Author Topic: prescription silver burn cream?  (Read 359 times)

nj_m715

prescription silver burn cream?
« on: May 20, 2019, 10:26:14 PM »
is the burn cream we talked about at the camp out?

https://www.allivet.com/p-3496-silver-sulfadiazine-1-cream-50-gm.aspx

BennyMG1

Re: prescription silver burn cream?
« Reply #1 on: May 24, 2019, 07:43:51 AM »
Yes. I have been using this in the ER to treat burns for years. You might want to research a little. Silvadine has fallen out of favor with The Joseph M. Stills Burn Center in Augusta. They advise us NOT to use silvadine on patients we are transferring. I still keep it in my kit, but it should be noted there are application procedures that should be followed.
Trust, but verify. Russian proverb

nj_m715

Re: prescription silver burn cream?
« Reply #2 on: May 24, 2019, 02:41:39 PM »
thanks, allivet has a 10% off 100$ sale this weekend too

code HONOR10

nj_m715

Re: prescription silver burn cream?
« Reply #3 on: May 24, 2019, 03:30:42 PM »
looks like allivet wants a vet's prescription
but these guys don't

https://www.mountainside-medical.com/

Rockhopper

Re: prescription silver burn cream?
« Reply #4 on: June 02, 2019, 04:40:38 PM »
Yes that's the cream mentioned. Also good for burns is bacitracin ointment (brand name polysporin) available otc, but NOT to be confused with triple antibiotic ointment (brand name Neosporin) since some people can develop allergies to it due to the neomycin contained in the product.

My own personal research based on articles and discussions with a burn care clinician recently led me to the following regimen I used on my own burn which worked well for me . I had a 2nd degree hot oil burn almost encompassing the entire back of my right hand not including the fingers and healed in 7-10 days. I used an occlusive dressing such as the following in combination with SSD gently over-rapped with coban tape (one that sticks only to itself and breaths) or the generic during the day only which protected it when washing hands and working in a dirty hospital environment.

https://www.amazon.com/s?k=coviden+occlusive+dressing&ref=nb_sb_noss

Then at night I changed to a to semi-occlusive gauze (note that both dressings contain the antibacterial 3% bismuth tribromophenate). The semi-occlusive gauze allows air and moisture to pass, and coated the wound with bacitracin ointment and again wrapped it with coban tape which allowed the wound to breath so that too much moisture did not accumulate.

https://www.amazon.com/Covidien-8884437100-Xeroform-Non-occlusive-Emulsion/dp/B01BQA1WT0

It is important to note that every morning I lightly washed the area with water only while in the shower then applied the daily dressing. None of the dressings stuck to the area allowing the newly formed tissue to remain undisturbed. Here's the tape:

https://www.amazon.com/Adherent-Adhesive-Cohesive-Athletic-Swelling/dp/B01MZ8GBV6/ref=sr_1_4?keywords=coban+tape&qid=1559505889&s=industrial&sr=1-4

Regarding BennyMG1"s statement about SSD (silver sulfadiazine) falling out of favor at his burn center; I found a study coming out of Brazil that corroborated his observation, but will have to order the full article at our library to examine findings.

Of particular note is this article which talks of the importance of moisturizing a wound but not to over moisturize. I seemed to accomplish the correct moisture balance due to the speed of healing and absence of infection in my personal example above. Apparently occlusive dressings of particularly the LATEX variety can lead to infection possibly due to over moisturizing and providing bacteria a hospitable environment.

https://www.woundsresearch.com/article/7894

Then I found this to be a good article as well as it points out the plethora of modalities currently offered and suggests different wounds involving different thicknesses may require different treatment strategies. It talks about some of the newer nano silver dressings of which I had bought a few:

https://www.hindawi.com/journals/psi/2012/190436/

Finally, I think wound care is such an important topic that it would be good to re-visit the subject in the near future to discuss wound care using Dakin's solution, the manufacture of Dakin's, acetic acid, honey, wet to dry dressings, etc as this can be an important low tech solution to the treatment of many wounds and even stubborn wounds resistant to care.