Care Tips for Blisters from Hot Glue Burns: One Week Post-Injury - Dermatology

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Care for blisters caused by hot melt adhesive burns one week ago?


A week ago, while working with hot glue, I accidentally touched the adhesive.
I rinsed it with water immediately, but blisters formed on my index and middle fingers.
I applied an external antibiotic ointment (Bacitracin, Polymyxin B, Neomycin).
Today, a week later, the blister on my index finger has burst, and the outer layer of skin has not yet healed, revealing red marks on the underlying skin.
The blister on my middle finger has not yet burst but has hardened and started to turn brown since yesterday, with red marks also visible.
There is still sensation when touched, but it seems to be tightly connected to the surrounding uninjured skin.
Both finger wounds are no longer painful.
I would like to know if I need to go to the clinic for debridement, or if I can leave it alone until it falls off.
Should I continue to apply the ointment? Thank you, doctor!

tang shang de ren, 20~29 year old female. Ask Date: 2020/05/07

Dr. Wu Yuxin reply Dermatology


It sounds like there isn't much of a problem, but if you continue to experience pain or feel that it is worsening, you should seek medical attention promptly.

Reply Date: 2020/05/07

More Info


When dealing with blisters resulting from hot glue burns, it's essential to follow proper care protocols to promote healing and prevent infection. Based on your description, it sounds like you have two distinct situations with your fingers: one blister has already ruptured, while the other remains intact but is showing signs of hardening and discoloration. Here are some care tips and considerations for your situation:

Immediate Care Post-Injury
1. Initial Treatment: You did the right thing by rinsing the affected area with cool water immediately after the injury. This helps to cool the burn and can reduce the severity of the injury.

2. Antibiotic Ointment: Applying an antibiotic ointment like Bacitracin, Polymyxin B, and Neomycin is a good step to prevent infection, especially after the blister has burst. However, it's crucial to ensure that the area is clean before applying any ointment.


Current Condition of the Blisters
- Ruptured Blister: Since the blister on your index finger has ruptured, it is vital to keep the area clean and covered with a sterile bandage. The underlying skin may be sensitive and red, which is normal as it is healing. Monitor for any signs of infection, such as increased redness, swelling, or pus.


- Intact Blister: The blister on your middle finger that has hardened and turned brown is likely a protective response from your body. It is essential to avoid popping or picking at it, as this could lead to infection. If the blister is not causing pain and is not showing signs of infection, it can be left alone to heal naturally.


When to Seek Medical Attention
- Signs of Infection: If you notice increased redness, swelling, warmth, or pus coming from either blister, or if you develop a fever, you should seek medical attention. These could be signs of an infection that may require more intensive treatment.

- Persistent Pain or Discomfort: If you experience persistent pain, or if the area feels increasingly uncomfortable, it may be wise to consult a healthcare professional for further evaluation.


Ongoing Care
- Continue Using Antibiotic Ointment: For the ruptured blister, continue applying the antibiotic ointment as directed, and cover it with a sterile bandage. Change the dressing daily or whenever it becomes wet or dirty.

- Monitor the Intact Blister: For the blister that has not yet ruptured, keep it clean and covered. If it does rupture, follow the same care instructions as for the ruptured blister.

- Avoid Irritation: Be cautious about how you use your hands during the healing process. Avoid activities that could irritate the blisters or put pressure on them.


Conclusion
In summary, it seems like you are managing your burns well, but it’s crucial to keep an eye on the healing process. If you have any doubts or if the condition of your fingers changes, don’t hesitate to reach out to a healthcare provider. They can provide you with tailored advice and treatment options to ensure proper healing. Remember, while minor burns and blisters can often be treated at home, it's always better to err on the side of caution when it comes to your health.

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