Eficacia del apósito de nanocelulosa en quemaduras de adultos en Sancti Spíritus, Cuba 2022-2025
Efficacy of nanocellulose dressings in adult burns in Sancti Spíritus, Cuba 2022-2025Barra lateral del artículo
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Introducción: Las quemaduras son lesiones cutáneas ocasionadas por agentes térmicos, químicos, eléctricos o radiantes, con una incidencia hasta siete veces superior en países de ingresos bajos y medios. Objetivo: Describir los resultados del uso de un apósito de nanocelulosa en pacientes adultos quemados atendidos en Hospital General Provincial Camilo Cienfuegos de Sancti Spíritus, Cuba entre enero de 2022 y enero de 2025. Método: Estudio observacional, descriptivo, longitudinal y prospectivo con un enfoque cuantitativo. Resultados: El tiempo de cicatrización fue oportuno, donde el 70 % de los casos logró cierre entre 8 y 14 días, sin registros más allá de 21 días, y solo un paciente presentó infección local. Además, el manejo del dolor fue adecuado, y la calidad estética de la cicatriz mejoró entre los días 30 y 90. Conclusiones: El apósito de nanocelulosa evidenció eficacia y seguridad como opción terapéutica local.
Introduction: Burns are skin injuries caused by thermal, chemical, electrical, or radiant agents, with an incidence up to seven times higher in low- and middle-income countries. Objective: To describe the results of using a nanocellulose dressing in adult burn patients treated at the Camilo Cienfuegos Provincial General Hospital in Sancti Spíritus, Cuba, between January 2022 and January 2025. Method: Observational, descriptive, longitudinal, and prospective study with a quantitative approach. Results: Healing time was appropriate, with 70% of cases achieving closure between 8 and 14 days, no cases exceeding 21 days, and only one patient presenting with local infection. Pain management was adequate, and the aesthetic quality of the scar improved between days 30 and 90. Conclusions: The nanocellulose dressing demonstrated efficacy and safety as a local therapeutic option.
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Organización Mundial de la Salud. Burns Geneva: Organización Mundial de la Salud; 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/burns
Huang S, Lin HZ y Wei X. Global, regional and national burden of injuries caused by fire, heat, and hot substances from 1990 to 2021. Plos one. 2025;20(5). https://doi.org/10.1371/journal.pone.0324481
Ministerio de Salud Pública de Cuba. Anuario Estadístico de Salud de Cuba 2023 La Habana: MINSAP; 2024, https://www.paho.org/sites/default/files/2025-02/anuario-estadistico-salud-2023-ed-2024.pdf
Khoo KH, Ross ES, Yoon JS, Lagziel T, Shamoun F, Puthumana JS, et al. What fuels the fire: a narrative review of the role social determinants of health play in burn injuries. European burn journal. 2022;3(2):377-90. https://doi.org/10.3390/ebj3020033
Kamolz LP, Nischwitz S, Tuca A, Holzer J y Kotzbeck P. The use of bacterial nanocellulose based dressings in burns-Future perspectives. Burns: journal of the International Society for Burn Injuries. 2022;48(2):479-80. https://doi.org/10.1016/j.burns.2021.07.026
He W, Wu J, Xu J, Mosselhy DA, Zheng Y y Yang S. Bacterial cellulose: functional modification and wound healing applications. Advances in wound care. 2021;10(11):623-40. https://doi.org/10.1089/wound.2020.1219
Naomi R, Idrus R y Fauzi B. Plant-vs. Bacterial-derived cellulose for wound healing: A review. International journal of environmental research public health. 2020;17(18). https://doi.org/10.3390/ijerph17186803
Holzer JC, Tiffner K, Kainz S, Reisenegger P, De Mattos IB, Funk M, et al. A novel human ex-vivo burn model and the local cooling effect of a bacterial nanocellulose-based wound dressing. Burns. 2020;46(8):1924-32. https://doi.org/10.1016/j.burns.2020.06.024
Lee KC, Bamford A, Gardiner F, Agovino A, Ter Horst B, Bishop J, et al. Burns objective scar scale (BOSS): validation of an objective measurement devices based burn scar scale panel. Burns. 2020;46(1):110-20. https://doi.org/10.1016/j.burns.2019.05.008
