Oral antibiotic+topical silverex
Hi. Thanks for posting your concern at XXXXXXX
First of all i empathize with you and your wife for going through all this.
I have seen a lot of burn patients in my practice and the two most important complications that burn patients encounter are: Infections and Hypertrophic/keloidal scaring.
As you told here that the burnt area is mostly covered with pink skin (scar) which is wet/moist and also bleeding at places. I would advice that you continue with topical silver sulphadiazine at the raw and oozing areas since they are prone to infection.
If i was your treating doctor i would have even added oral antibiotics
empirically (penicillin group like Amoxycillin
in combination with clavulanic acid
) for 1-2 weeks along with topical antibiotics to thwart away any risk of infection. It should heal within 2 weeks provided it is not complicated by infection (infection can delay healing).
The second important complication that needs to be considered in this case is risk of hypertrophic scar/keloid scar which can cause pain, itching, oozing and contractures
thus restricting joint mobility(at knee joint). This can be managed with either Silicone gel sheet dressings, Intra lesional steroids
, in consultation with plastic surgeon and dermatologist
I would advice that you see a dermatologist if your wife complains of itching in the scar which is a sign that she could be developing hypertrophic/keloid scaring.
Continue with protein rich diet.