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Article ; Online: A novel, reverse-phase-shifting, thermoreversible foaming hydrogel containing antibiotics for the treatment of thermal burns in a swine model - A pilot study.

Donaldson, Ross I / Armstrong, Jonathan K / Buchanan, Oliver J / Graham, Todd L / Cambridge, John S / Cristerna, Nely N / Goldenberg, Diane / Tanen, Captain David A / Fisher, Timothy C / Tolles, Juliana / Burns, Christopher J / Ross, James D

Burns : journal of the International Society for Burn Injuries

2024  

Abstract: Background: This study compared a novel topical hydrogel burn dressing (CI-PRJ012) to standard of care (silver sulfadiazine) and to untreated control in a swine thermal burn model, to assess for wound healing properties both in the presence and absence ... ...

Abstract Background: This study compared a novel topical hydrogel burn dressing (CI-PRJ012) to standard of care (silver sulfadiazine) and to untreated control in a swine thermal burn model, to assess for wound healing properties both in the presence and absence of concomitant bacterial inoculation.
Methods: Eight equal burn wounds were created on six Yorkshire swine. Half the wounds were randomized to post-burn bacterial inoculation. Wounds were subsequently randomized to three treatments groups: no intervention, CI-PRJ012, or silver sulfadiazine cream. At study end, a blinded pathologist evaluated wounds for necrosis and bacterial colonization.
Results: When comparing CI-PRJ012 and silver sulfadiazine cream to no treatment, both agents significantly reduced the amount of necrosis and bacteria at 7 days after wound creation (p < 0.01, independently for both). Further, CI-PRJ012 was found to be significantly better than silver sulfadiazine (p < 0.02) in reducing bacterial colonization. For wound necrosis, no significant difference was found between silver sulfadiazine cream and CI-PRJ012 (p = 0.33).
Conclusions: CI-PRJ012 decreases necrosis and bacterial colonization compared to no treatment in a swine model. CI-PRJ012 appeared to perform comparably to silver sulfadiazine. CI-PRJ012, which is easily removed with the application of room-temperature water, may provide clinical advantages over silver sulfadiazine.
Language English
Publishing date 2024-03-15
Publishing country Netherlands
Document type Journal Article
ZDB-ID 197308-3
ISSN 1879-1409 ; 0305-4179
ISSN (online) 1879-1409
ISSN 0305-4179
DOI 10.1016/j.burns.2024.03.018
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