Practical Issues in Wound, Skin and Ostomy Management
I am confused in regard to the use of antimicrobial cleansers, specifically the use of
Chlorhexidine Irrigation Solution. I know it can be used on “dirty wounds” but i would like more clarifacation on depth of wounds. Is it safe for use on full thickness wounds? What would you recommend for cleaning a full thickness wound with confirmed MRSA infection.
Antiseptic agents like Chlorhexidine are typically used when a wound has 3 or more s/s of infection present on a full thickness or partial thickness wound and our goal is to get the bacterial levels under control. We use these products for limited time frames as they can be toxic to healthy tissues. Recommendations are for 2 weeks. As far as eliminating MRSA from the wound bed it will depend on the type of wound, tissue in the wound, depth of the wound, exudate amount etc (overall assessment of the wound and patient). There are many topical antibiotics like Bactroban, topical antiseptics like Dakins solution and even wound cleansers or hydrogels like ANASEPT that are broad range and can kill MRSA in a wound. It really depends on what the wound requires as far a dressing goes to the product you will choose.
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