Interest of a Lipido-colloid Dressing in the Management of Pediatric Wounds: Results of a European Clinical Study

Background: The great majority of the wounds we treat in our daily practice in pediatric burn units are dressed by neutral or impregnated vaseline gauze or equivalent.

Purpose: We wanted to evaluate the efficacy, tolerance and acceptability of a new lipido-colloid dressing, Urgotul, in the local treatment of acute and chronic pediatric wounds.

Methods: A non-comparative multicentre prospective clinical study was conducted in France and Germany. A total of 100 patients were recruited from 16 centres (11 in France and 5 in Germany), and followed up for four weeks with a weekly basis evaluation by the medical investigator (clinical and photographic records) and at every dressing change by the nursing staff. Seventy wounds (55 burns and 15 other wounds) from France and 30 from Germany (22 burns and eight other wounds) were recruited in this trial. The pain parameter was evaluated with pain scales adapted to the patient’s age (Objective Pain Scale, Faces scale, Visual Analogical Scales) at each dressing change.

Results: In the French study population, 86% of the burns (superficial and deep partial-thickness) and
100% of the other types of wound healed within the four weeks, and for the German study population, 53% and 88% of the wounds healed, respectively. The mean healing time (9 to 13 days for burns) seems to be at least similar to those observed with other dressings, but the management of the cares were really easier for care givers and more comfortable for the patients as dressing removal was non-traumatic, inducing very limited pain. Minor local adverse events were reported in four children

Conclusion: The Urgotul lipido-colloid dressing promotes wound healing and is well-tolerated and accepted by children presenting  with acute and chronic wounds. This new dressing might be an appropriate and highly promising alternative to conventional dressings