Comparison of Silver-Content Hydrofiber Dressing Material and Silver Sulphadiazine in Geriatric Burn Patients

Yıl 2025, Cilt: 8 Sayı: 3, 324 - 327, 30.09.2025

Tufan Akın Giray , Ali Sağlık , Ayşegül Akçebe , Cem Aydoğan

https://doi.org/10.36516/jocass.1752187

https://izlik.org/JA75FA64AA

Öz

Background: Elderly burn patients often experience delayed wound healing and increased morbidity due to age-related physiological changes. Effective pain management and accelerated healing are crucial in this population.
Objective: To compare the efficacy of silver-containing hydrofiber dressing (Aquacel® Ag) and 1% silver sulfadiazine (GSD) in the management of superficial partial-thickness burns in geriatric patients.
Methods: This retrospective study included 73 patients over 60 years of age treated for scalding burns between 2009 and 2011. Patients were divided into two groups: Group I received Aquacel® Ag, and Group II received 1% GSD. Pain scores, dressing frequency, epithelialization time, and itching duration were recorded and analyzed using t-tests and chi-square tests.
Results: Group I required fewer dressing changes and reported significantly lower pain scores and analgesic needs compared to Group II (p<0.001). Epithelialization occurred earlier in Group I, and itching duration was shorter (p<0.001). Fewer hospital visits were needed in the Aquacel® Ag group, improving patient compliance and comfort.
Conclusion: Aquacel® Ag appears to be more effective than GSD in geriatric burn patients in terms of pain reduction, fewer dressing changes, and faster healing. These advantages may improve outpatient management and reduce morbidity in elderly patients with burn injuries.

Anahtar Kelimeler

Burn injuries , Geriatric patients , Silver sulfadiazine , Aquacel Ag , Hydrofiber dressing , Wound healing , Pain management

Geriatrik Yanık Hastalarında Gümüş İçerikli Hidrofiber Pansuman Materyali ile Gümüş Sülfadiazin Karşılaştırması

https://izlik.org/JA75FA64AA

Öz

Giriş: Yaşlı yanık hastalarında, yaşa bağlı fizyolojik değişiklikler nedeniyle yara iyileşmesi sıklıkla gecikir ve morbidite artışı görülür. Bu hasta grubunda etkili ağrı yönetimi ve hızlandırılmış yara iyileşmesi büyük önem taşımaktadır.
Amaç: Bu çalışmanın amacı, geriatrik hastalarda yüzeyel kısmi kalınlıktaki (superficial partial-thickness) yanıkların tedavisinde gümüş içeren hidrofiber pansuman (Aquacel® Ag) ile %1 gümüş sülfadiazinin (GSD) etkinliğini karşılaştırmaktır.
Yöntemler:
Bu retrospektif çalışmaya, 2009–2011 yılları arasında haşlanma yanığı nedeniyle tedavi edilen ve 60 yaş üzeri 73 hasta dahil edilmiştir. Hastalar iki gruba ayrılmıştır: Grup I'e Aquacel® Ag uygulanırken, Grup II'ye %1 GSD uygulanmıştır. Ağrı skorları, pansuman sayısı, epitelizasyon süresi ve kaşıntı süresi kaydedilmiş ve t-testi ile ki-kare testleri kullanılarak analiz edilmiştir.
Bulgular:
Grup I, Grup II'ye kıyasla daha az pansuman gereksinimi göstermiş, anlamlı derecede daha düşük ağrı skoru ve analjezik ihtiyacı bildirmiştir (p<0.001). Epitelizasyon Grup I’de daha erken gerçekleşmiş ve kaşıntı süresi daha kısa bulunmuştur (p<0.001). Aquacel® Ag grubunda daha az hastane ziyareti gerekmiş, bu da hasta uyumu ve konforunu artırmıştır.
Sonuç:
Aquacel® Ag, geriatrik yanık hastalarında ağrı azaltımı, daha az pansuman gereksinimi ve daha hızlı iyileşme açısından GSD’ye göre daha etkili görünmektedir. Bu avantajlar, ayaktan tedavi sürecini iyileştirebilir ve yaşlı hastalarda yanık morbiditesini azaltabilir.

Anahtar Kelimeler

Yanık yaralanmaları , Geriatrik hastalar , Gümüş sülfadiazin , Aquacel Ag , Hidrofiber pansuman , Yara iyileşmesi , Ağrı yönetimi

Kaynakça

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