Jaeger Marie, Harats Moti, Weissman Oren, Haik Josef

1. Our experience with the
new silver sodium
carboxymethylcellulose
glove in the treatment of
partial thickness hand
burns
Moti Harats MD, Marie Jaeger MD, Oren
Wiessman MD, Josef Haik MD MPH
Department of Plastic and Reconstructive
Surgery, Sheba Medical Center, Tel
Hashomer

2. Background, Patients &
Methods
Partial thickness hand burns are challenging to treat
because of the complex anatomy of the hand and its
importance in motoric and sensoric interaction with the
environment.
The aim is to promptly regain as much mobility and
sensibility as possible in order to be able to return to
activities of daily life. Since hands are also exposed to
the environment also the most esthetical outcome
should be achieved. When treating partial thickness
burns, major problems need to be addressed: Such as
painful dressing changes, the risk of infection and the
mobility of the hand.
Due to the complexity of hand dressings a new silver
sodium carboxymethylcellulose glove reinforced with
Nylon stitching (AQUACEL® AG BURN) was invented,
which can be left in place up to 21 days, as alternative
to traditional daily dressing changes.
Our aim was to evaluate the new glove and specifically
assess pain, infection, mobility, re-epithelialization,
safety, patients' satisfaction and costs.

3. Background, Patients &
Methods
• We present our data with 8 patients
with partial-thickness hand burns that
were treated with silver sodium
carboxymethylcellulose gloves,
compared to a cohort of 8 patients
with hand burns that were treated
with Sulfadiazine, gauze and a Kerlix
bandage (standard of care).
• The mean follow-up time was six
months.

4. Results
Patient 1 –
Patient 2 –
27 year old healthy male who suffers from a 2nd degree burn
due to hot oil on his right hand. The wound was debrided and
dressed with Aquacell AG burn glove – the wound was healed
after 14 days.
Figure 1 – patient in the
ER with burn due to hot oil
Figure 2 – burn
dressing after 7 days
Figure 3 – complete
detachment after 14 days
29 year old healthy male who suffers from a 2nd degree burn
due to hot water on his right hand. The wound was debrided and
dressed with Aquacell AG burn glove – the wound was healed
after 13 days.
Figure 1 –
patient in the
ER with burn
due to hot
water
Figure 2 – burn
dressing after 7
days
Figure 4 – result
after 4
weeks
Figure 3 –
complete
detachment after
13 days

5. • The new silver sodium
carboxymethylcellulose glove reinforced with
Nylon stitching for a partial thickness hand
burns can be left in place up to 21 days and
appears to be a promising alternative to
daily dressing changes.
• Patients can be discharged earlier, it is less
painful, as safe as daily dressing changes
and is very well accepted by the patients.
• Further research with larger patient volumes
are still needed to verify these findings.
Discussion
Thank You!