Burn preparations: (topical)

mafenide acetate (Sulfamylon ®) silver sulfadiazine (SSD®, Silvadene®)

mafenide acetate (Sulfamylon ®) top of page icon

Use - Adjunct in the treatment of second- and third-degree burns to prevent septicemia caused by susceptible organisms such as Pseudomonas aeruginosa
Orphan drug: Prevention of graft loss of meshed autografts on excised burn wounds

Mechanism of Action - Interferes with bacterial folic acid synthesis through competitive inhibition of para-aminobenzoic acid

Dosing:
Children and Adults: Topical: Apply once or twice daily with a sterile gloved hand; apply to a thickness of approximately 16 mm; the burned area should be covered with cream at all times

Supplied
Cream, topical, as acetate: 85 mg/g (60 g, 120 g, 454 g) [contains sodium metabisulfite]
Powder, for topical solution: 5% (5s) [50 g/packet]

silver sulfadiazine (SSD ® , Silvadene ®)  top of page icon

Use - Prevention and treatment of infection in second and third degree burns

Mechanism of Action - Acts upon the bacterial cell wall and cell membrane. Bactericidal for many gram-negative and gram-positive bacteria and is effective against yeast. Active against Pseudomonas aeruginosa , Pseudomonas maltophilia , Enterobacter species, Klebsiella species, Serratia species, Escherichia coli , Proteus mirabilis , Morganella morganii , Providencia rettgeri , Proteus vulgaris , Providencia species, Citrobacter species, Acinetobacter calcoaceticus , Staphylococcus aureus , Staphylococcus epidermidis , Enterococcus species, Candida albicans , Corynebacterium diphtheriae , and Clostridium perfringens


Dosing
Children and Adults: Topical: Apply once or twice daily with a sterile-gloved hand; apply to a thickness of 1 /16"; burned area should be covered with cream at all times

Supplied
Cream, topical: 1% [10 mg/g] (25 g, 85 g, 400 g)
Silvadene®, Thermazene®: 1% (20 g, 50 g, 85 g, 400 g, 1000 g)
SSD®: 1% (25 g, 50 g, 85 g, 400 g)
SSD AF®: 1% (50 g, 400 g)
 

Disclaimer

Listed dosages are for - Adult patients ONLY. PLEASE READ THE DISCLAIMER CAREFULLY BEFORE ACCESSING OR USING THIS SITE. BY ACCESSING OR USING THIS SITE, YOU AGREE TO BE BOUND BY THE TERMS AND CONDITIONS SET FORTH IN THE DISCLAIMER. GlobalRPH does not directly or indirectly practice medicine or provide medical services and therefore assumes no liability whatsoever of any kind for the information and data accessed through the Service or for any diagnosis or treatment made in reliance thereon.

David F. McAuley, Pharm.D., R.Ph.  GlobalRPh Inc.