![]() The burn surface should be cooled with running tap water for at least 20 minutes within three hours of the burn injury. ![]() Patient education during primary care visits may be an effective prevention strategy.īurn patients who meet American Burn Association referral criteria should be promptly transferred to a burn center. Burn injuries are more likely to occur in children and older people. Pruritus, hypertrophic scarring, and permanent hyperpigmentation are long-term complications of partial-thickness burns. People with diabetes mellitus are at increased risk of complications and infection, and early referral to a burn center should be considered. Prophylactic antibiotics are not indicated for outpatient management and may increase bacterial resistance. Full-thickness (third-degree) burns involve the entire dermal layer, and patients with these burns should automatically be referred to a burn center. Deep partial-thickness burns require immediate referral to a burn surgeon for possible early tangential excision. Superficial partial-thickness burns extend into the dermis, may take up to three weeks to heal, and require advanced dressings to protect the wound and promote a moist environment. Partial-thickness (second-degree) burns are subdivided into two categories: superficial and deep. Superficial (first-degree) burns involve only the epidermal layer and require simple first-aid techniques with over-the-counter pain relievers. Initial treatment is directed at stopping the burn process. All burn injuries are considered trauma, prompting immediate evaluation for concomitant injuries. Two key determinants of the need for referral to a burn center are burn depth and percentage of total body surface area involved. Very rare (less than 0.Most patients with burn injuries are treated as outpatients. Hematologicįrequency not reported: Neutrophil count decreased, white blood cell depression, agranulocytosis, aplastic anemia, thrombocytopenia, hemolytic anemia DermatologicĬommon (1% to 10%): Pruritus, application site rash, eczema, contact dermatitisįrequency not reported: Skin necrosis, erythema multiforme, skin discoloration, burning sensation, Stevens-Johnson syndrome, toxic epidermal necrolysis, exfoliative dermatitis Renal GeneralĪbsorption varies depending upon the percent of body surface area being treated and extent of tissue damage it is possible any adverse reaction associated with sulfonamides may occur. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.Ĭheck with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Incidence not knownĪpplies to silver sulfadiazine topical: compounding powder, topical cream. These side effects may go away during treatment as your body adjusts to the medicine. Some side effects of silver sulfadiazine topical may occur that usually do not need medical attention.
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