Management of Pruritus in Burns: Understanding Contributing Factors and Future Perspectives
Wiktor Pilch1, Rebecca Schrale1, Andrew Castley1, 1Tasmanian Burns Unit, Hobart, Tasmania, Australia
Abstract
Pruritus is a common and distressing symptom experienced by burn patients throughout their recovery process. Understanding the contributing factors and exploring potential future perspectives are crucial for enhancing patient comfort in burn care.
Contributing factors include an inflammatory response, nerve regeneration, scarring and contractures. Psychological and environmental factors must also be taken into consideration.
Future perspectives include advanced research on pruritic mechanisms to better ascertain the underlying mechanisms including the role of neurogenic inflammation, nerve regeneration and scar remodelling.
The development of innovative treatments such as novel anti-pruritic medications, including selective neuropeptide antagonists as well as novel anti-inflammatory agents, holds promise for managing pruritus in burns1. New topical formulations and targeted delivery systems may also enhance drug efficacy. A multimodal approach: combining pharmacological interventions with non-pharmacological approaches, includes cooling techniques, psychological interventions, and patient education.
Telemedicine and digital solutions as well as patient centred care engages patients in shared decision-making, providing tailored pruritus management plans. By addressing psychological and social aspects aid in improving patient satisfaction and treatment outcomes.
Effective pruritus management in burn care requires a multifaceted approach. By understanding the contributing factors, it can help develop targeted and individualised interventions. Moving forward, ongoing research, innovative treatments, telemedicine and patient centred care will shape the future management in burns, enhancing patient comfort and improving overall outcomes.
Biography
Plastic and Reconstructive Registrar at the Royal Hobart Hospital encompassing the Tasmanian Burns Unit