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ORIGINAL ARTICLE
Year : 2004  |  Volume : 12  |  Issue : 1  |  Page : 25-28

Selective use of anti-microbial agents after wound swab culture in prevention of burn wound sepsis: A guide line for clinical care of burns


Department of Burns, Plastic and Maxillofacial Surgery, Safdarjang Hospital, N. Delhi, India

Correspondence Address:
Rakesh Kain
F-23 Doctors colony, NSCB Govt. Medical College, Jabalpur, MP
India
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Source of Support: None, Conflict of Interest: None


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The diagnosis of infection by culture of microorganism and administration of appropriate antibiotics is the mainstay in the management of burn. Wound sepsis is the major cause of death in the late post burn period, which needs early diagnosis and specific treatment. About 407 wound swabs were obtained from indoor patients. The common organisms cultured from the burn wound swab taken on 3rd, 5th and 15th post burn day were studied. The prevalence of microorganism was identified in first culture and changing behavior of organism noticed in subsequent culture. The detection of microorganisms by culture and administration of appropriate antibiotics helps in control of infection and morbidity, which facilitates early discharge from hospital and reduces the cost of treatment. Selection of antibiotics on the basis of swab culture helps in identifying the bacteria and their response to different antimicrobials. On the basis of the study we have frame worked a protocol for administration of selected antibiotics. However, if given without knowing the microorganism, it could both increase the cost and reduce the quality of care due to inadvertent use of antibiotics. The study shows that prevalence of Pseudomonas species has reduced but Staph. Aureus and Klebsiella have emerged as most common organism '. We have formed a template for administration of antibiotics after studying the changing sensitivity patterns and behavior of organisms.


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