Burn care

Information for health care professionals

Burns are a challenging wound type, associated with a complex burn care continuum.

Burn care across all burn wound healing stages, including burn scar management, demands a deeper understanding of burn care and research. At Mölnlycke, we are committed to supporting you in your learning, professional education and daily clinical practice.

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How to choose a dressing for burns
Different burn dressings and dressing protocols address different burn needs:
- For superficial partial-thickness burns, burn dressings should be left on the wound for long periods of time (at least one week), until healing^{3, 4}
- Partial-thickness burns have moderate to high exudate levels where foams and alginates can be an option⁴
- Antimicrobial dressings for burns, such as silver dressings, may be used prophylactically as a barrier to microorganisms⁵

Survey of global experts on the “ideal burn dressing”
In 2021, a survey among global experts on the “ideal burn dressing” was published. The objective of this study was to investigate what dressing is most appropriate for a burn on a global scale via a questionnaire. 196 experts from 49 countries participated in the survey.⁷

The results of the study show:
- Pain management plays a significant role in the perception of the ideal dressing
- Silver-based dressings are the most used dressings for superficial (45.2%) and
  deep burns (52.8%)
- 94.8% believe that the choice of burn dressing affects the outcome
The top 6 burn dressing characteristics, ranked by importance:
1. Anti-infectiveness
2. Pain-free dressing change
3. Pain reduction
4. Lack of adhesion to wound bed
5. High absorbency
6. Requirement of fewer dressing changes

Mepilex Ag – a proven solution for partial thickness burns

Mepilex Ag is a versatile and soft antimicrobial foam dressing that absorbs exudate and maintains a moist wound environment – specifically developed to manage burns.² The Safetac wound contact layer prevents the dressing from adhering to the wound bed, minimising pain and trauma during removal.^2–3

Mepilex Ag has been shown to contribute to reduced nursing time during first dressing application and reduced pain at removal in comparison to other dressing options in a paediatric population.^{2, 4} Compared to silver sulfadiazine, RCT results show that Mepilex® Ag leads to a shortened length of hospital stay, reduced pain and lower total cost of treatment.³
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Testimonials

Mepilex Ag Dr. Foster Testimonial

Listen to burn surgeon Kevin Foster as he shares his clinical experiences using Mepilex Ag.
The ideal dressing for burn care - a survey by global experts

Interview with Prof. Lars Peter Kamolz

References
Evans LH, Bhavsar D, Mailander P (2010) The biology of burn injury. Exp Dermatol 19(9): 777-83

Warby R, Maani CV (2019) Burn Classification. Available from: https://www.ncbi.nlm.nih.gov/books/NBK539773/

European Practice Guidelines for Burn Care. 2017

ISBI Practice Guidelines for Burn Care, Part 1, 2016

Wounds International. International consensus. Appropriate use of silver dressings in wounds. An expert working group consensus. London, UK: Wounds Int; 2012 [cited 14 Sep 2017]. URL: http://www.woundsinternational.com/media/issues/567/files/content_10381.pdf.

Heyneman A. et al. The role of silver sulphadiazine in the conservative treatment of partial thickness burn wounds: A systematic review. Burns. 2016 42(7):1377-1386

Nischwitz SP, Luze H, Popp D, Winter R, Draschl A, Schellnegger M, Kargl L, Rappl T, Giretzlehner M, Kamolz L-P. Global burn care and the ideal burn dressing reloaded — A survey of global experts. Findings from a survey of global experts on the ‘ideal burn dressing’ results. Burns. 2021 47:1665-1674.