Rx Note

Introduction Although many antibacterial drugs are available in topical preparations , some are potentially hazardous and frequently, their use is not necessary if adequate hygienic measures can be taken . Moreover, not all skin conditions that are oozing, crusted or characterized by pustules are actually infected. Topical Options Aminoglycosides (e.g. neomycin, gentamicin) Neomycin sulphate may cause sensitization and there is cross-sensitivity with other aminoglycosides such as gentamicin. If large areas of skin are being treated, ototoxicity may also be a hazard with aminoglycoside antibiotics, particularly in children, in the elderly and in those with renal impairment. Clindamycin For acne vulgaris . Fusidic acid A narrow-spectrum antibacterial used for staphylococcal infections . Metronidazole Is used topically for rosacea and to reduce the odour associated with anaerobic infections . Mupirocin Is effective for skin infections (including mild impetigo) , particularly those due to...

Introduction Burns are characterized as First degree - Red/painful, minor swelling. Second degree - Thicker, very painful, produce blisters. Third degree - Damage to all layers of skin, appears white or charred. The Need of Referral Burns from chemical or electricity exposure or in immunosuppressed patients should be referred for emergency medical care. If the burn is first or second degree, OTC treatment is acceptable if the area is less than two inches in diameter and not located on the face, over a major joint or on the feet. In diabetes, a burn on a foot, even mild, could lead to an amputation. Vigilance is required. Initial Management Most minor burns can be treated at home. They usually heal within a couple of weeks. Minor burns should be treated first by running the burn under cold tap water for a minimum of 20-30 minutes. Do not apply ice as it can further damage injured skin. Bandaging is not always necessary for minor burns unless there is broken skin or blisters pop. Petro...