Should You Use Antimicrobial Dressings On Clean, Uninfected Wounds?

Author(s): 
Thomas Campbell, DPM, Qeena Woodard, DPM, FACFAS, and Stephanie Wu, DPM, MSc, FACFAS

   The impact of antimicrobial application on the wound bioburden needs careful examination. The currently available evidence is too weak to recommend any particular antimicrobial dressing.6,31 Large impartial studies are needed on the efficacy and cost-effectiveness of antimicrobial interventions.

   With the potential risks of local adverse effects, promotion of bacterial resistance and a lack of evidence of any advantages, most expert consensus panels do not advocate using topical antimicrobials for most clinically uninfected wounds.

   Dr. Campbell is a Research Associate for the Center of Lower Extremity Ambulatory Research (CLEAR) at the Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science in Chicago.

   Dr. Woodard is an Assistant Professor in the Department of Podiatric Surgery and Applied Biomechanics at the Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science in Chicago. She is a Fellow of the American College of Foot and Ankle Surgeons.

   Dr. Wu is the Director of the Center for Lower Extremity Ambulatory (CLEAR) at the Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science in Chicago. She is an Associate Professor for the Center for Stem Cell and Regenerative Medicine at the School of Graduate and Postdoctoral Studies at the Rosalind Franklin University of Medicine and Science. She is also an Associate Professor in the Surgery Department and the Associate Dean of Research at the aforementioned Scholl College of Podiatric Medicine.

References

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