A survey of wound monitoring and topical antimicrobial therapy practices in the treatment of burn injury.

摘要: A survey was done to determine how burn wound microbial monitoring is performed and topical antimicrobial agents are employed. The sent 90 burn-care facilities, which comprised most of the major centers in United States. contained questions concerning frequency techniques monitoring, personnel involved as well about decisions were made initiate therapy, selected, they administered. Sixty facilities (66%) responded survey. Although there few areas unanimous agreement, several trends did emerge. Most monitored wounds for microbes (92%). Wound typically at least twice weekly by either surface swab or quantitative biopsy. Nursing staff played a significant role specimen collection 69% solely responsible obtaining biopsy specimens 29% that used biopsies exclusively. All responding agents; silver sulfadiazine popular (95%). Only 33% surveyed had their own laboratory monitoring. Rapid early diagnosis sepsis 20% units, testing 17% surveyed.