Literature DB >> 30863255

E Tiry1, A Leduc1, R Dumont2, P Ridel1, P Perrot1, F Duteille1.   

Abstract

Most hospitals use protocols for surgical antibioprophylaxis (ABP). Despite SFB's 2009 recommendations promoting ABP in burn patients and stating the molecules to be used, wide variations exist within hospitals and among French hospitals, in cases of skin grafting and use of dermal substitutes. We contacted surgeons in 12 French Burn Centres (BCs) via email and questioned them about ABP in cases of skin grafting (thin and total) as well as in the use of dermal substitutes, in acute and sequelae settings. Eight BCs answered. In the acute phase, 3 BCs (37.5%) always use ABP in skin grafts, 2 (25%) use ABP on suspicion of wound infection and 3 (37.5%) never use ABP. When installing skin substitute, 5 BCs (62.5%) use ABP, one (12.5%) does so if the wound is suspected of being infected and 2 (25%) never use ABP. For sequelae, 5 BCs (62.5%) use ABP whatever the surgery, while 3 (37.5%) never use it. Infection onset after skin graft or use of dermal substitute is frequent. Our study shows wide variations in the use of ABP in these surgeries. A multi-centre evaluation of the implementation of SFB's 2009 recommendations and their role in preventing postoperative infections after skin grafting and skin substitute use, both in acute and sequelae phases, could help harmonize practices in BCs.

Entities:  

Year:  2018        PMID: 30863255      PMCID: PMC6367856     

Source DB:  PubMed          Journal:  Ann Burns Fire Disasters        ISSN: 1592-9558


  7 in total

1.  Multicenter postapproval clinical trial of Integra dermal regeneration template for burn treatment.

Authors:  David M Heimbach; Glenn D Warden; Arnold Luterman; Marion H Jordan; Nathan Ozobia; Colleen M Ryan; David W Voigt; William L Hickerson; Jeffrey R Saffle; Frederick A DeClement; Robert L Sheridan; Alan R Dimick
Journal:  J Burn Care Rehabil       Date:  2003 Jan-Feb

2.  Comparative evaluation of surface swab and quantitative full thickness wound biopsy culture in burn patients.

Authors:  Sanjeev K Uppal; Shobha Ram; Bharti Kwatra; Sumit Garg; R Gupta
Journal:  Burns       Date:  2007-03-19       Impact factor: 2.744

3.  [Guidelines for use of antibiotics in burn patient at the acute phase--long text. Société française d'étude et de traitement des brûlures].

Authors: 
Journal:  Ann Fr Anesth Reanim       Date:  2009-03-25

Review 4.  [Antibioprophylaxis in surgery and interventional medicine (adult patients). Actualization 2010].

Authors: 
Journal:  Ann Fr Anesth Reanim       Date:  2011-02-15

5.  [Factors associated with non-compliance to surgical antimicrobial prophylaxis guidelines during a prospective audit].

Authors:  A-M Simon; A-C Dzierzek; F Djossou; P Couppie; N Blaise; M Marie; A Mahamat
Journal:  Ann Fr Anesth Reanim       Date:  2011-12-06

6.  Systemic perioperative antibiotic prophylaxis may improve skin autograft survival in patients with acute burns.

Authors:  Guillermo Ramos; Marcela Resta; Enrique Machare Delgado; Ricardo Durlach; Liliana Fernandez Canigia; Fortunato Benaim
Journal:  J Burn Care Res       Date:  2008 Nov-Dec       Impact factor: 1.845

7.  [Not Available].

Authors:  R Le Floch; E Naux; J F Arnould
Journal:  Ann Burns Fire Disasters       Date:  2015-06-30
  7 in total

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