A systematic review and meta-analysis of antibiotic prophylaxis in skin graft surgery: A protocol

Review of the Current Antibiotic Guidelines used in Dermatologic Surgery

Antibiotics have been used as a prophylaxis for dermatologic procedures. We will review the various procedures that specific antibiotics with dosages are used for, depending on the procedure, diagnosis, and circumstance of the patient. We will examine the current and updated guidelines used in dermatologic surgery and the overlapping guidelines across other fields. Physicians must consider the side effects of antibiotics and the resistance that may occur as a result before using the class or level of prophylaxis. Initial evaluation for alcohol, chlorhexidine or iodine should be measured as well. Updated guidelines aim to address the contraindications of antibiotics, yet further research is needed to avoid antibiotic resistance and to explore alternative methods of antibiotic application, such as intranasal and intravenous. This article is protected by copyright. All rights reserved.

Clinical bacteriological aspects of the Human Amniotic Membrane in the diabetic foot. A case report

The phases of a cutaneous infection are initially the adhesion of the microorganism to the cells of the host, followed by the invasion of the tissues, than the elaboration of toxins and the escape from the defense systems of the host. The Human Amniotic Membrane (HAM) is extracted from the placenta of donors after caesarean section. The amnios is characterized by a monolayer of epithelial cells, a basement membrane and an avascular stroma of collagen. The HAM showed to promote chronic wound healing. We evaluated the “in vivo” and "in vitro" activity and efficacy of the HAM in subjects with chronic diabetic skin lesion. This clinical case showed that the HAM promote the wound healing of complex chronic skin lesion in a follow-up period of 6 months after the first graft.

•

We evaluated the Human Amniotic Membrane (HAM) activity and efficacy in the treatment of diabetic skin lesion.

•

The Human Amniotic Membrane showed to facilitating cell regeneration in skin lesions.

•

The Human Amniotic Membrane showed antimicrobial effects, favoring the restoration of skin surface defense systems.

•

The Human Amniotic Membrane has proved to be an excellent dermal substitute for the treatment of non-healing ulcers.