Effect of Bilva Herbal Ointment and Silver Sulfadiazine on Healing, Pain and Itching of Burn Wounds

Document Type : Original Article

Authors

1 Department of Clinical Biochemistry,Tabriz University of Medical Sciences,Tabriz,Iran

2 MSc Student in Surgical Technology, School of Allied Medical Sciences, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran

3 Department of Basic Sciences, Faculty of Paramedicine, Tabriz University of Medical Sciences, Tabriz, Iran.

4 Plastic Surgen, Sina Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.

5 Faculty of Nursing and Midwifery, Sina Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.

6 Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Sina Hospital, Tabriz University of Medical Sciences, Tabriz, Iran

10.30491/tm.2022.312344.1392

Abstract

Background: The most common method for burn wound dressing is silver sulfadiazine (SSD); however, its side effects on wound healing and the need for repeated use for healing are often painful. This study aimed to compare two different dressings, namely Bilva and SSD ointments, on wound healing, pain, itching, and scarring of the burn wounds.
Methods: This clinical trial study was performed on 35 patients with superficial second-degree burns hospitalized in the Burn Ward of Sina Hospital in Tabriz, Iran, from 2019 to 20. After irrigation of the wound, Bilva ointment was applied randomly on one side and SSD ointment on the other side to repair patients' burns. Patients were followed up on days 1, 7, 14, 21, and the first, second, and third months after burns; data related to the wound healing process, pain, itching, and scar status of patients were collected with a checklist. 
Results: There was no statistically significant difference between the two groups of variables related to the wound healing process on all days. The amount of burn wound scar did not differ between the two groups on day 21 and the first, second, and third months. Patients' pain and itching were significantly better in the Bilva group on the 7th (p<0.01), 14th (p<0.01), 21st day (p<0.01), and the first month (p<0.01) after burns relative to the SSD group.
Conclusion: Bilva ointment had a similar effect in healing the burn wounds of patients compared to SSD, and it was more effective in controlling pain and itching of burn wounds than SSD. Further studies are needed to evaluate the cost-effectiveness of this dressing method on superficial burn wounds.

Keywords


Volume 27, Issue 2
March and April 2022
Pages 436-444
  • Receive Date: 27 October 2021
  • Revise Date: 08 January 2022
  • Accept Date: 22 February 2022
  • First Publish Date: 01 April 2022