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I do not have much to do with diabetic or high risk wounds but would be grateul if anyone can point me in the direction of resources or evidence on the following:
How common place (if at all) is the practice of using antibiotics when managing a healing diabetic wound which does not appear clinically infected, in essence to protect a fragile, healing wound.

anecdotally I have heard of this happening, say with a week course of flucloxacillin at a lower dose than might be used for treatment of known or suspected wound infection. but after a brief internet search I am not coming up with much in the way of evidence to support the practice.


any thoughts?

 

2012 Infectious Diseases Society of America Clinical Practice Guideline for the Diagnosis and Treatment of Diabetic Foot Infections recommend wounds without evidence of soft tissue or bone infection do not require antibiotic therapy. There is no evidence to show that antibiotics speed up the healing of a diabetic foot ulcer, adequate offloading is key

http://cid.oxfordjournals.org/content/54/12/e132.short