Guideline and Consensus
Expert consensus on the treatment of second-degree burn wounds (2024 edition) Ⅱ: surgical treatment and infection prevention and treatment
Chinese Burn Association, Tissue Repair of Burns and Trauma Committee, Cross-Straits Medicine Exchange Association of China
Published 2024-02-20
Cite as Chin J Burns, 2024, 40(2): 101-118. DOI: 10.3760/cma.j.cn501225-20240112-00015
Abstract
Second-degree burns are the most common type of burns in clinical practice and hard to manage. The treatment needs not only to consider the possible different effects of dressing change or surgical treatment itself, but also requires the evaluation of many factors such as burn site, ages of patients, and burn area. At present, there are no unified standards or specifications for the surgical procedures of wound treatment, as well as infection diagnosis and grading of second-degree burn wounds, which seriously affects the formulation of clinical treatment plans. The consensus writing group developed the Expert consensus on the treatment of second-degree burn wounds (2024 edition) Ⅱ: surgical treatment and infection prevention and treatment based on evidence-based medical evidence and combined with expert opinion. This expert consensus put forward 29 specific recommendations from two aspects: surgical treatment and infection prevention and treatment of second-degree burn wounds, aiming to form a standardized clinical treatment plan for second-degree burns.
Key words:
Burns; Surgical procedures, operative; Debridement; Infection
Contributor Information
Chinese Burn Association, Tissue Repair of Burns and Trauma Committee
Cross-Straits Medicine Exchange Association of China
(1) 是国内外首部针对Ⅱ度烧伤创面治疗的临床专家共识，涵盖烧伤创面院前急救处理、非手术治疗、手术治疗及感染防治4个方面，旨在形成规范化的Ⅱ度烧伤治疗方案。
(2) 对Ⅱ度烧伤创面的相关术语进行了明确和规范，包括首次将深Ⅱ度烧伤创面进一步分为偏浅深Ⅱ度和偏深深Ⅱ度烧伤创面等，为规范Ⅱ度烧伤创面的相关诊断、分类和治疗提供了决策基础。
(3) 以循证医学证据为基础，综合考虑临床实践操作的可行性及不同地域的经济水平和文化，形成了一套可操作性较强的Ⅱ度烧伤临床实践指南。
Highlights:
(1) This was the first clinical expert consensus for the treatment of second-degree burn wounds at home and abroad, covering the following four aspects: pre-hospital first aid treatment, non-surgical treatment, surgical treatment, and infection prevention and control of burn wounds. It aimed to form a standardized treatment plan for second-degree burns.
(2) This consensus clarified and standardized the terminology related to second-degree burn wounds, including for the first time further dividing deep second-degree burn wounds into shallow deep second-degree and profound deep second-degree burn wounds, which provided a decision-making basis for standardizing the relevant diagnosis, classification, and treatment of second-degree burn wounds.
(3) Based on the evidence-based medicine evidence, comprehensive consideration of the operative feasibility of the clinical practice, and the economic level and culture in different geographic regions, a set of operable clinical practice guideline of second-degree burns was formed.