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Abstract
Infection remains the major cause of morbidity and mortality following the shock phase in the burn patient. Measures to reduce the risk of wound infection and subsequent sepsis include early excision where possible, and the use of topical antimicrobial creams such as silver sulphadiazine. Studies from the USA and Europe suggest the addition of cerium nitrate to this commonly agent may improve its efficacy.
We present the findings of a pilot study which investigated the action of a commercial preparation of cerium nitrate/silver sulphadiazine mixture (Flammacerium, Duphar B.V. Holland) on 20 patients considered unsuitable for surgery. There were no episodes of cellulitis or septicaemia. Flammacerium was noted to produce and adherent eschar that was easy to shave and which received split skin grafts well.
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Article info
Publication history
Accepted:
April 19,
1993
Received:
March 22,
1993
Identification
Copyright
© 1993 The British Association of Plastic Surgeons. Published by Elsevier Inc.
