Osmosis from Elsevier - Topical antibiotics: Nursing Pharmacology
The video provides an overview of topical antibiotics, which are used to prevent or treat infections in damaged skin, such as burns, wounds, cuts, scrapes, and surgical incisions. Commonly used topical antibiotics include Bacitracin, Polymixin B, Mafenide acetate, and Silver sulfadiazine. These are nonprescription medications applied locally as ointments to inhibit bacterial growth and proliferation. While Bacitracin and Polymixin B generally have minimal side effects, Mafenide can cause skin irritation, burning sensations, and in rare cases, severe hypersensitivity reactions or metabolic acidosis. Silver sulfadiazine may cause skin discoloration and severe hypersensitivity reactions like Stevens-Johnson syndrome. The video advises caution when using these antibiotics during pregnancy, breastfeeding, or in patients with certain conditions like G6PD deficiency. Prolonged use is discouraged due to the risk of superinfection. The video also emphasizes the importance of proper application techniques, such as cleaning the wound area, applying the ointment, and covering it with a sterile dressing. Patients should be informed about potential side effects and instructed to contact healthcare providers if adverse reactions occur.
Key Points:
- Topical antibiotics like Bacitracin and Polymixin B are used to treat skin infections and are generally safe with minimal side effects.
- Mafenide acetate and Silver sulfadiazine can cause more severe side effects, including hypersensitivity reactions and metabolic acidosis.
- Proper application involves cleaning the wound, applying the ointment, and covering it with a sterile dressing to prevent infection.
- Patients should be educated on the potential side effects and advised to contact healthcare providers if severe reactions occur.
- Prolonged use of topical antibiotics is not recommended due to the risk of bacterial or fungal superinfection.