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Authors Sharp NE, Aguayo P, Marx DJ, Polak EE, Rash DE, Peter SD, Ostlie DJ, Juang D
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Journal J Trauma Nurs Volume: 21 Issue: 5 Pages: 253-7
Publish Date 2014 Sep-Oct
PubMed ID 25198082

We performed a nursing survey to inquire about nursing preferences toward the use of silver sulfadiazine (SSD) and collagenase (CO). We performed a survey between September 2012 and December 2012 asking nurses to rate the application/removal of both products and provide a description of their preferences. Ten study nurses (83%) preferred CO over SSD (P < .001). Two nurses (17%) had no preference. Negative comments on SSD were pseudoeschar (50%), difficult application burns (25%), messiness (67%), and increased number of dressing changes (25%). Negative comments on CO were the need for an additional antimicrobial agent (58%), although 1 nurse noted the higher expense with CO. Nurses preferred CO because of cleanliness of dressing (17%), lack of pseudoeschar (25%), and less pain with dressing changes (8%). Despite no difference in outcomes between SSD and CO, experienced burn nurses prefer CO because of perceptions of decreased trauma and frequency of dressing changes. Copyright © 2017 The Board of Regents of the University of Wisconsin System