Introduction: Superficial partial thickness burns generally do not require surgical intervention and are managed with specialized wound dressings. Mepilex Ag
® is commonly used and often represents the standard of care. This study evaluated the clinical performance of pure silk compared to Mepilex
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Introduction: Superficial partial thickness burns generally do not require surgical intervention and are managed with specialized wound dressings. Mepilex Ag
® is commonly used and often represents the standard of care. This study evaluated the clinical performance of pure silk compared to Mepilex Ag
®. Methods: A prospective, single-center intraindividual study was conducted on adult patients with superficial partial thickness burns. Each burn wound was divided, treating one half with pure silk and the other with Mepilex Ag
®. Clinical parameters including wound closure time, pain levels, and scar quality at 3-month follow-up were analyzed. Results: Twenty-four patients were included (mean TBSA: 5.8%). Mepilex Ag
® showed a trend towards a shorter wound closure time (10.5 vs. 11.5 days;
p = 0.223). Pain scores remained below 4/10 for both dressings throughout treatment. However, Mepilex Ag
® demonstrated significantly lower pain on day one (3.5 vs. 2.77;
p = 0.039) and day two (2.91 vs. 2.27;
p = 0.041). Scar quality after 3 months was similar. Conclusion: Both dressings proved to be effective treatment options. Pure silk required fewer resources, showed high clinical practicality, and demonstrated a similar performance to Mepilex Ag
® in key clinical parameters, making it an interesting option for other clinics and our standard of care.
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