ANTIOXIDANTS SUPPLEMENTATION BASED ON NATURAL PRODUCTS IN THE TREATMENT OF THE THERMAL SKIN INJURY

Miloš Krstić, Bojana Krstić

DOI Number
https://doi.org/10.22190/FUMB230919007K
First page
066
Last page
071

Abstract


Thermal injuries are a major medical, economic and social problem, whose severity, morbidity, mortality, prognosis and treatment outcome directly depend on the surface and depth of the burn, but also on the patient's age, health status and accompanying complications. The treatment of thermal injury is long and complex, and the outcome is often uncertain with a very complex rehabilitation process, because the injury damages both physical and psychological health. Constant innovations in the protocol of medical treatment and the search for new mechanisms involved in the pathogenesis of burns can be helpful in successful treatment. Therefore, there is a constant search for adjuvant therapies that will improve results like HBO, AO, platelet- rich plasma, negative pressure wound therapy and others. In recent years, the application of antioxidants as  adjuvant therapy for the care and treatment of wounds  has been the subject of various researche. Antioxidants are biologically active molecules that prevent the creation of free radicals in the body and at the same time neutralize the existing ones, this way participating in maintaining the oxidative status at the desired level. Antioxidant -rich natural products may provide a solution to improve  wound healing. The application of antioxidant therapy has shown numerous benefits in improving the outcome of burns. However, more information is needed from the clinical trials on the use of natural products, especially in combination with other therapies. 

Keywords: thermal skin injury, hyperbaric oxygen therapy, antioxidant rich natural products

Keywords

thermal skin injury, hyperbaric oxygen therapy, antioxidant -rich natural products

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References


Tolles J. Emergency department management of patients with thermal burns. Emerg Med Pract 2018; 20(2):1–24. Epub 2018 Feb 1. PMID: 29369586.

Walker NJ, King KC. Acute and Chronic Thermal Burn Evaluation and Management. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023 [cited 2023 May 29]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430730/

Stokes MAR, Johnson WD. Burns in the Third World: an unmet need. Ann Burns Fire Disasters 2017; 30(4):243–6.

Peck MD. Epidemiology of burns throughout the world. Part I: Distribution and risk factors. Burns 2011; 37(7):1087–100.

Brink C, Isaacs Q, Scriba MF, Nathire MEH, Rode H, Martinez R. Infant burns: A single institution retrospective review. Burns 2019; 45(7):1518–27.

Yakupu A, Zhang J, Dong W, Song F, Dong J, Lu S. The epidemiological characteristic and trends of burns globally. BMC Public Health. 2022; 22(1):1596.

Edwards M, Cooper JS. Hyperbaric Treatment of Thermal Burns. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023 [cited 2023 February 27]. Available from: https://www.ncbi.nlm.

nih.gov/books/NBK470524/ February 27, 2023.

Sharma RK, Parashar A. Special considerations in paediatric burn patients. Indian J Plast Surg 1010; 43(Suppl):S43–50. doi: 10.4103/0970-0358.70719.

Schaefer TJ, Nunez Lopez O. Burn Resuscitation and Management. In: StatPearls. Treasure Island (FL): StatPearls Publishing; [cited 2023 January 23]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430795/ January 23, 2023.

Evers LH, Bhavsar D, Mailänder P. The biology of burn injury. Exp Dermatol. 2010; 19(9):777–783. doi: 10.1111/j.1600-0625.2010.01105.

James SL, Lucchesi LR, Bisignano C, et al. Epidemiology of injuries from fire, heat and hot substances: global, regional and national morbidity and mortality estimates from the Global Burden of Disease 2017 study. Inj Prev. 2020; 26(Supp 1):i6–i45. doi:10.1136/injuryprev-2019-043299.

Goei H, Hop MJ, van der Vlies CH, et al. Return to work after specialised burn care: a two-year prospective follow-up study of the prevalence, predictors and related costs. Injury. 2016; 47:1975–1982. doi: 10.1016/j.injury.2016.03.031.

Vlahović N, and Vlahović A. Physical therapy in pediatric burns. MD-Medical Data 2012; 4(4):447–450.

Żwierełło W, Piorun K, Skórka-Majewicz M, Maruszewska A, Antoniewski J, Gutowska Iet al. Burns: Classification, Pathophysiology, and Treatment: A Review. Int J Mol Sci. 2023; 24(4):3749. doi: 10.3390/ijms24043749.