Cattelaens J, Turco L, Berclaz LM, Huelsse B, Hitzl W, Vollkommer T y Bodenschatz K. The impact of a nanocellulose-based wound dressing in the management of thermal injuries in children: results of a retrospective evaluation. Life. 2020;10(9). https://doi.org/10.3390/life10090212
Luca V, Nischwitz SP, Conti E, Lipa G, Ghezal S, Luze H, et al. The use of a novel burn dressing out of bacterial nanocellulose compared to the French standard of care in paediatric 2nd degree burns–A retrospective analysis. Burns. 2022;48(6):1472-80. https://doi.org/10.1016/j.burns.2021.11.019
Maurer K, Renkert M, Duis M, Weiss C, Wessel LM y Lange B. Application of bacterial nanocellulose-based wound dressings in the management of thermal injuries: Experience in 92 children. Burns. 2022;48(3):608-14. https://doi.org/10.1016/j.burns.2021.07.002
Schiefer JL, Aretz GF, Fuchs PC, Bagheri M, Funk M, Schulz A y Daniels M. Comparison of wound healing and patient comfort in partial‐thickness burn wounds treated with SUPRATHEL and epictehydro wound dressings. International wound journal. 2022;19(4):782-90. https://doi.org/10.1111/iwj.13674
Schiefer JL, Aretz FG, Fuchs PC, Lefering R, Yary P, Opländer C, et al. Comparison of long-term skin quality and scar formation in partial-thickness burn wounds treated with Suprathel® and epicitehydro® wound dressings. Medicina. 2022;58(11). https://doi.org/10.3390/medicina58111550
Renkert M, Guenter F, Mohr C, Maurer K, Petrowsky MM, Boettcher M y Elrod J. Nanocellulose significantly reduces number of anesthetics, hospital days, and in-patient dressing changes compared to PU-Foam Dressing: A prospective cohort study in children. Burns. 2024;50(9). https://doi.org/10.1016/j.burns.2024.07.010
Resch A, Staud C y Radtke C. Nanocellulose‐based wound dressing for conservative wound management in children with second‐degree burns. International Wound Journal. 2021;18(4):478-86. https://doi.org/10.1111/iwj.13548
Rehan M, Iqbal T, Tariq MH, Khan MS, Tul Ain Q, Sarwar MU y Waheed U. Bacterial nanocellulose dressing compared with hydrocolloid dressing for the treatment of partial-thickness second-degree burns: a prospective, randomized control trial. Annals of Burns Fire Disasters. 2024;37(3):226–32. https://pmc.ncbi.nlm.nih.gov/articles/PMC11372272/
Andrade G, Baron MA, Matioski A, Ribas JM, Esteves WL, Ceccon F, et al. Pine nanocellulose and bacterial nanocellulose dressings are similar in the treatment of second-degree burn? Experimental study in rats. ABCD Arquivos Brasileiros de Cirurgia Digestiva. 2020;33(02). https://doi.org/10.1590/0102-672020200002e1533
De Souza LL, Guillens LC, Alves BC, Oliveira MG, Bagliotti A, Mansano F, et al. Bacterial nanocellulose/calcium alginate hydrogel for the treatment of burns. Acta Cirúrgica Brasileira. 2024;39. https://doi.org/10.1590/acb393324
Barbachowska A, Korzeniowski T, Surowiecka A y Strużyna J. Alloplastic epidermal skin substitute in the treatment of burns. Life. 2023;14(1). 10.3390/life14010043. https://doi.org/10.3390/life14010043
Abarca L, Guilabert P, Martin N, Usua G, Barret JP y Colomina MJ. Epidemiology and mortality in patients hospitalized for burns in Catalonia, Spain. Scientific reports. 2023;13(1). https://doi.org/10.1038/s41598-023-40198-2
Stojanović M, Marinković M, Jurišić M, Miličić B, Stojičić M, Jovanović M, et al. Epidemiological characteristics of hospitalized burn patients—a 10-year retrospective study in a major burn center in Serbia. Life. 2025;15(1). https://doi.org/10.3390/life15010118
Wu H, Xi M y Xie W. Epidemiological and clinical characteristics of older adults with burns: a 15-year retrospective analysis of 2554 cases in Wuhan Institute of Burns. BMC geriatrics. 2023;23(1). https://doi.org/10.1186/s12877-023-03883-5
Almodumeegh AS, AlKhudair MR, Altammami AF, Alsuhaim RH, Alhumaidan AI, Alothman A, et al. Patient satisfaction after conservative treatment for burn scars in Saudi Arabia. Cureus. 2022;14(2). https://doi.org/10.7759/cureus.21896
Hutter MF, Smolle C, Kleinhapl J y Kamolz LP. Life satisfaction after burn injury—a comprehensive review. European Burn Journal. 2024;5(4):418-28. https://doi.org/10.3390/ebj5040037