Offsetting the benefits of Silver sulfadiazine topical treatments are the reported side-effects that include allergic reactions or sensitivity, frequent and painful dressing changes, delayed healing and staining/discoloration of the wound bed, which confound wound evaluation and depth determination. Studies however have found that it increases healing time. It prevents the growth of a wide array of bacteria, as well as yeast on the damaged skin. Silver sulfadiazine cream dressing for burns has been used as one of the standard dressings in many centers. The principle of burn wound management is to achieve healing as quickly as possible with minimal scarring.
#SILVER SULFADIAZINE CREAM COST SKIN#
These areas continuously loose protein rich fluid and electrolytes, since the barrier of intact skin is not present to prevent the same. Raw areas of skin cannot prevent the loss of body heat as the normal skin does by controlling vasodilatation and sweat formation. The denuded areas of skin pose a real challenge to surgeons who treat burns. Although beneficial uses of Raal ointment have been known to mankind since long and its role in the treatment of burns has also been discussed in Ayurveda but, there is no scientific study reported. The purpose of this study was to highlight the benefits of Raal ointment for treatment of second degree burn wounds.
We did twice a day application of both creams to wounds on both sides till wound epitheliazation was visibly complete. This further reduced the cost of treatment with Raal ointment. As the duration of wound healing with Raal ointment was lesser when compared with 1% silver sulfadiazine in our study, it required lesser number of dressings. 1200 (20.28$) while the cost of 1 kg of Raal ointment is only Rs. 1 kg of silver sulfadiazine costs around Rs. Ĭost-effectiveness was calculated by comparing the cost of the same quantity of Raal ointment and silver sulfadiazine. Hence, both treatment groups had equal quality of scar at 10 and 14 weeks and. P > 0.001 means it is not statistically significant. The average VSS score at 14 weeks was 6.86 in silver sulfadiazine group and 6.80 in Raal ointment group. Results: The average pain score was 7.02 (Scale 0-10) in silver sulphadizine cream group when compared with 5.14 in the Raal ointment group at the end of 24 h ( P 0.001 means it is not statistically significant. Both the wounds were assessed for parameters such as pain, infection, rate of healing and resultant scar. Raal ointment is an herbal product made up of resin of Shorea robusta plant. One side of the wound was treated with silver sulfadiazine cream and the other side of the wound was treated with Raal ointment. Fifty patients with second degree burn wounds of approximately equal size present on both half of the body were selected. Written informed consent was taken from each patient. Ethical committee permission was obtained. Materials and Methods: A randomized comparative study was carried out at our institute during August 2010 to June 2012. Aim: The aim of the following study is to assess the efficacy of Raal ointment (herbal plant resin) compared with 1% silver sulfadiazine cream as a burn dressing for the treatment of second degree burns covering less than 30% of the body surface area.
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