Non-antibiotic antimicrobial interventions and antimicrobial stewardship in wound care
Control of wound infection today relies largely on antibiotics, but the continual emergence of antibiotic-resistant microorganisms threatens a return to the pre-antibiotic era when physicians used antiseptics to prevent and manage infection. Some of those antiseptics are still used today, and others have become available. With the prospect of a post-antibiotic era looming, ways to maintain and extend our antimicrobial armamentarium must be found. In this narrative review, current and emerging non-antibiotic antimicrobial strategies will be considered and the need for antimicrobial stewardship in wound care will be explained.
A survey of practice and opinions on the use of topical antibiotics to prevent surgical site infection: more confusion than consensus
Surgical site infection (SSI) is one of the most common causes of healthcare-associated infection. Although the use of topical antibiotics to prevent SSI is not recommended by current guidelines, published studies document conflicting results and conclusions. There are diverse opinions and practices among healthcare professionals about the use of topical antibiotics for the prevention of SSI. This considerable, and possibly inappropriate, variation in clinical practice needs to be addressed as part of antibiotic stewardship.
Antimicrobial stewardship in wound care - A Position Paper from the British Society for Antimicrobial Chemotherapy and European Wound Management Association
With the growing global problem of antibiotic resistance it is crucial that clinicians use antibiotics wisely, which largely means following the principles of antimicrobial stewardship (AMS). Treatment of various types of wounds is one of the more common reasons for prescribing antibiotics. This paper is aimed at providing clinicians an understanding of:
Antimicrobials and Non-healing Wounds. Evidence, Controversies and suggestions
This document describes these controversies and hopes to raise interest in how to solve these problems for the future use of antimicrobials. For this reason, EWMA established the group, which produced this document.
By discussion and clarification, we hope to contribute to a reduction in the burden of care, in an efficient and cost-effective way.