Biobrane dressing for paediatric burns in Singapore: a retrospective review.

INTRODUCTION The ideal burn dressing for children should aim to alleviate pain, decrease length of hospital stay and minimise complications such as conversion and infection. The current literature is still inconclusive with regard to the gold standard burn dressing for the paediatric population. METHODS We retrospectively reviewed children with superficial partial thickness burns admitted to our paediatric burns unit from January 2014 to April 2015. A total of 30 patients were included in our study, of whom 13 had Biobrane (R) dressing. The remaining 17 patients were treated with conventional silver foam dressing (i.e. Biatain (R) Ag) and served as matched controls. Long-term follow-up scar evaluation was carried out at an average interval of two years after injury. RESULTS In the Biobrane group, the length of hospital stay was significantly shorter (Biobrane vs. silver foam: 4.76 +/- 2.64 days vs. 8.88 +/- 5.09 days; p = 0.01) and the infection rate was significantly lower (Biobrane vs. silver foam: 0% vs. 35.3%; p = 0.02). The Biobrane group had no hypergranulation or wound infection and did not require skin grafting. Longterm follow-up scar evaluation did not reveal any statistical difference between the patient groups at the two-year interval. CONCLUSION Paediatric patients with partial thickness burns treated with Biobrane dressing had shorter hospital stay and lower incidence of infection compared to those treated with conventional silver foam dressing. Biobrane and silver foam dressings did not demonstrate any significant difference in terms of long-term scar outcomes over an average follow-up duration of two years.