Pertinent Insights On Antimicrobial Dressings And Infection Control

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Author(s): 
Clinical Editor: Kazu Suzuki, DPM, CWS

   Dr. Khan notes that cost and the ability to obtain dressings play large roles in what he can use in the inner city clinics. He tries to obtain antimicrobial dressings to help patients keep dressings on longer and reduce the overall time and costs associated with daily dressing changes by nurses, but he says it has become an issue of availability. If Dr. Khan can trust the patient to use a conventional dressing or if he or she qualifies for home health, he will ask for daily dressing changes to maintain a moist wound healing environment.

   “Either way, the old adage of ‘It’s not what you put onto a wound but what you take off the wound’ will allow it to heal,” says Dr. Khan.

   Dr. Dinh is an Assistant Professor of Surgery at Harvard Medical School and is affiliated with the Beth Israel Deaconess Medical Center in Boston. She is a Fellow of the American College of Foot and Ankle Surgeons.

   Dr. Fitzgerald is in private practice at Hess Orthopaedics and Sports Medicine in Harrisonburg, Va. He is an Associate of the American College of Foot and Ankle Surgeons.

   Dr. Khan is an Associate Professor at the New York College of Podiatric Medicine. He is an attending in the Surgery Department at Metropolitan Hospital in New York City. He is an Associate of the American College of Foot and Ankle Surgeons.

   Dr. Suzuki is the Medical Director of the Tower Wound Care Center at the Cedars-Sinai Medical Towers. He is also on the medical staff of the Cedars-Sinai Medical Center in Los Angeles and is a Visiting Professor at the Tokyo Medical and Dental University in Tokyo.

References

1. Thomas GW, Rael LT, Bar-Or R, et al. Mechanisms of delayed wound healing by commonly used antiseptics. J Trauma. 2009; 66(1):82-90.
2. Slotts NA, Barbour S, Griggs K, et al. Sterile versus clean technique in postoperative wound care with open surgical wounds: a pilot study. J Wound Ostomy Continence Nurs. 1997; 24(1):10-18.
3. Alqahtani M, Lalonde DH. Sterile versus nonsterile clean dressings. Can J Plast Surg. 2006; 14(1):25-27.
4. Fernandez R, Griffiths R.Water for wound cleansing. Cochrane Database Syst Rev. 2008 Jan 23;(1):CD003861.

   For further reading, see “Minimizing The Risk Of Perioperative Infections In Patients With Wounds” in the March 2012 issue of Podiatry Today.

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