Which is not true for burns
High-Yield Explanation
Option 'a' In burn management, topical antimicrobials are used. These are Silver sulfadiazine Mafenide acetate Silver nitrate Systemic antibiotics are not used prophylactically and are reserved for documented infection. The choice of antibiotic is according to culture and sensitivity repo. Of the topical antibiotics, Silver suYadiazine is most commonly used and has antifungal propeies in addition to good bacterial coverage. However, it cannot penetrate eschar. Mafenide acetate is able to penetrate the eschar and is the only agent capable of suppressing dense subeschar bacterial proliferation. Option 'b' Toxic shock syndrome is most commonly associated with tampon use in menstruating females It is caused due to staphylococcal infections producing an endotoxin TSST-1 (and in some cases by streptococcus) Option 'c' "Damp dressing should not be used" - Sabiston 17/e p576