The rational use of antimicrobial agents in simple wounds

Research output: Contribution to journalReview article

18 Citations (Scopus)

Abstract

The wounds in most patients presenting to the Emergency Department will heal uneventfully and do not require the use of antimicrobial agents. Specific indications for antimicrobial use include simple wounds in patients with lymphedema, orthopedic prostheses, or in those patients prone to bacterial endocarditis. Relative indications include high-risk wounds in compromised hosts, wounds contaminated with feces, saliva, or vaginal secretions, or wounds clinically infected at the time of presentation. More important than antimicrobial administration is the commitment to aggressive, timely wound care. Pitfalls in therapy center around the injudicious use of antimicrobial agents. Such therapy does not give the physician permission to close wounds that should be left open or to give less than optimal wound care. Physicians should be keenly aware of the fact that antimicrobial use is not innocuous. The economic burden and potential for adverse side effects must be weighed against the fact that the wounds in 90% to 95% of patients presenting to the Emergency Department will heal without the use of antimicrobial agents.

Original languageEnglish (US)
Pages (from-to)753-766
Number of pages14
JournalEmergency Medicine Clinics of North America
Volume10
Issue number4
StatePublished - 1992
Externally publishedYes

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Anti-Infective Agents
Wounds and Injuries
Hospital Emergency Service
Physicians
Bacterial Endocarditis
Lymphedema
Saliva
Feces
Prostheses and Implants
Orthopedics
Economics
Therapeutics

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Emergency Medicine
  • Nursing(all)

Cite this

The rational use of antimicrobial agents in simple wounds. / Rodgers, Kevin.

In: Emergency Medicine Clinics of North America, Vol. 10, No. 4, 1992, p. 753-766.

Research output: Contribution to journalReview article

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