LOCAL TREATMENT OF BURN WOUNDS WITH THE USE OF PROBIOTICS

Abstract

Summary. Introduction. Burn injury remains one of the serious problems of clinical medicine. For successful spontaneous epithelization of surface burns in the prescribed time frame, it is necessary to create favorable conditions to reduce bacterial insemination and limit additional traumatization of dermal burns. Goal. Evaluation of the clinical effectiveness of Arederma spray with probiotics for the local treatment of superficial burns. Materials and methods. The results of complex local treatment of 26 patients with superficial burns are presented. Patients were divided into 2 clinical groups. The main group consisted of 14 patients who, before standard local treatment, underwent additional treatment of burn surfaces with a spray with probiotics. The comparison group consisted of 12 victims who underwent standard local therapy of burn surfaces. In patients of the main group, the burn area on average was (6.4 ± 1.8) % of body surface, in patients of the comparison group (5.9 ± 1.3) % of body surface. The effectiveness of the treatment was carried out on the basis of a microbiological study with the study of the wound process using cytological studies and visual assessment. Results and discussion. The obtained results testify to the effectiveness of the local application of probiotics in the complex treatment of superficial burns due to the reduction of infection of the burn surface and the positive effect of the drug on epithelization processes, which made it possible to shorten the terms of inpatient treatment of burned patients. Conclusions. The combined complex application of a neutral wound dressing and a spray containing probiotics optimizes the inflammatory process, reduces the infection of the burn surface with pathogenic microflora, which ensures epithelization of superficial burns in the prescribed time. The use of Arederma spray helped reduce the bacterial load on the burn surface at all stages of complex local treatment.