Dear Adrian Roberts,
Regarding the above topic I ran a search through the Medline knowledge
finder available through the WWW with the following full text clinical
query.
Are topical antibiotic solutions effective in cleaning dirty wounds as
compared to normal saline?
This produced a big list of answers.I thought that these three papers may be
relevant to your original question.
Prophylactic and therapeutic role of antibiotics in wound care. Am J Surg
1994 Jan;167(1A):15S-19S; discussion 19S-20S
Effect of povidone-iodine and saline soaking on bacterial counts in acute,
traumatic, contaminated wounds. Ann Emerg Med 1990 Jun;19(6):709-14
Prospective evaluation of topical antibiotics for preventing infections in
uncomplicated soft-tissue wounds repaired in the ED. Acad Emerg Med 1995
Jan;2(1):4-10
Cheers and good luck in your efforts to push for EB health care in your DGH.
Badri
Dr.P.Badrinath M.D.,M.Phil.,(Epid) PhD(Cantab)
Assistant Professor and Epidemiologist,
Department of Community Medicine,
UAE University, PO Box 17666, Al Ain,
United Arab Emirates.
Tel: 00 971 3 5039 652
Fax: 00 971 3 672022.
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