Thorne, C.H. (2014) Grabb and Smith’s Plastic Surgery. Thorne C, Chung KC, Gosain A, Guntner GC, Mehrara BJ (Eds), 7th Edition, Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins Health,; Philadelphia, 2014. Lippincott Williams & Wilkins, Philadelphia, PA, 15, 148-150.

Popović N, Marković M, Sabljak V, Mandraš A, Bojičić-Petrov I, Milošević Bet al. Nadoknada i izbor tečnosti kod opekotina. Serbian Journal of Anesthesia and Intensive Ther apy 2013; 35(3-4): 175–80.

Serrano C, Boloix-Tortosa R, Gómez-Cía T, Acha Bet al. Features identification for automatic burn classification. Burns 2015; 41:1883–-90. doi: 10.1016/j.burns.2015.05.011

Warby R, Maani CV. Burn Classification. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022 [cited 2022 August 29]. Available from:August 29, 2022. https://www.ncbi.nlm.nih.gov/books/NBK539773/

Pham, TN, Girban N, Heimbach DMet al. Evaluation of the burn wound: Management decisions. In: Herndon, D (Ed), Total Burn Care, 3rd edition. Philadelphia: Herndon, D (Eds), Saunders Elsevier; 2007;.. p. 119–-126.

Brusselaers N, Monstrey S, Vogelaers D, Hoste E, Blot Set al. Severe Burn Injury in Europe: A Systematic Review of the Incidence, Etiology, Morbidity, and Mortality. Critical Care 2010; 14(5): R188.

Datta PK, Roy Chowdhury SR, Aravindan A, Saha S, Rapaka Set al. Medical and Surgical Care of Critical Burn Patients: A Comprehensive Review of Current Evidence and Practice. Cureus. 2022; 14(11):e31550. doi: 10.7759/cureus.31550.

jackson D, Topley E, Cason JS, Lowbury EJ. Primary excision and grafting of large burns. Ann Surg. 1960; 152:167–89.

Blakeney PE, Meyer III WJ. Psychosocial recovery of burned patients and reintegration into society. In: Herndon D. N., (ededitor.) Total Burn Care. W. B. Saunders Co Ltd; 1996. pp. 556–63.

Barret JP, Herndon DN. Effects of burn wound excision on bacterial colonization and invasion. Plast Reconstr Surg. 2003; 111:744–750.

Niţescu C, Calotă DR, Florescu IP, Lascăr Iet al. Surgical options in extensive burns management. J Med Life. 2012; 5(Spec Issue):

–136.

Muller MJ, Gahankari D, Herndon D. Operative wound management. In: Herndon D, editor. Total burn care. Philadelphia: Elsevier Saunders; 2007. pp. 177–195.

Burke JF, Quinby WC, Bondoc CC. Primary excision and prompt grafting as routine therapy for the treatment of thermal burns in children. Surg Clin North Am. 1976; 56:477–494.

McAleavey AA, Wyka K, Peskin M, Difede Jet al. Physical, functional, and psychosocial recovery from burn injury are related and their relationship changes over time: A Burn Model System study. Burns. 2018; 44(4):793-7399. doi:10.1016/j.burns.2017.12.011

Jeschke MG, van Baar ME, Choudhry MA, Chung KK, Gibran NS, Logsetty Set al. Burn injury. Nat Rev Dis Primers. 2020; 6(1):11. doi: 10.1038/s41572-020-0145-5.

Roshangar L, Soleimani Rad RJ, Kheirjou R , Reza Ranjkesh M, Ferdowsi Khosroshahi Aet al. Skin burns: review of molecular mechanisms and therapeutic approaches., wounds a compend. Clin Res Pract. 2019; 31:308––-315.

Cianci P, Lueders HW, Lee H, Shapiro RL, Sexton J, Williams C, Sato Ret al. Adjunctive hyperbaric oxygen therapy reduces length of hospitalization in thermal burns. J Burn Care Rehabil. 1989; 10(5): 432–435.

Villanueva E, Bennett MH, Wasiak J, Lehm JPet al. Hyperbaric oxygen therapy for thermal burns. Cochrane Database Syst Rev 2004; 2004(3): CD004727.

Niinikoski JH. Clinical hyperbaric oxygen therapy, wound perfusion, and transcutaneous oximetry. World J Surg. 2004; 28(3):307–311.

