Patientshadanaveragenumberofthreedressingchanges.
Topicalantimicrobialswereusedtogetherwithasecondary
dressingofgauzeswabs.Thetopicalantimicrobialofchoice
was Flamazine (Smith & Nephew). Flamazine is widely
usedinburncareasthesilverionsactasabroadspectrum
antimicrobial agent and are particularly useful in the
treatmentandpreventionofcolonisationwithgram-negative
organismssuchaspseudomonas.Itisusedonthemajority
ofpatientsintheauthors’burnserviceasnotonlydoesit
haveantimicrobialpropertiesbutitalsoservestokeepthe
woundhydratedandissoothingandpainlessonapplication
(Senarath-Yapa and Enoch, 2009; Edwards, 2011). All
woundswerephotographedateachdressingchange.Overall
commentswererecordedbypatientsandnursingstaff.