Proper management of diabetic foot ulcers is an essential but often overlooked component of diabetic wound care. Wound dressing technology is constantly advancing and there is no reason why diabetics should suffer complications resulting from ulceration or even amputation as a result of their condition.
Thermal damage to the skin that just breaches the dermis but leaves many islands of basal epithelial cells intact is named a partial thickness burn. Due to the multitude of these islands, re-epithelialisation occurs within 7-14 days and the largely intact dermis means the scar is of good quality. This is the natural history of a truly superficial partial thickness burn.
Burns are a global public health problem, accounting for an estimated 265 000 deaths annually. A burn is an injury to the skin or other organic tissue primarily caused by heat or due to radiation, radioactivity, electricity, friction, or contact with chemicals.
Burns destroy skin, which controls the amount of heat our bodies retain or release, holds in fluids and protects us from infection. While minor burns on fingers and hands are usually not dangerous, burns injuring even relatively small areas of skin can cause serious complications.
It is imperative to understand the depth of the burn wound. A partial thickness wound will heal spontaneously. The most appropriate dressing choice is one that can be applied as a single application and is only removed once epithelialisation is complete.
A study by Emma Gee Kee et al, Randomised controlled trial of three burns dressings for partial thickness burns in children published in Burns (2015), compared the effects of three silver dressing combinations on small to medium size acute partial thickness burns in children, focusing on reepithelialisation time, pain and distress during dressing changes.