Topical Heparin: A Better Sanative For Burns Patient than Conventional Treatment.

ABSTRACT

Background: Burns trauma represents a major cause ofmorbidity and mortality. Tackling the pain andproviding a better healing with conventional therapieshave been compared to that by using topical heparinapplication in < 40% burns. Aim and Objectives: Tocompare pain score, healing, duration of hospital stayafter applying topical heparin and conventionaltreatment for burns < 40%. Material and Methods: Atotal of 80 patients were included in the study anddivided into 2 groups Heparin (H) and Control (C)group with 40 patients in each group. H group receivedunfractioned Heparin 25,000 IU / 5ml and C groupreceived silver based antimicrobial cream and paraffingauze. Results: Maximum number of patients belongedto the age group (15-35years = 65.5%). The maximumnumber of patients who sustained thermal injuries wasfrom 11-20% (23 patients) and 31-40% (22 patients).The patients in H group had a significant decrease intheir pain score (p <0.001) when compared to C group.The days of hospitalization was reduced significantlyin patients receiving topical Heparin therapy whencompared with the C group. Majority of the patients inH group (36 patients, 90%) had only 1-2 doses/day ofanalgesic medication administered to them. Patients inC group (26 patients, 65%) had to be given 3-4 divideddoses/day of analgesia. Conclusions: From this study itwas concluded that topical application of Heparinreduces pain, duration of hospital stay, rates of woundinfection, cost and time required for dressing