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The management of paediatric burns with Burns and Wounds ointment and burdock leaves: a case series
Journal article   Peer reviewed

The management of paediatric burns with Burns and Wounds ointment and burdock leaves: a case series

Shelby Nathan, Autumn D Nanassy, Brooke A Burkey, Wellington J Davis, 3rd and Paul M Glat
Journal of wound care, v 29(Sup5a), pp S30-S35
01 May 2020
PMID: 32412894

Abstract

Amish Anti-Bacterial Agents - therapeutic use Arctium Body Surface Area Burn Units Burns - therapy Child, Preschool Cicatrix, Hypertrophic Culturally Competent Care Debridement Extraembryonic Membranes - transplantation Female Humans Infant Leg Injuries Medicine, Traditional Ointments - therapeutic use Plant Leaves Sepsis - therapy Skin Transplantation Wound Infection - therapy
In the Amish community, natural therapies, such as Burns and Wounds (B&W) ointment and burdock leaves, are preferred over modern medicine when treating burn wounds. The primary aim of this case series is to highlight the use and clinical outcomes of this treatment for paediatric Amish patients. At the a paediatric burn centre, two patients were treated with B&W ointment and burdock leaves. The first patient was 11 months old with 17% total body surface area (TBSA) partial and full-thickness scald burns to her lower extremities. The second patient was 24 months old with 20% TBSA partial-thickness scald burns to the torso, bilateral upper extremities, neck and chin. Soon after presentation to the hospital, both patients developed positive wound cultures and required cessation of ointment and burdock leaf therapy. Both patients ultimately underwent surgical interventions. Managing burn wounds with B&W ointment and burdock leaves should be considered as an additional option for wound care in select cases. However, the efficacy of this therapy is limited and standard-of-care modern medical burn treatments should remain an option for these patients. It is critically important to build a mutually respectful relationship with Amish patients' community leaders, as this allows open communication and collaboration in patient care and increases the likelihood that Amish guardians will bring their children to a hospital when necessary.

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Web of Science research areas
Dermatology
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