Editor—Our aim was to include simple effective cheap dressings that are readily available in the primary care setting in the United Kingdom and abroad. Paraffin gauze (Jelonet) does dry and become adherent, but this should not be a problem in the initial healing phase when the wound is exuding. We did point out that if it became adherent, this dressing should not be pulled off as this disturbs healing. It is still a useful dressing and used in many burns units including our own. Silicone impregnated gauze (Mepitel) should be used if available.
With regard to silver sulfadiazine, we agree that there are better alternatives. We did mention hydrocolloid dressings (Granu-flex and Duoderm), but these may not be readily available and are more expensive. The size and location of the burn may preclude their use.
All burns would heal with supervised neglect but, as we emphasised in our introduction, outcome can be improved by appropriate management. We thank Leaman for emphasising tetanus prophylaxis—this was not mentioned in our article but is highlighted in other chapters of the series.
More detailed referral guidelines can be found in the National Burn Care Review, which can be downloaded from the British Association of Plastic Surgeons website (www.baps.co.uk).
Competing interests: None declared.