India Antibiotic Guideline For Infections In Burn and Plastic Surgery

Written by supriya kashyap kashyap Published On 2017-12-09T19:01:47+05:30 | Updated On 9 Dec 2017 7:01 PM IST

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: Vancomycin //Teicoplanin (if there is suspicion for MRSA) Antifunal Therapy – When extensive burns and patient not responding to antibiotics o If hemodynamically stable: fluconazole o If hemodynamically unstable: Echinocandin 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

Directorate General of health servicesGovernment of Indiainfectious diseaseMinistry of Health & Family WelfareNational Centre For Diseaseplastic surgeryprophylaxsis

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