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BurnNCT07870239

Comparison of Topical Antibiotics Versus Systemic Antibiotics in Preventing Burn Wound Infection in Pediatric Burn Patients

A study testing Silver Sulfadiazine Cream 1% and Amoxicillin and clavulanate in people with Burn, run by abdul mateen at 1 site in Pakistan.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record

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Trial summary

Burn wound infection is a common complication in children with burns and can delay healing and increase the risk of complications. This randomized controlled trial will compare two antibiotic strategies for preventing infection in pediatric burn patients. Read more about this study

Who is it for?
Ages 5 to 13 years
Conditions the study is for
Burn
What is being tested?
Silver Sulfadiazine Cream 1% and Amoxicillin and clavulanate
Could I receive a placebo?
No, everyone receives an active treatment
How many people
222 participants
Where
1 sitePakistan
Study dates
5 Nov 2026to 5 May 2027
Phase
Interventional

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 5 to 13 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Children aged 5-13 years
  • Superficial partial-thickness or deep partial-thickness scald and flame burns
  • Total body surface area (TBSA) burned of 10-20%

Who cannot join

  • Full-thickness burns
  • Inhalational, electrical, or chemical burns
  • Pre-existing comorbidities
  • Traumatic injuries in addition to burns
  • Burns more than 3 days old

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Abdul Mateen, Speciality Registrar contact

0092 312707094

a.mateen345@gmail.com

Pakistan1 site
  • King Edward Medical University

    Lahore, Punjab Province, 54000

    Abdul Mateen, Speciality Registrar, 0092 3127074094, a.mateen345@gmail.com

Other trials in Pakistan

About this study

Burn wound infection is a common complication in children with burns and can delay healing and increase the risk of complications. This randomized controlled trial will compare two antibiotic strategies for preventing infection in pediatric burn patients. One group will receive topical antibiotics alone, while the other group will receive topical antibiotics along with systemic antibiotics. The study will compare the occurrence of burn wound infection between the two groups to determine whether adding systemic antibiotics provides additional benefit in preventing infection.

Read the detailed description

Burn wound infection is an important complication in pediatric burn patients and may adversely affect wound healing and clinical outcomes. Topical antimicrobial agents are commonly used in the management of burn wounds; however, the routine use of systemic prophylactic antibiotics remains controversial because of concerns regarding antimicrobial resistance, adverse drug reactions, and unnecessary antibiotic exposure.

This randomized controlled trial will evaluate whether the addition of systemic prophylactic antibiotics to topical antibiotic therapy reduces the occurrence of burn wound infection in pediatric burn patients compared with topical antibiotic therapy alone.

Eligible pediatric burn patients will be randomly assigned to one of two parallel treatment groups. Participants in the first group will receive topical antibiotics alone, while participants in the second group will receive topical antibiotics in combination with systemic prophylactic antibiotics. Participants will be monitored clinically for the development of burn wound infection according to the study's predefined criteria.

The primary objective of the study is to compare the incidence of burn wound infection between the two treatment groups. The study will also assess relevant secondary clinical outcomes and adverse events associated with the antibiotic strategies.

The findings of this study may help inform the use of systemic prophylactic antibiotics in pediatric burn patients and contribute to evidence-based antibiotic stewardship in the management of pediatric burn wounds.

Conditions
Burn
Being tested
Silver Sulfadiazine Cream 1%, Amoxicillin and clavulanate
Keywords
Pediatric burns, Burn wound infection, Topical antibiotics, Systemic antibiotic prophylaxis, Silver sulfadiazine, Randomized controlled trial
Medical subject headings
Burns

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Silver Sulfadiazine Cream 1%Drug

    Silver sulfadiazine 1% cream applied once daily to the burn wound according to the departmental protocol

  • Amoxicillin and clavulanateDrug

    Amoxicillin plus clavulanate at a total dose of 50 mg/kg/day, administered three times daily according to the departmental protocol.

Study groups in NCT07870239
Study groupRoleWhat they receive
Topical Antibiotics AloneExperimentalParticipants will receive topical antibiotic therapy alone for the management/prevention of burn wound infection according to the study protocol
Receives: Drug: Silver Sulfadiazine Cream 1%
Topical Antibiotics Plus Systemic AntibioticsExperimentalParticipants will receive topical antibiotic therapy in combination with systemic prophylactic antibiotics according to the study protocol
Receives: Drug: Silver Sulfadiazine Cream 1%; Drug: Amoxicillin and clavulanate

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Incidence of burn wound infection

    Occurrence of burn wound infection in pediatric burn patients, assessed clinically according to the predefined study criteria.

    Measured: From initiation of treatment through the 14-day follow-up visit

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Oct 2026
  2. Study start5 Nov 2026 (estimated)
  3. Primary completion5 May 2027 (estimated)
  4. Study completion5 May 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
222 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07870239
Sponsor's protocol ID
656/RC/KEMU
Status last verified
Oct 2026
First submitted
6 Oct 2026
Last updated
13 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

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