Wound healing in second-degree burns in rats treated with silver sulfadiazine: a systematic review and meta-analysis

J Wound Care. 2022 Apr 1;31(Sup4):S31-S45. doi: 10.12968/jowc.2022.31.Sup4.S31.

Abstract

Objective: This study aims to assess the wound healing efficacy in second-degree burns in rats treated with 1% silver sulfadiazine (SSD)-a sulfonamide antibiotic.

Method: This is a systematic literature review and meta-analysis performed according to the PICO (Population, Intervention, Comparison and Outcomes) strategy.

Results: The review found 100 studies in PubMed, Web of Science and other search engines. Of these, 70 studies were pre-selected after removing duplicates. After independent analysis by two reviewers, only seven studies met the inclusion criteria for meta-analysis. All studies except one showed faster wound closure by the application of silver sulfadiazine ointment. Using a random effects model, healing was faster in SSD-treated groups when compared to the control group on day 21, with a statistically significant mean difference of -2.72 days (95% confidence interval: -4.99, -0.45) between treatment and control groups (p<0.01).

Conclusion: The results of this meta-analysis revealed that SSD aided in faster healing of second-degree burns.

Keywords: meta-analysis; second-degree burn; silver sulfadiazine; systematic review; wound; wound care; wound healing.

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Animals
  • Anti-Infective Agents, Local* / pharmacology
  • Anti-Infective Agents, Local* / therapeutic use
  • Burns* / drug therapy
  • Humans
  • Ointments
  • Rats
  • Silver Sulfadiazine / pharmacology
  • Silver Sulfadiazine / therapeutic use
  • Soft Tissue Injuries*
  • Wound Healing

Substances

  • Anti-Infective Agents, Local
  • Ointments
  • Silver Sulfadiazine