Comparative study of outcome of Topical steroid application compared with traditional dressing for non healing wound in burn patients,

INTERVENTION: In Group A we will apply Topical 1% Hydrocortisone (Fusidin‐H cream) thinly smeared once daily with 4x4 inch gauze piece onto wound bed by the dresser. Primary researcher will follow the patient for intervention adherence and will note in data. During the dressing changes, routine digital photographs will be taken. Duration of treatment will be till the wound healed (epithelialized). Time to complete wound healing will be noted and defined as the number of days from application of steroid until complete epithelialization. CONDITION: Burn Non healing wound PRIMARY OUTCOME: The formation of granulation tissue into an open wound allows the re‐epithelialization phase to take place, as epithelial cells migrate across the new tissue to form a barrier between the wound and the environment and will be assessed by two different consultants by photographs. and the time of re‐epithelialization will be noted by each SECONDARY OUTCOME: scar hypertrophy (raised Scars) will be examined clinically by the primary researcher at followup unstable scar (wound breakdown) will be assessed from history and examination of the patient by primary researcher. INCLUSION CRITERIA: Non healing wound < 5 cm(square) in burn patients due to split skin graft loss