A significant proportion of partial thickness burn injuries will heal within two to three weeks without surgery. A period of observation of a week or more, especially in smaller burns, will allow the wound to manifest features of healing or the capacity to heal. This is especially true in the context of paediatric scald burns, the most common category of burn injuries globally. A conservative approach to the management of these wounds has the potential to reduce healthcare costs, the need for operative procedures, and the impact of donor site wound care and pain. There is also limited evidence to suggest that a wound that heals within three weeks is more likely to scar prominently when compared to a split thickness skin graft.
For more information:
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Palmieri TL, Greenhalgh DG. Topical treatment of pediatric patients with burns: a practical guide. Am J Clin Dermatol. 2002;3(8):529-534. PMID: 12358554.
Vloemans AF, Hermans MH, van der Wal MB, Liebregts J, Middelkoop E. Optimal treatment of partial thickness burns in children: a systematic review. Burns. 2014;40(2):177-190. PMID: 24290852.