• Atencion primaria · May 2014

    [Antiseptic use in primary care].

    • M Isabel Gutiérrez Pérez, M Eulalia Lucio-Villegas Menéndez, Laura López González, Natalia Aresté Lluch, M Luisa Morató Agustí, Santiago Pérez Cachafeiro, Grupo de Enfermedades Infecciosas de la semFYC, and Coordinadora del Grupo Infecciosas SocalemFYC.
    • Médico de Familia, Centro de Salud Renedo de Esgueva, Valladolid Rural I, Valladolid, España. Sacyl-Castilla y León.
    • Aten Primaria. 2014 May 1; 46 Suppl 2: 10-24.

    AbstractWounds can be classified according to their mechanism of action into surgical or traumatic (which may be incision wounds, such as those provoked by a sharp object; contusions, caused by a blunt force; puncture wounds, caused by long, sharp objects; lacerations, caused by tears to the tissue; or bites, which have a high risk of infection and consequently should not be sutured). Wounds can also be classified by their healing process into acute or chronic (pressure ulcers, vascular ulcers, neuropathic ulcers, acute wounds with torpid clinical course). The use of antiseptics in any of these wounds is usually limited to cleaning and initial care -up to 48 hours- and to washing of hands and instruments. The use of antiseptics in chronic or persistent wounds is more debatable. The same is true of burns, in which the use of formulations that encourage hydration is recommended. In the pediatric population, the use of antiseptics with a known safety profile and low absorption is usually recommended, especially in the care of the umbilical cord, in which evidence supports the use of chlorhexidine gluconate. Another use of antiseptics is the care of wounds produced by procedures used in body esthetics, such as piercings; in these procedures, it is advisable to use transparent antiseptics that allow visualization of the technique. Copyright © 2014 Elsevier España, S.L. All rights reserved.

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