated with polyhexamethylene biguanide enclosed in a sleeve of thermoplastic polymers, is a new option for donor-site wound care which causes less adherence to the wound. The purpose of this study was to compare clinical efficacy of these two dressings for the management of donor-site wounds. Thirty-two patients who received split-thickness skin grafts by donor site harvesting from the thigh were enrolled in this study and randomized into two groups receiving either the Bactigras(®) or the Telfa AMD(®) wound treatment. Re-epithelialization, pain, infection and cost-effectiveness analyses were compared between both groups. The results showed that there was no significant difference in age, area of donor sites or length of hospital stays between the groups (p > 0.05). However, the day of re-epithelialization (≥90%) was significantly shorter in patients treated with the Telfa AMD(®) compared to the Bactigras(®) group (14.00 ± 3.05 vs. 9.25 ± 1.88 days for Bactigras(®) and Telfa AMD(®) groups, respectively, p < 0.001). The average pain score was also significantly lower in the Telfa AMD(®) group (1.57 ± 0.55 vs. 4.70 ± 1.16, p < 0.001). There was no difference in the cost of treatment between the groups (4.64 ± 1.97 vs. 5.72 ± 2.54 USD, p = 0.19). This study indicated that the Telfa AMD(®) was an effective dressing for the treatment of donor-site wounds.
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spelling pubmed-31791492011-09-27 Comparative Clinical Study of Bactigras and Telfa AMD for Skin Graft Donor-Site Dressing Muangman, Pornprom Nitimonton, Sooksan Aramwit, Pornanong Int J Mol Sci Article The Bactigras(®) paraffin tulle coated with chlorhexidine is normally used for the treatment of donor-site wounds in burn patients who received split-thickness skin grafts in several centers. It has some disadvantages, such as adhesion to wound surfaces and pain from the irritation caused by this dressing. The Telfa AMD(®), a non-adherent wound dressing which consists of absorbent cotton fibers impregnated with polyhexamethylene biguanide enclosed in a sleeve of thermoplastic polymers, is a new option for donor-site wound care which causes less adherence to the wound. The purpose of this study was to compare clinical efficacy of these two dressings for the management of donor-site wounds. Thirty-two patients who received split-thickness skin grafts by donor site harvesting from the thigh were enrolled in this study and randomized into two groups receiving either the Bactigras(®) or the Telfa AMD(®) wound treatment. Re-epithelialization, pain, infection and cost-effectiveness analyses were compared between both groups. The results showed that there was no significant difference in age, area of donor sites or length of hospital stays between the groups (p > 0.05). However, the day of re-epithelialization (≥90%) was significantly shorter in patients treated with the Telfa AMD(®) compared to the Bactigras(®) group (14.00 ± 3.05 vs. 9.25 ± 1.88 days for Bactigras(®) and Telfa AMD(®) groups, respectively, p < 0.001). The average pain score was also significantly lower in the Telfa AMD(®) group (1.57 ± 0.55 vs. 4.70 ± 1.16, p < 0.001). There was no difference in the cost of treatment between the groups (4.64 ± 1.97 vs. 5.72 ± 2.54 USD, p = 0.19). This study indicated that the Telfa AMD(®) was an effective dressing for the treatment of donor-site wounds. Molecular Diversity Preservation International (MDPI) 2011-08-08 /pmc/articles/PMC3179149/ /pubmed/21954342 http://dx.doi.org/10.3390/ijms12085031 Text en © 2011 by the authors; licensee MDPI, Basel, Switzerland. http://creativecommons.org/licenses/by/3.0 This article is an open-access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/3.0/).
spellingShingle Article
Muangman, Pornprom
Nitimonton, Sooksan
Aramwit, Pornanong
Comparative Clinical Study of Bactigras and Telfa AMD for Skin Graft Donor-Site Dressing
title Comparative Clinical Study of Bactigras and Telfa AMD for Skin Graft Donor-Site Dressing
title_full Comparative Clinical Study of Bactigras and Telfa AMD for Skin Graft Donor-Site Dressing
title_fullStr Comparative Clinical Study of Bactigras and Telfa AMD for Skin Graft Donor-Site Dressing
title_full_unstemmed Comparative Clinical Study of Bactigras and Telfa AMD for Skin Graft Donor-Site Dressing
title_short Comparative Clinical Study of Bactigras and Telfa AMD for Skin Graft Donor-Site Dressing
title_sort comparative clinical study of bactigras and telfa amd for skin graft donor-site dressing
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3179149/
https://www.ncbi.nlm.nih.gov/pubmed/21954342
http://dx.doi.org/10.3390/ijms12085031
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