Optimizing Suprathel®-therapy by the use of Octenidine-Gel®

Objective - A prospective, randomized, non-blinded, clinical study was conducted to evaluate the feasibility and practicability as well as pain reduction and ease of handling of Flammazine® versus Octenidine-Gel® as a primary local antiseptic before synthetic skin substitute application in partial-t...

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Main Authors: Radu, Christian Andreas (Author) , Gazyakan, E. (Author) , Germann, G. (Author) , Riedel, K. (Author) , Reichenberger, Matthias (Author) , Ryssel, H. (Author)
Format: Article (Journal)
Language:English
Published: 2011
In: Burns
Year: 2011, Volume: 37, Issue: 2, Pages: 294-298
ISSN:1879-1409
DOI:10.1016/j.burns.2010.07.001
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.burns.2010.07.001
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0305417910001531
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Author Notes:C.A. Radu, E. Gazyakan, G. Germann, K. Riedel, M. Reichenberger, H. Ryssel
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Summary:Objective - A prospective, randomized, non-blinded, clinical study was conducted to evaluate the feasibility and practicability as well as pain reduction and ease of handling of Flammazine® versus Octenidine-Gel® as a primary local antiseptic before synthetic skin substitute application in partial-thickness burns. - Methods - Thirty patients with a median age of 42 years suffering from second-degree burns were included in the study. Burns were randomly selected, one area was treated with Flammazine®/gauze, another area in the same patient was treated with Octenidine-Gel®/gauze as initial antiseptic treatment. Within 24h the first gauze change was performed followed by wound inspection, disinfection and synthetic skin substitute application. The study focused on patient pain score, analysis of wound bed and ease of handling of the two local antiseptic agents. - Results - There was a significant difference between Flammazine® versus Octenidine-Gel® regarding patient pain score and ease of handling. Octenidine-Gel® was less painful (p<0.05) and easier to handle (p<0.05). There was no significant difference for wound bed evaluation between the two antiseptic agents. A tendency for better wound bed preparation was seen with the use of Octenidine-Gel®. - Conclusion - Based on the findings of this study Octenidine-Gel® is recommended as a local antiseptic agent, because when compared to Flammazine®, Octenidine-Gel® proved to be better in terms of ease of care, simplicity application, with gentler and faster detachment of the gel from wound surfaces and consequently far less pain during dressing changes.
Item Description:Available online 13 November 2010
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Physical Description:Online Resource
ISSN:1879-1409
DOI:10.1016/j.burns.2010.07.001