Chlorhexidine is an antiseptic reliable, with proven efficacy against most of the known pathogenic microorganisms. Doctors recommend Chlorhexidine burns, both as emergency aid, and in the treatment of burn wounds of various etiologies. Preventing infection, drug accelerates the wound healing process.
Specificity of burn wounds
The most common are domestic thermal burns liquids, hot objects and naked flames. Chemical burns occur less frequently in medical practice. Inflammatory processes that often accompany burns 2-4 degrees, arise because the integrity of the epidermis is broken, and the conditions for wound pathogenic bacterial infection.
Symptom that burn caused serious skin damage, are blisters of clear liquid inside. After opening the blisters on their site are wounds that are open to the penetration of bacteria and fungi. It comes amid reduce the protective functions of the body, typical of post-traumatic period.
Treatment of infected burns more difficult and takes more time than the treatment of burn wounds are not complicated. Getting an infection in the wound is fraught with serious complications until sepsis. Timely disinfection of wounds plays a crucial role in the whole process of treatment. Significantly reduce the risk of infection is possible if the process of burn wound chlorhexidine immediately after first aid.
The mechanism of action Chlorhexidine
The mechanism of action on pathogens antiseptic agent due to the ability to interact with the phosphate groups located on the surface of cells of the microorganism. The destruction of pathogenic organisms occurs as a result of displacement of osmotic balance and cell destruction integrity. The drug equally effective against gram-positive and gram-negative bacteria and fungi. Less effective against viruses, with the exception of herpes virus.
Chlorhexidine popularity as a means of Burns caused not only its effectiveness, but also optimal for this type of damage to the properties of the drug, namely:
- Pripopadaniinaranevuyupoverhnostrastvornevyzyvaetzhzheniyaibolevyhoschuscheny;
- Zhidkostneobladaetzapahomlibovkusom;
- Sledovprikontakteskozheyiodezhdoyneostaetsya;
- LechenieHlorgeksidinomneimeetprotivopokazaniyipobochnyhdeystvy;
- Lekarstvosovershennobezopasnovnizkihkontsentratsiyah;
- Neokazyvaetotritsatelnogovozdeystviyanaprotsessyregeneratsiivtkanyah;
- Hlorgeksidinneteryaetantisepticheskihsvoystvprikontaktesbiologicheskimizhidkostyami, krovyuignoem.
Chlorhexidine helps burn with boiling water, hot iron, and other solar thermal burns that do not require hospital treatment. Also, effective in thermal and chemical burns of the mucous membranes in the mouth, in such a case, the concentration of the solution and the duration of therapy should be prescribed by a doctor.
Chlorhexidine in-patient treatment
In Burns therapy is used exclusively aqueous solution Chlorhexidine. There are two methods applying medication to the wound surface, irrigation and compresses. The drug is used only topically, orally take Chlorhexidine after burns is not necessary.
With extensive damage, oozing wounds and burns with suppurations used chlorhexidine compresses. The compress is applied three times a day for 1-3 minutes. The drug has a prolonged antiseptic effect, so the wound will be protected in the interval between the superposed applications.
Solutions can prepare their own meals. With proper cultivation of the drug, the use of safe and suitable for the treatment of household burns mild in children.
Preparation of the solution for the treatment of burns at home
Depending on the severity of the burn injury, wound treatment solution is produced at a concentration of 0.05%, 0.02% or 0.5%. Increasing the concentration is unacceptable, it may cause dermatitis, allergic reactions and chemical burn wound surface.
In order to prevent infection using weakly concentrated agent for superficial injuries, burns and abrasions. If, however, a high probability of infection, but the symptoms yet, best solution is 0.05%. Using a solution of maximum concentration is useful when the signs of inflammation and suppuration of the wound surface.
In order to prepare a solution at the required concentration, use liter volume of water. This allows you to correctly calculate and measure the proportions of the components. To prepare the optimum use of distilled or filtered water solution of high quality. When using boiled water, antiseptic effect decreases.
After treatment of the wound surface, even a large area, is typically a rather large amount of the solution. Doctors do not recommend the use of this residue, if the next time the process will need to burn chlorhexidine after 3 hours or more.
More pronounced bactericidal effect observed in freshly prepared:
- An aqueous solution of 0.5% for disinfection of burns is prepared in such proportions: liter in capacity is poured 25 ml of 20% chlorhexidine concentrate, then the remaining volume is filled with water;
- An aqueous solution of 0.05% is produced by adding 2.5 ml of concentrate per liter of water;
- Solution at a concentration of 0.02% chlorhexidine require dobavleniya1 ml per liter of water.
Restrictions on the use of chlorhexidine for burns
Strict contraindications for chlorhexidine no treatment.
There are a number of restrictions on the use of antiseptic:
- Do not use in patients with individual sensitivity to a substance;
- It is not recommended to use the drug at the time of acute dermatitis and allergic skin reactions, particularly if they are located near the intended site of application;
- Chlorhexidine is not recommended to wash the cavity;
- Do not use concomitantly with iodine, it can cause dermatitis;
- In pediatrics allowed for burns to apply chlorhexidine, but it is crucial in the preparation of solutions for children with particular care to comply with the concentration of the substance, the excess is unacceptable;
- Frequent use of chlorhexidine in high concentrations in the mucous membranes can cause a chemical burn.
The incidence of allergic reactions to chlorhexidine in clinical practice are extremely rare and are reversible. Allergy can manifest by itching and rashes that disappear shortly after the abolition of the drug.
Chlorhexidine is an effective multi-purpose product that can be used as a first aid for adults and children with burns and not only. The presence of the drug in the home medicine cabinet will help in time to disinfect the wound and prevent the spread of infection.
sources:
Vidal: https://www.vidal.ru/drugs/chlorhexidine__33843
GRLS: https://grls.rosminzdrav.ru/Grls_View_v2.aspx? routingGuid = 05187cf8-950c-451c-b278-897fc26ba48e & t =
Found a bug? Select it and press Ctrl + Enter
