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. 2022 Dec 8;10:tkac047. doi: 10.1093/burnst/tkac047

Table 2.

Advantages and disadvantages of the most commonly used dressings to treat second-degree burns. Information from [6, 14, 21]

Advantages Disadvantages Examples of commercially available optionsa
Dressing pads • Low cost • Antibacterial protection • Ideal for clean and dry wounds • Requires frequent dressing change and tape to secure the pad • Changing dressing disrupts the wound bed and may be painful • Not for wounds with high exudates Xeroform™
Antimicrobial dressings • Low cost • Minimize bacterial colonization • Cytotoxicity may cause would healing delay • Constant removal may be traumatic, disrupting the granulation tissue Acticoat™
Hydrocolloid dressings • Semi-permeable molecules swell with exudates and form a gel to protect against bacteria and moisture • Can be easily detached • Ideal for areas of great friction • Destruction of dressing results in unpleasant color and odor often confused with infection • Not capable of absorbing big amounts of exudate Duoderm™, Urgotul™
Silicon-coated nylon dressings • Easy and atraumatic removal • Protect new tissue growth • Not for wounds with high exudates • Sensitivity has been reported to silicone Mepitel™
Hydrofiber dressings • Moist microenvironment promotes healing • High cost • Destruction of dressing results in unpleasant color and odor often confused with infection Aquacel Ag™
Hydrogels • Outer surface impermeable to bacteria and water • Transparent structure allows wound visualization without dressing removal • Flexible and easy to detach • Assists in autolytic debridement • Low absorption capacity usually demands secondary dressing • Maceration can occur if exudate is abundant IntraSite™, Nu-Gel™

aCommonly used wound dressings for burns according to the American Academy of Family Physicians, The American Academy of Dermatology and Burn Care & Research [7, 20, 22]