J Med Assoc Thai 2010; 93 (6):694

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Comparative Study between Chitin/Polyacrylic Acid (PAA) Dressing, Lipido-Colloid Absorbent Dressing and Alginate Wound Dressing: A Pilot Study in the Treatment of Partial-Thickness Wound
Angspatt A Mail, Tanvatcharaphan P , Channasanon S , Tanodekaew S , Chokrungvaranont P , Sirimaharaj W

Background: Polyacrylic acid grafted chitin (Chitin-PAA) contains a hydrogel characteristic that makes it more suitable for
wound dressing application. In animal models, Chitin-PAA dressing exhibited properties as a promising dressing. Epithelization
promotion, rapid reduction of wound size, reduction of inflammatory cell response, and less toxicity had been noted.

Objective: Carryout a pilot clinical comparative study of Chitin-PAA dressing, lipido-colloid absorbent dressing, and alginate
wound dressing in the treatment of partial-thickness wound.
Material and Method: Between June 2006 and March 2007, 36 partial-thickness wounds were randomized into three groups
and three different types of dressing were used. Each wound was treated until it was completely healed, and a visual analogue
scale was used for the pain evaluation.

Result: The present study shows the visual analogue pain score in the Chitin-PAA group seems to be a bit higher than the
Urgocell® group but not statistically different. The completely healed day is not significantly different. Three patients in the
lipido-colloid absorbent dressing groups had wound infection but eventually healed after treatment.

Conclusion: There was no statistical difference in terms of visual analogue pain score and healing time between the lipidocolloid
absorbent dressing, alginate dressing, and chitin-PAA dressing.

Keywords: Polyacrylic acid, Chitin, Chitin PAA, Alginate dressing, Lipido-colloid absorbent dressing, Wound healing,
Partial-thickness wound

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