Introduction:
Management of infected burn wounds should include clinical diagnosis, pathogen identification, wound care, surgical debridement, and targeted antibiotic therapy.

Aim:
This article highlights the usage of an atypically stored split-thickness skin graft (STSG) in infected burn wounds and affirm that burn wound closure with STSG application is the standard of care.

Case study:
We present a case of infected burn wounds in an elderly patient. Intraoperatively, her condition deteriorated and surgery had to be terminated abruptly. We were unable to apply the harvested STSGs. The meshed STSGs were refrigerated at 4°C after being wrapped in chlorhexidine-impregnated paraffin gauze and saline-moisturized gauze. On day 4 of storage, the STSGs were applied to Pseudomonas aeruginosa infected wounds, post-debridement. Graft take was 100% during subsequent review.

Results and discussion:
If the wounds are debrided thoroughly and targeted antibiotic administered, STSG application on infected burn wounds might not be absolutely contraindicated. When appropriately stored, time sensitive STSGs can still be used to achieve wound closure.

Conclusions:
A simple storage method of STSGs using chlorhexidine and saline warrants further research.