Moderate Burns - Antibiotics

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Small Surface Area Burns 

See main Zimbabwe STG for complete management of moderate burns

Give an anti-tetanus booster: 

Medicine

Adult Dose

Frequency

Duration

tetanus toxoid im

0.5ml

one dose only

 

Antibiotics are indicated for contaminated burns and inhalation burns

 

Medicine

Dose

Frequency

Duration

 

benzylpenicillin iv

0.05MU

every 6 hours

reassess after culture

or

erythromycin po

500mg [paed = 12.5mg/kg]

every 6 hours

reassess after culture

Change regimen if indicated by culture and sensitivity tests. Gram negative organisms are usually implicated later, and a more appropriate blind therapy before results are obtained.