Which of the following is true about burns
Correct Answer: Pseudomonas is most common infection in dry wound
Description: Option 'a'
In burn management, topical antimicrobials are used. These are
Silver sulfadiazine
Mafenide acetate
Silver nitrate
Systemic antibiotics are not used prophylactically and are reserved for documented infection. The choice of antibiotic is according to culture and sensitivity report.
Of the topical antibiotics, Silver suYadiazine is most commonly used and has antifungal properties in addition to good bacterial coverage. However, it cannot penetrate eschar.
Mafenide acetate is able to penetrate the eschar and is the only agent capable of suppressing dense subeschar bacterial proliferation.
Option 'b'
seudomonas is the most common infection in bum pts. It has replaced streptococci & staphylococci because of availability of good antibiotics.
Option 'c'
Toxic shock syndrome is most commonly associated with tampon use in menstruating females
It is caused due to staphylococcal infections producing an endotoxin TSST-1 (and in some cases by streptococcus)
Option 'e'
"Damp dressing should not be used" - Sabiston 17/e p576
Category:
Surgery
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