Cross-Sectional Study on the Management of Non-Operative Burns at American Burn Association-Verified Burn Centers.

Non-fatal burn injuries are a leading cause of morbidity. However, among a variety of burn treatment options, there is no standard of care for the non-operative management of burns that do not require excision and skin grafting. This study aims to identify the most frequently used agents for non-operative burns in the US. A survey related to non-operative burns management was sent to 64 directors of ABA-verified burn centers. A total of 51.6% (n=33) directors of ABA-verified burn centers responded to the survey, reporting their most-used agents for non-operative superficial, superficial partial-thickness, deep partial-thickness, and full-thickness burns. Preferences varied by burn depth. For superficial burns, the top choice agents identified were Aquaphor (n=20; 60.6%), Eucerin (n=16; 48.5%), and antimicrobial ointments such as bacitracin, neomycin, or polymyxin (n=8; 24.2%). For superficial partial-thickness burns, antimicrobial ointments (n=27; 81.8%) and Mepilex Ag (n=19; 57.6%) were the preferred agents. The preferred agents for deep partial-thickness burns were antimicrobial ointments (n=18; 54.5%), Mepilex Ag (n=15; 45.5%), and chemical debridement agents such as Santyl, Xenaderm, or Granulex (n=13; 39.4%). The preferred agents for full-thickness burns were silver sulfadiazine cream 1% (n=15; 45.5%), chemical debridement agents (n=8; 24.2%), and antimicrobial ointments (n=6; 18.2%).