Q: We routinely use Silvadene for burn treatment at our hospital. I understand that you are not too keen on it. Why?
A: We have steered away from silver sulfadiazine (e.g., Silvadene) at work for years. We have found that products like a vasoline-type gauze, e.g., Xeroform, is more comfortable and easier to maintain requiring fewer banadage changes. In a 2008, a Cochrane review of dressings for superficial and partial thickness burns noted that silver sulfadiazine delayed healing and that moist dressings seem to decrease the pain and decrease healing times.
Bottomline: Fewer, less vigorous washings with less frequent bandage changes adds up to important practical advantages.