Do you all use dermabond and cover the entire wound or "spot weld" with
Jay - to the best of my knowledge their were no characteristics of these
wounds (as far as time or obvious dirty wounds) which made them high
risk. I will try to get more details and relay them to you.
By the way, what are folks doing with these wounds which break down??
re-glue, re-suture, or heal by secondary intention??
blake bulloch wrote:
> Mick asked about a high incidence of wound infections with Dermabond. We have not seen many
> infections at our institution in Canada where it has been used for about 4 years. A study you may
> want to pull looked at the "Comparison of effects of suture and cyanoacrylate tissue adhesive on
> bacterial counts in contaminated lacerations" (Antimicrobial agents and chemotherapy, 1995; 2:
> 559-560). This was a small study done on guinea pigs that showed tissue adhesive to be
> bacteriostatic against S. aureus.
> Other than this study I have not seen any literature on the incidence of wound infections
> comparing suture to adhesive.
> Blake Bulloch
> Winnipeg, MB
> j. m. connors wrote:
> > Have folks been seeing a high incidence of wound infections with
> > Dermabond?? We had none despite a significant amount of usages, until
> > last weekend when we had 3. I have heard that Dr. Trott at Cincinnati
> > and the author of the text on wounds and lacerations has stopped using
> > Dermabond because of increased infection rates. He feels its related to
> > the bacteria being trapped under the glue rather than the poor wound
> > care which has been hypothesized by others. Thoughts??
> > Mick Connors
> > Knoxville, TN
> > For more information, send mail to [log in to unmask] with the message: info PED-EM-L
> > The URL for the PED-EM-L Web Page is:
> > http://www.brown.edu/Administration/Emergency_Medicine/ped-em-l.html
For more information, send mail to [log in to unmask] with the message: info PED-EM-L
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