Author:
Caputo Wayne J.,Monterosa Patricia,Beggs Donald
Abstract
(1) Background: Systemic antibiotic use in chronic wounds is alarmingly high worldwide. Between 53% to 71% of patients are prescribed at least one course per chronic wound. Systemic antibiotic use should follow antibiotic stewardship guidelines and ought to be reserved for situations where their use is deemed supported by clinical indications. Unfortunately, in the field of wound care, indiscriminate and often inadequate use of systemic antibiotics is leading to both patient complications and worsening antibiotic resistance rates. Implementing novel tools that help clinicians prevent misuse or objectively determine the true need for systemic antibiotics is essential to reduce prescribing rates. (2) Methods: We present a compendium of available systemic antibiotic prescription rates in chronic wounds. The impact of various strategies used to improve these rates, as well as preliminary data on the impact of implementing fluorescence imaging technology to finesse wound status diagnosis, are presented. (3) Results: Interventions including feedback from wound care surveillance and treatment data registries as well as better diagnostic strategies can ameliorate antibiotic misuse. (4) Conclusions: Interventions that mitigate unnecessary antibiotic use are needed. Effective strategies include those that raise awareness of antibiotic overprescribing and those that enhance diagnosis of infection, such as fluorescence imaging.
Reference45 articles.
1. Wound Microbiology and Associated Approaches to Wound Management;Bowler;Clin. Microbiol. Rev.,2001
2. CDC (2022, July 16). CDC: 1 in 3 Antibiotic Prescriptions Unnecessary, Available online: https://www.cdc.gov/media/releases/2016/p0503-unnecessary-prescriptions.html.
3. Clinically Addressing Biofilm in Chronic Wounds;Attinger;Adv. Wound Care,2012
4. Bacterial toxins and wound healing;Ovington;Ostomy Wound Manag.,2003
5. Bacterial Contribution in Chronicity of Wounds;Rahim;Microb. Ecol.,2017
Cited by
6 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献