Timmons M J
Ann R Coll Surg Engl. 1983 Mar;65(2):80-2.
Systemic prophylactic antibiotics to prevent Streptococcus pyogenes infections in newly burnt patients have been recommended for many years. However, a review of patients admitted to one Regional Burns Centre shows only a small percentage develop such infections, even if no systemic prophylaxis is used. Other Centres have reported similar results. Possible uses of systemic prophylactic antibiotics in patients with burns are reviewed. It is suggested that these antibiotics are restricted to a small minority of patients to prevent peri-operative septicaemia and gas-gangrene.
多年来一直建议对新烧伤患者使用全身性预防性抗生素以预防化脓性链球菌感染。然而，对一家地区烧伤中心收治患者的回顾显示，即便不使用全身性预防措施，也只有一小部分患者会发生此类感染。其他中心也报告了类似结果。本文综述了全身性预防性抗生素在烧伤患者中的可能用途。建议将这些抗生素仅限于少数患者使用，以预防围手术期败血症和气性坏疽。
