Burns
Volume 36, Issue 1 , Pages 121-126 , February 2010

Aquacel® Ag with Vaseline gauze in the management of toxic epidermal necrolysis (TEN)

  • Shu-Hung Huang

      Affiliations

    • Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • Faculty of Medicine, Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
    • ,
  • Pei-Shan Yang

      Affiliations

    • Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
    • ,
  • Sheng-Hua Wu

      Affiliations

    • Faculty of Medicine, Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
    • Department of Anesthesia, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • ,
  • Kao-Ping Chang

      Affiliations

    • Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • Department of Surgery, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
    • ,
  • Tsai-Ming Lin

      Affiliations

    • Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • Department of Surgery, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
    • ,
  • Sin-Daw Lin

      Affiliations

    • Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • Department of Surgery, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
    • ,
  • Chung-Sheng Lai

      Affiliations

    • Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • Department of Surgery, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
    • ,
  • Su-Shin Lee

      Affiliations

    • Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • Department of Surgery, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
    • Corresponding Author InformationCorresponding author at: Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Chung-Ho Memorial Hospital, 100 Tzyou 1st Rd. Kaohsiung 80708, Taiwan. Tel.: +886 7 3208176; fax: +886 7 3111482.

,Accepted 23 February 2009.

References 

  1. Yarbrough DR. Experience with toxic epidermal necrolysis treated in a burn center. J Burn Care Rehabil. 1996;17:30–33
  2. Bastuji-Garin S, Rzany B, Stern RS, Shear NH, Naldi L, Roujeau JC. Clinical classification of cases of toxic epidermal necrolysis, Stevens–Johnson syndrome, and erythema multiforme. Arch Dermatol. 1993;129:92–96
  3. Lyell A. Toxic epidermal necrolysis: an eruption resembling scalding of the skin. Br J Dermatol. 1956;68:355–361
  4. Roujeau JC, Stern RS. Severe adverse cutaneous reactions to drugs. N Engl J Med. 1994;331:1272–1285
  5. Chung WH, Hung SI, Hong HS, Hsih MS, Yang LC, Ho HC, et al. Medical genetics: a marker for Stevens–Johnson syndrome. Nature. 2004;428:486
  6. Atiyeh BS, Dham R, Yassin MF, El-Musa KA. Treatment of toxic epidermal necrolysis with moisture-retentive ointment: a case report and review of the literature. Dermatol Surg. 2003;29:185–188
  7. Boorboor P, Vogt PM, Bechara FG, Alkandari Q, Aust M, Gohritz A. Toxic epidermal necrolysis: use of Biobrane or skin coverage reduces pain, improves mobilisation and decreases infection in elderly patients. Burns. 2008;34:487–492
  8. Bradley T, Brown RE, Kucan JO, Smoot EC, Hussmann J. Toxic epidermal necrolysis: a review and report of the successful use of Biobrane for early wound coverage. Ann Plast Surg. 1995;35:124–132
  9. Caruso DM, Foster KN, Blome-Eberwein SA, Twomey JA, Herndon DN, Luterman A. Randomized clinical study of Hydrofiber dressing with silver or silver sulfadiazine in the management of partial-thickness burns. J Burn Care Res. 2006;27:298–309
  10. Caruso DM, Foster KN, Hermans MH, Rick C. Aquacel Ag in the management of partial-thickness burns: results of a clinical trial. J Burn Care Rehabil. 2004;25:89–97
  11. Huang SH, Wu SH, Sun IF, Lee SS, Lai CS, Lin SD, et al. AQUACEL Ag in the treatment of toxic epidermal necrolysis (TEN). Burns. 2008;34:63–66
  12. Bastuji-Garin S, Fouchard N, Bertocchi M, Roujeau JC, Revuz J, Wolkenstein P. SCORTEN: a severity-of-illness score for toxic epidermal necrolysis. J Invest Dermatol. 2000;115:149–153
  13. Sargent RL. Management of blisters in the partial-thickness burn: an integrative research review. J Burn Care Res. 2006;27:66–81
  14. Lansdown AB, Silver I. Its antibacterial properties and mechanism of action. J Wound Care. 2002;11:125–130
  15. Bowler PG, Jones SA, Walker M, Parsons D. Microbicidal properties of a silver-containing Hydrofiber dressing against a variety of burn wound pathogens. J Burn Care Rehabil. 2004;25:192–196
  16. Edwards-Jones V. Antimicrobial and barrier effects of silver against methicillin-resistant Staphylococcus aureus. J Wound Care. 2006;15:285–290
  17. Gandhi M, Kowal-Vern A, An G, Hanumadass M. Blister fluid composition in a pediatric patient with toxic epidermal necrolysis. J Burn Care Res. 2008;29:671–675
  18. Field FK, Kerstein MD. Overview of wound healing in a moist environment. Am J Surg. 1994;167:2S–6S
  19. Walker M, Hobot JA, Newman GR, Bowler PG. Scanning electron microscopic examination of bacterial immobilisation in a carboxymethyl cellulose (AQUACEL) and alginate dressings. Biomaterials. 2003;24:883–890
  20. O’Neill MA, Vine GJ, Beezer AE, Bishop AH, Hadgraft J, Labetoulle C, et al. Antimicrobial properties of silver-containing wound dressings: a microcalorimetric study. Int J Pharm. 2003;263:61–68
  21. Heimbach DM, Engrav LH, Marvin JA, Harnar TJ, Grube BL. Toxic epidermal necrolysis. A step forward in treatment. JAMA. 1987;257:2171–2175
  22. Jordan MH, Lewis MS, Jeng JG, Bees JM. Treatment of toxic epidermal necrolysis by burn units: another market or another threat?. J Burn Care Rehabil. 1991;12:579–581
  23. Dalli RL, Kumar R, Kennedy P, Maitz P, Lee S, Johnson R. Toxic epidermal necrolysis/Stevens–Johnson syndrome: current trends in management. ANZ J Surg. 2007;77:671–676
  24. Yang JY, Huang CY, Chuang SS, Chen CC. A clinical experience of treating exfoliative wounds using nanocrystalline silver-containing dressings (Acticoat). Burns. 2007;33:793–797
  25. Asz J, Asz D, Moushey R, Seigel J, Mallory SB, Foglia RP. Treatment of toxic epidermal necrolysis in a pediatric patient with a nanocrystalline silver dressing. J Pediatr Surg. 2006;41:e9–e12
  26. Pereira FA, Mudgil AV, Rosmarin DM. Toxic epidermal necrolysis. J Am Acad Dermatol. 2007;56:181–200

PII: S0305-4179(09)00082-5

doi: 10.1016/j.burns.2009.02.018

Burns
Volume 36, Issue 1 , Pages 121-126 , February 2010

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