Evidence map›Paper›PMID 42650334›Full record

ArticleChildren (Basel, Switzerland)2026

Early Enzyme-Alginogel Treatment Improves Healing and Reduces Complications, Scarring, and Healthcare Burden in Children with Mild-to-Moderate Burns: A Retrospective Real-World Study.

Biagio Nicolosi, Emanuele Buccione, Hamilton Dollaku, Benedetta Virginia Difalco, Eleonora Salutini, Alessandra Martin, Martina Certini, Sara Cappelli, Alessia Spano, Gianluca Castiello and 2 more

Abstract read
In one paragraph

Article in Children (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Biagio NicolosiHealth Professions Department, Meyer Children's Hospital IRCCS, 50139 Florence, Italy.ORCID 0009-0008-6665-1638
Emanuele BuccionePediatric Intensive Care Unit, Local Health Authority 3 of Pescara, 65124 Pescara, Italy.ORCID 0000-0003-4146-8948
Hamilton DollakuCardiac Rehabilitation Unit, IRCCS Don Gnocchi Hospital, 50143 Florence, Italy.ORCID 0000-0002-0559-5264
Benedetta Virginia DifalcoHealth Professions Department, Meyer Children's Hospital IRCCS, 50139 Florence, Italy.ORCID 0009-0007-0229-2173
Eleonora SalutiniHealth Professions Department, Meyer Children's Hospital IRCCS, 50139 Florence, Italy.
Alessandra MartinSimple Departmental Organizational Structure of Plastic Surgery and Burn Center, Meyer Children's Hospital IRCCS, 50139 Florence, Italy.
Martina CertiniSimple Departmental Organizational Structure of Plastic Surgery and Burn Center, Meyer Children's Hospital IRCCS, 50139 Florence, Italy.
Sara CappelliBachelor's Degree Program in Nursing, School of Human Health Sciences, University of Florence, 50139 Florence, Italy.
Alessia SpanoBachelor's Degree Program in Nursing, School of Human Health Sciences, University of Florence, 50139 Florence, Italy.
Gianluca CastielloAISLeC, Italian Nursing Association of Wound Care, 47923 Rimini, Italy.
Flavio FacchiniSimple Departmental Organizational Structure of Plastic Surgery and Burn Center, Meyer Children's Hospital IRCCS, 50139 Florence, Italy.
Guido CiprandiComplex Unit of Plastic Surgery, University of Padua, 35128 Padua, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesPediatric mild-to-moderate burns require careful management in the early phase, yet evidence guiding optimal initial dressing selection remains limited. Although topical medications and specialized dressings are routinely used, a universally accepted standard of care is lacking.

methodsWe conducted a 1-year, real-world, retrospective, comparative, single-center study evaluating whether treatment with enzyme alginogel (Flaminal

resultsDespite a higher proportion of deep burns, early treatment with enzyme alginogel was associated with a 6.17-day [95% Confidence Interval: 4.71-7.63 days] shorter healing time (

conclusionsEarly management with alginogel favored healing, reduced complications, improved scar outcomes, and reduced burden of care in comparison to the initial treatment with NaOCl-based antiseptic dressings followed by treatment change when clinically indicated. Prospective, comparative, randomized studies are needed to confirm these findings.

Indexed as

burn wound managementearly treatmentenzyme alginogelmild-to-moderate burnspediatric burnsscar outcomessodium hypocloritewound healing

Identifiers

PMID42650334
PMCPMC13510530

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.