Comino-Sanz IM, López-Franco MD, Castro B, Pancorbo-Hidalgo PLet al. The Role of Antioxidants on Wound Healing: A Review of the Current Evidence. J Clin Med. 2021; 10(16):3558. doi:10.3390/jcm10163558.

Fitzmaurice SD, Sivamani RK, Isseroff RR. Antioxidant therapies for wound healing: a clinical guide to currently commercially available products. Skin Pharmacol Physiol. 2011; 24(3):113–126. doi:10.1159/000322643.

Criollo-Mendoza MS, Contreras-Angulo LA, Leyva-López N, Gutiérrez-Grijalva EP, Jiménez-Ortega LA, Heredia JBet al. Wound Healing Properties of Natural Products: Mechanisms of Action. Molecules. 2023; 28(2):598. doi: 10.3390/molecules28020598.

Sahib AS, Al-Jawad FH, Alkaisy AA. Effect of antioxidants on the incidence of wound infection in burn patients. Ann Burns Fire Disasters. 2010; 23(4):199–205.

Pruteanu LL, Bailey DS, Grădinaru AC, Jäntschi Let al. The Biochemistry and Effectiveness of Antioxidants in Food, Fruits, and Marine Algae. Antioxidants (Basel) 2023; 12(4):860. doi: 10.3390/antiox12040860.

Al-Jawad FH, Sahib AS, Al-Kaisy AA. Role of antioxidants in the treatment of burn lesions. Ann Burns Fire Disasters. 2008; 21(4):

–191.

Bertin-Maghit M, Goudable J, Dalmas E, Steghens JP, Bouchard C, Gueugniaud PY, Petit P, Delafosse Bet al. Time Course of Oxidative Stress After Major Burns. Intensive Care Med Intensive Care Medicine. 2000; 26:

–803.

Campos ACL, Groth AK, Branco AB. Assessment and Nutritional Aspects of Wound Healing. Curr Opin Clin Nutr Metab Care Current Opinion in Clinical Nutrition and Metabolic Care. 2008; 11(3):281–288.

Zhang MJ, Wang QF, Gao LX, Jin H, Wang ZYet al. Comparative observation of the changes in serum lipid peroxides influenced by the supplementation of vitamin E in burn patients and healthy controls. Burns. 1992; 18(1):

-21. doi: 10.1016/0305-4179(92)90113-9.

Al-Kaisy AA, Salih Sahib A, Al-Biati HA. Effect of zinc supplement in the prognosis of burn patients in iIraq. Ann Burns Fire Disasters. 2006; 19(3):115–122.

Chen LR, Yang BS, Chang CN, Yu CM, Chen KHet al. Additional Vitamin and Mineral Support for Patients with Severe Burns: A Nationwide Experience from a Catastrophic Color-Dust Explosion Event in Taiwan. Nutrients. 2018; 10(11):1782. doi: 10.3390/nu10111782.

Viaña-Mendieta P, Sánchez ML, Benavides J. Rational selection of bioactive principles for wound healing applications: Growth factors and antioxidants. Int Wound J. 2022; 19(1):100–13. doi: 10.1111/iwj.13602.

Rehou S, Shahrokhi S, Natanson R, Stanojcic M, Jeschke MG et al. Antioxidant and Trace Element Supplementation Reduce the Inflammatory Response in Critically Ill Burn Patients. J Burn Care Res. 2018; 39(1):1–9. doi: 10.1097/BCR.0000000000000607.

Horton JW. Free radicals and lipid peroxidation mediated injury in burn trauma. The role of antioxidant therapy. Toxicology. 2003; 189:75–88.

Ramana KV, Reddy ABM, Majeti NVRK, Singhal SS et al. Therapeutic Potential of Natural Antioxidants. Oxid Med Cell Longev. 2018; 2018:9471051.

Katanić J, Matić S, Pferschy-Wenzig EM, Kretschmer N, Boroja T, Mihailović V, Stanković V, Stanković N, Mladenović M, Stanić S, Mihailović M, Bauer Ret al. Filipendula ulmaria extracts attenuate cisplatin-induced liver and kidney oxidative stress in rats: In vivo investigation and LC-MS analysis. Food Chem Toxicol. 2017; 99:86–102.

Shah A., Amini-Nik S. The Role of Phytochemicals in the Inflammatory Phase of Wound Healing. Int J Mol Sci. 2017; 18:1068.




DOI: https://doi.org/10.22190/FUMB230919007K

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