Some years ago a 2 year old child died from a simple scald due to toxic
shock syndrome. At the time we were using Flexipore which did not contain
any antiseptic. I've stuck to inadine since then.
We still get the occasional toxic shock but the only one that became ill
enough to transfer was a case in which the dressing was not replaced on the
paediatric ward. If Toxic shock is diagnosed then the dressing needs to be
changed and redressed daily. Inadine is only active for about 24 hours.
Despite the above case I still would not routinely give antibiotics to
children with scalds. It simply encourages resistance.
We must all be vigilant for the symptoms of toxic shock.
Ray McGlone
A&E Lancaster
----- Original Message -----
From: "Rowley Cottingham" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, April 18, 2001 8:43 AM
Subject: Childhood burns
> I was interested to see a poster at BAEM that was dealing with burns in
children. It was an audit, but the bit that surprised me was that the audit
> standard was that all childhood burns should be treated with
antibacterials because of the risk of toxic shock. It is only very rarely my
practice to
> treat any burn with antibacterials, and I would be interested to hear
others views.
>
> Best wishes,
>
>
> Rowley Cottingham
>
> [log in to unmask]
>
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