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Volume 40 Issue 1
Jan.  2024
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Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  > 2024  >  40(1): E1-E18
Ji Shizhao, Xiao Shichu, Xia Zhaofan, et al. Consensus on the treatment of second-degree burn wounds (2024 edition)[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2024, 40(1): E1-E18.
Citation: Ji Shizhao, Xiao Shichu, Xia Zhaofan, et al. Consensus on the treatment of second-degree burn wounds (2024 edition)[J]. CHINESE JOURNAL OF BURNS AND WOUNDS, 2024, 40(1): E1-E18.
shu

Consensus on the treatment of second-degree burn wounds (2024 edition)

Funds:

Chinese Academy of Medical Sciences Innovation Fund for Medical Sciences 2019-I2M-5-076

Shanghai Top Priority Research Center Project 2023ZZ02013

Key Program of National Natural Science Foundation of China 81930057

General Program of National Natural Science Foundation of China 81971836

Program of Shanghai Academic Research Leader 23XD1425000

More Information
    Abstract
  • Second-degree burns are the most common type of burn in clinical practice and hard to manage. Their treatment requires not only a consideration of the different outcomes that may arise from the dressing changes or surgical therapies themselves but also an evaluation of factors such as the burn site, patient age and burn area. Meanwhile, special attention should be given to the fact that there is no unified standard or specification for the diagnosis, classification, surgical procedure, and infection diagnosis and grading of second-degree burn wounds. This not only poses great challenges to the formulation of clinical treatment plans but also significantly affects the consistency of clinical studies. Moreover, currently, there are relatively few guidelines or expert consensus for the management of second-degree burn wounds, and no comprehensive and systematic guidelines or specifications for the treatment of second-degree burns have been formed. Therefore, we developed the Consensus on the Treatment of Second-Degree Burn Wounds (2024 edition), based on evidence-based medicine and expert opinion. This consensus provides specific recommendations on prehospital first aid, nonsurgical treatment, surgical treatment and infection treatment for second-degree burns. The current consensus generated a total of 58 recommendations, aiming to form a standardized clinical treatment plan.

     

    • • This was the first clinical consensus on 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 treatment of burn wounds. It aimed to form a standardized treatment plan for second-degree burns.
    • 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.
    • Based on the evidence-based medicine evidence, comprehensive consideration of the operative feasibility of the clinical practice, and the economic level of different geographic regions and cultural factors, a set of operable clinical practice guideline of second-degree burn wounds was formed.
    Writing group
    Department of Burn Surgery, the First Affiliated Hospital of the Naval Medical University Shizhao Ji, Xiaoyan Hu, Pengfei Luo, Xingfeng Zheng, Shichu Xiao, Wei Zhang, Jianyu Lu, Chao Ji and Yushu Zhu.
    Methodology expert group
    Department of Health Statistics, Faculty of Health Service, Naval Medical University Xiaofei Ye; Department of Epidemiology, Tongji University School of Medicine Jie Zhang
    Clinical problem solicitation expert group
    Panelists of the Consensus Committee.
    Registration of consensus and guideline
    International Practice Guideline Registry Platform, PREPARE-2023CN749.
    Conflict of interest
    The authors have disclosed that they do not have any potential conflicts of interest.
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