The Effect of Hypochlorite 0.025% and Povidine Iodine 1% on Burn Healing

Document Type : مقاله کوتاه

Authors

1 Department of Emergency, Imam Musa Kazem Hospital, Isfahan, Iran

2 Infectious Disease Specialist, Imam Musa Kazem Hospital, Isfahan, Iran

3 Surgeon, Imam Musa Kazem Hospital, Isfahan, Iran

Abstract

Background: Washing the burn wound is one of the key factors in burn healing. To achieve this goal, the disinfectant should be appropriate with effective dilution. There are various dressings for burn wound healing. The purpose of this study was to determine the effects of using hypochlorite and povidine iodine (betadine) dressings on burn wound healing.Methods: Patients aged 18-45 years with 20-45% of burn who were hospitalized were treated with hypochlorite 0.025% or and povidine iodine 1% in two groups. Both groups had a bandaged face, and wound dressing daily until the complete healing was achieved. When the wound was pink with translucent appearance, lining and no spatter, the wound healing was considered to be complete. The required time for healing of the graft and the graft area were declared and recorded by the surgeon who was blind to the used disinfectant.Findings: 50 patients had the inclusion criteria. Fisher’s exact test showed that the need to graft was significantly lower in hypochlorite group (P = 0.040). Independent-t test showed that the mean time for wound healing (P = 0.004) and the mean graft area (P = 0.003) were significantly lower in hypochlorite group, too.Conclusion: Results showed that the use of hypochlorite reduces the duration of hospitalization and treatment costs and reduces healing time and the need to graft.

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