• Robin Prater Varas, Terence O'Keeffe, Nicholas Namias, Louis R Pizano, Olga Delia Quintana, Marlene Herrero Tellachea, Qammar Rashid, and C Gillon Ward.
• DeWitt Daughtry Family Department of Surgery, University of Miami/Jackson Memorial Burn Center, Miami, FL 33101, USA.
• J Burn Care Rehabil. 2005 Jul 1;26(4):344-7.

AbstractDespite recent improvements in analgesia, pain control during dressing changes continues to be a major challenge in patients with burns. We investigated two different dressing modalities to compare how much pain the patient experienced during and after the dressing change. Patients with partial-thickness burns that required only topical wound care were assigned randomly to treatment with Acticoat (Smith and Nephew USA, Largo, FL) or silver sulfadiazine (AgSD). The outcome variable was pain during wound care, which was measured using visual analog pain scores. The mean visual analog pain scores for the wounds treated with Acticoat or AgSD wounds were 3.2 and 7.9, respectively (P < .0001; paired Student's t-test). In 41 of the 47 paired pain score observations, the pain in the wound treated with AgSD was perceived as greater than in the wound treated with Acticoat. Burn wound care with Acticoat is less painful than burn wound care with AgSD in patients with selected partial-thickness burns.

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