Management of First-Degree Burns

Treatment Options

The American College of Cardiology recommends petrolatum-based antibiotic ointments like bacitracin, Polysporin, or triple-antibiotic ointment combined with clean non-adherent dressings for superficial first-degree burns 1
Polysporin, containing polymyxin B and bacitracin in a petrolatum base, is effective in preventing infection in partial thickness burns 2

Xeroform, a petrolatum-impregnated gauze dressing, provides a non-adherent barrier while allowing exudate to pass through 2, 3
Mepitel, a silicone-coated dressing, minimizes trauma and pain during dressing changes 1, 4
Allevyn, a polyurethane foam dressing, provides absorption and maintains a moist wound environment 1, 4
Clean gauze can be used as a secondary dressing over the non-adherent primary dressing 5, 6

Initial cooling with clean running water for 5-20 minutes limits tissue damage and reduces pain 1, 4
Gentle cleansing with tap water or isotonic saline is recommended 1, 4
A thin layer of petrolatum-based antibiotic ointment should be applied directly to the burn 1
A clean, non-adherent dressing should be placed over the ointment 1, 4

Avoid applying ice directly to burns as this can cause further tissue damage 1
Do not apply butter, oil, or other home remedies to burns 1
Seek medical attention for burns that involve the face, hands, feet, or genitalia 1, 4
Seek medical attention for burns that show signs of infection 1
Seek medical attention for burns that are very painful or appear infected 1
Seek medical attention for burns that cover more than 10% body surface area (5% in children) 1