A minor burn is one which is usually less than 5 percent of the body surface area, is a partial thickness injury, does not involve the face, hands, feet, or genitalia and is presented for treatment soon after injury. These can usually require hospitalization or referral to a burn center.

TYPE OF WOUND
A minor burn is similar to a partial thickness-abrasion. However, a minor burn, which is partial thickness may evolve into a full thickness burn or may be mis-judged initially as to its depth.

INITIAL TREATMENT
General cleansing with saline or Betadine^TM, Sulfamylon^TM, or Betadine^TM Ointment can be used to help diminish the likelihood of these wounds becoming infected. Even though these agents may decrease the rate of re-epithelization, the comfort and moisture provided make their use worthwhile. Systemic antibiotics are not indicated for small superficial burns.

FOLLOW-UP
Patients with minor burns should be followed closely. Partial thickness burns may be misdiagnosed or may become a full thickness injury if neglected. A minor burn should be fully healed within two weeks if the diagnosis is correct and the compliance with treatment assured.

If satisfactory healing has not begun or there is extension of the original wound, referral to a plastic surgeon can be considered. Perhaps a skin graft would provide a closed wound in the least amount of time and diminishes the likelihood of hypertrophic changes in the healed partial thickness burn.