Using a new lipidocolloid dressing in paediatric wounds: results of French and German clinical studies.

OBJECTIVE To evaluate the efficacy, tolerance and acceptability of a lipidocolloid dressing, Urgotul (Laboratoires Urgo), in the local treatment of acute and chronic paediatric wounds. METHOD Two non-comparative multicentre prospective clinical studies were conducted using the same protocol in France and Germany. A total of 100 patients were recruited from 16 centres (11 in France and five in Germany), and followed up for four weeks. Seventy wounds (55 burns and 15 other wounds) from France and 30 from Germany (22 burns and eight other wounds) were evaluated by nursing staff at every dressing change and by the medical investigator on a weekly basis. RESULTS In the French study population, 86% of the burns (superficial and deep partial-thickness) and 53% of the other wounds healed completely within the four weeks. Figures for the German study population were 100% and 88% respectively. Pain was evaluated using pain scales adapted to the patient's age (objective pain scale, faces scale for pain and a visual analogue scale) at each dressing change. Dressing removal was non-traumatic, inducing very limited pain. Minor local adverse events were reported in four children. CONCLUSION Urgotul is not only efficacious, but also well-tolerated and accepted by children with acute and chronic wounds. The dressing, therefore, might be an appropriate and highly promising alternative to conventional dressings.

[1]  O. Dereure,et al.  Compression and peri-ulcer skin in outpatients' venous leg ulcers: results of a French survey. , 2005, Journal of wound care.

[2]  A. Sauvadet,et al.  Leg ulcers and the Urgocell Non-Adhesive wound dressing. , 2005, British Journal of Nursing.

[3]  P. Senet,et al.  Urgotul: a novel non-adherent lipidocolloid dressing. , 2002, British journal of nursing.

[4]  David R. Miller,et al.  Emergency Medical Services Outcomes Project (EMSOP) IV: pain measurement in out-of-hospital outcomes research. , 2002, Annals of emergency medicine.

[5]  R. Pettignano,et al.  The Assessment and Management of Chronic Pain in Children , 2002, Paediatric drugs.

[6]  M. Benbow Urgotul: alternative to conventional non-adherence dressings. , 2002, British journal of nursing.

[7]  D. Greenhalgh,et al.  Topical Treatment of Pediatric Patients with Burns , 2002, American journal of clinical dermatology.

[8]  G. Chalkiadis Management of chronic pain in children , 2001, The Medical journal of Australia.

[9]  E. Goldson,et al.  American Academy of Pediatrics American Pain Society the Assessment and Management of Acute Pain in Infants, Children, and Adolescents , 2022 .

[10]  A. Kelly,et al.  Setting the benchmark for research in the management of acute pain in emergency departments. , 2001, Emergency medicine.

[11]  P. Dziewulski,et al.  Biobrane versus 1% Silver Sulfadiazine in Second‐Degree Pediatric Burns , 2000, Plastic and reconstructive surgery.

[12]  Senecal Sj Pain management of wound care. , 1999 .

[13]  L. Rossato,et al.  Using tools for pain perception assessment in hospitalized pre-school children submitted to painful procedure , 1999 .

[14]  P. Senet,et al.  Les pansements hydrocolloïdes , 1999 .

[15]  L. Rossato,et al.  [Using tools for pain perception assessment in hospitalized pre-school children undergoing painful procedures]. , 1999, Revista da Escola de Enfermagem da U S P.

[16]  C. Gotschall,et al.  Prospective, randomized study of the efficacy of Mepitel on children with partial-thickness scalds. , 1998, The Journal of burn care & rehabilitation.

[17]  S. Y. Lee,et al.  Use of Biobrane in pediatric scald burns--experience in 106 children. , 1998, Burns : journal of the International Society for Burn Injuries.

[18]  T. Ryan Management of leg ulcers. , 1983, Hospital medicine.

[19]  E. Doyle,et al.  Validation of three paediatric pain scores for use by parents , 1996, Anaesthesia.

[20]  S. Thomas,et al.  Evaluation of hydrocolloids and topical medication in minor burns. , 1995, Journal of wound care.

[21]  J. F. Bishop Pediatric considerations in the use of Biobrane in burn wound management. , 1995, The Journal of burn care & rehabilitation.

[22]  T. M. Brotherston,et al.  Dressings for donor sites. , 1993, Journal of wound care.

[23]  A. Lloyd-Thomas,et al.  Pain management in children. , 1991, British medical bulletin.

[24]  A. Riiheläinen [Care of pressure sores]. , 1991, Sairaanhoitaja.

[25]  M. Frisén,et al.  A randomized trial of two occlusive dressings in the treatment of leg ulcers. , 1990, Acta dermato-venereologica.

[26]  P. A. Fall,et al.  Care of pressure sores: a controlled study of the use of a hydrocolloid dressing compared with wet saline gauze compresses. , 1989, Acta dermato-venereologica. Supplementum.

[27]  G. Gorse,et al.  Improved pressure sore healing with hydrocolloid dressings. , 1987, Archives of dermatology.

[28]  W. Su,et al.  Management of leg ulcers with hydrocolloid occlusive dressing. , 1984, Archives of dermatology.

[29]  G. Winter,et al.  Effect of Air Drying and Dressings on the Surface of a Wound , 1963, Nature.

[30]  G. Winter,et al.  Formation of the Scab and the Rate of Epithelization of Superficial Wounds in the Skin of the Young Domestic Pig , 1962, Nature.