India Antibiotic Guideline For Infections In Burn and Plastic Surgery
In 2016 National Centre For Disease, Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India came out with National Treatment Guidelines for Antimicrobial Use in Infectious Diseases.
Following are major recommendation
Infections In Burns Patient :
| Condition | Likely Causative Organism | Empiric antibiotics | Alternative antibiotics | Comments |
| For burns wound that is clinically or microbiologically not infected | Prophylactic parenteral antibiotics in burns are NOT indicated Topical antibiotics to be given after debridement | |||
| For burns wound that are clinically or microbiologically infected | Strep pyogenes, Enterobacter sp., S. aureus, S. epidermidis, Pseudomonas, fungi (rare) | i. Burn wound sepsis Pipercillin-tazobactam or Cefoperazone-sulbactam or With or without:
Burn wound cellulitis Cefazolin or Clindamycin or Vancomycin if there is suspicion for MRSA With and without (for burns involving the lower extremity or feet or burns in patients with diabetes) Pipercillin-tazobactam or cefoperazone-sulbactam | Carbapenem +/- Vancomycin/ Teicoplanin | Antibiotic choices are dependent on the antibiogram of the individual institution. Surgical debridement as necessary. Amphotericin B is toxic to all burn patient as renal system compromised, hence Caspofungin may be used. |
Prophylaxis in Plastic Surgery Surgical
prophylaxsis: Inj Cefuroxime 1.5 g/ Cefazolin IV just before incision single dose.
You can read the full Guideline by clicking on the following link :
http://www.ncdc.gov.in/writereaddata/linkimages/AMR_guideline7001495889.pdf
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