AI Article Synopsis
- The study aimed to evaluate the postoperative emollient practices of dermatologic surgeons, focusing on minimizing allergic reactions.
- Out of 857 surveyed surgeons, 34.3% responded, showing that the most popular immediate postoperative emollient was petroleum jelly (53.1%), followed by Aquaphor (19.4%).
- Despite a preference for low-risk emollients, commonly sensitizing topical antimicrobials were still frequently recommended, indicating a need for improved practices to reduce the risk of allergic reactions.
Article Abstract
Background: Although there is no universally accepted topical emollient recommended for wound care, there has been a trend toward minimizing exposure to common culprits of allergic contact dermatitis.
Objective: To assess the current practices of postoperative emollient use of dermatologic surgeons.
Methods And Materials: An anonymous 10-question survey on postoperative emollient use for clean surgical wounds was e-mailed to 857 members of the American College of Mohs Surgery.
Results: Two hundred ninety-four members (34.3%) responded. After routine closure, the most commonly used topical emollient placed immediately postoperatively was petroleum jelly (53.1%), followed by Aquaphor (Beiersdorf Inc., Wilton, CT) (19.4%) and bacitracin (8.2%) (p < .001). Respondents recommended that patients use the following topical emollients at home to keep the wound moist: petroleum jelly (69.4%), Aquaphor (38.4%), bacitracin (10.0%), mupirocin (9.2%), polymyxin (8.8%), neomycin (2.0%), and gentamicin (1.0%) (p < .001). The three most common topical emollients that were requested not to be used were neomycin (92.8%), polymyxin (44.3%), and bacitracin (44.3%) (p < .001).
Conclusion: Although emollients with low risk for contact allergy such as petroleum jelly are used more frequently, topical antimicrobials with known sensitizing potential are being applied and recommended for clean surgical wounds. A change in practice is needed to avoid these allergens.
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| http://dx.doi.org/10.1111/dsu.12245 | DOI Listing |
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