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FW: Gentamycin applied topically to ulcer dressings

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    Fiona de Sousa
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    Author:
    Fiona de Sousa

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    Fiona.DeSousa@SAH.ORG.AU

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    Hi Vicki,
    I posed this question to our Wound care consultant and this is the response I received

    Topical antibiotics have traditionally been frowned upon in the care of chronic wounds.
    However, recent developments in what is now known as biofilm wound bed preparation is recommending that antibiotics are part of the following steps :
    * Wound debridement at every dressing change [low frequency ultrasound is becoming more common]
    * Wound bed antisepsis [Prontosan or iodine preparations are common]
    * Topical antibiotics [dependent on pathology]
    * Appropriate dressing and bandaging
    * Systemic antibiotics if required
    Consistent and persistent wound assessment is vital, as the topical & systemic antibiotics need to be stopped once the desired clinical effect is obtained.
    Hope this is useful info.

    Kind Regards,

    Fiona De Sousa
    Infection Prevention & Control Coordinator
    Sydney Adventist Hospital
    Fiona.Desousa@sah.org.au
    185 Fox Valley Road, Wahroonga, NSW, 2076

    Hi All,

    I would appreciate any additional advice on the following issue:

    Rural hospital with medical staff prescribing IV gentamycin as a topical application onto dressings for ulcers.

    Vicki Denyer

    Clinical Nurse Consultant | Infection Prevention & Control Unit
    Lismore Base Hospital
    Tel 02 6620 2385 | vicki.denyer@ncahs.health.nsw.gov.au

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