Modified Dakin's solution for cutaneous vibrio infections

Bradon J. Wilhelmi, Theodore A. Calianos, Eric A. Appelt, Maria Erika Ortiz, John P. Heggers, Linda Phillips

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Vibrio species, specifically Vibrio vulnificus, are known to be endemic to warm saltwater environments. As a human pathogen they are capable of causing severe, progressive, necrotizing infections. The lesions are bullous in nature and often require wide surgical debridement due to the aggressiveness of this organism. The literature supports prophylactic antibiotic therapy for those with preexisting hepatic dysfunction or immunocompromise. The authors routinely implement prophylactic antibiotic coverage with doxycycline 100 mg every 12 hours for vibrio in patients with wounds exposed to or acquired in saltwater. In addition, they institute topical therapy with 0.025% sodium hypochlorite solution (modified Dakin's), based on their in vitro study of vibrio sensitivity to antimicrobials. Over the past 2 years, the authors have treated 10 patients with this protocol for cutaneous vibrio infections confirmed by quantitative cultures. None of these patients experienced progression of infection requiring operative debridement - contrary to the aggressive nature of this organism documented in other reports.

Original languageEnglish (US)
Pages (from-to)386-389
Number of pages4
JournalAnnals of Plastic Surgery
Volume43
Issue number4
DOIs
StatePublished - Oct 1999

Fingerprint

Vibrio Infections
Vibrio
Debridement
Skin
Vibrio vulnificus
Anti-Bacterial Agents
Sodium Hypochlorite
Doxycycline
Blister
Infection
Liver
Wounds and Injuries
Therapeutics
modified Dakin's solution

ASJC Scopus subject areas

  • Surgery

Cite this

Wilhelmi, B. J., Calianos, T. A., Appelt, E. A., Ortiz, M. E., Heggers, J. P., & Phillips, L. (1999). Modified Dakin's solution for cutaneous vibrio infections. Annals of Plastic Surgery, 43(4), 386-389. https://doi.org/10.1097/00000637-199910000-00007

Modified Dakin's solution for cutaneous vibrio infections. / Wilhelmi, Bradon J.; Calianos, Theodore A.; Appelt, Eric A.; Ortiz, Maria Erika; Heggers, John P.; Phillips, Linda.

In: Annals of Plastic Surgery, Vol. 43, No. 4, 10.1999, p. 386-389.

Research output: Contribution to journalArticle

Wilhelmi, BJ, Calianos, TA, Appelt, EA, Ortiz, ME, Heggers, JP & Phillips, L 1999, 'Modified Dakin's solution for cutaneous vibrio infections', Annals of Plastic Surgery, vol. 43, no. 4, pp. 386-389. https://doi.org/10.1097/00000637-199910000-00007
Wilhelmi, Bradon J. ; Calianos, Theodore A. ; Appelt, Eric A. ; Ortiz, Maria Erika ; Heggers, John P. ; Phillips, Linda. / Modified Dakin's solution for cutaneous vibrio infections. In: Annals of Plastic Surgery. 1999 ; Vol. 43, No. 4. pp. 386-389.
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