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E Tiry1, A Leduc1, R Dumont2

  • 1Service des Brûlés, CHU Nantes, France.

Annals of Burns and Fire Disasters
|March 14, 2019
PubMed
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Surgical antibioprophylaxis (ABP) practices vary widely in French burn centers for skin grafting and dermal substitutes. Harmonizing these practices could help prevent infections after these common procedures.

Area of Science:

  • Infectious Diseases
  • Surgical Procedures
  • Burn Care

Context:

  • Hospitals commonly employ protocols for surgical antibioprophylaxis (ABP).
  • Despite 2009 recommendations, significant variations in ABP use for skin grafting and dermal substitutes persist among French burn centers.
  • Postoperative infections are frequent following skin grafting and dermal substitute procedures.

Purpose:

  • To investigate current practices of surgical antibioprophylaxis (ABP) in French burn centers.
  • To assess ABP protocols for skin grafting (thin and total) and dermal substitute use in both acute and sequelae phases.
  • To identify variations in ABP implementation across different French burn centers.

Summary:

  • A survey of 8 French burn centers revealed diverse ABP strategies for skin grafting and dermal substitute procedures.

Related Experiment Videos

  • In acute settings, ABP use varied from always (37.5%) to never (37.5%) for skin grafts, and 62.5% used ABP for skin substitutes.
  • For sequelae surgeries, 62.5% used ABP universally, while 37.5% never employed it, highlighting inconsistent application of guidelines.
  • Impact:

    • Demonstrates significant heterogeneity in surgical antibioprophylaxis application in burn care.
    • Suggests a need for multi-center evaluation to harmonize practices and improve adherence to established guidelines.
    • Potential to reduce postoperative infections through standardized ABP protocols in burn management.