Mohs surgeons' use of topical emollients in postoperative wound care

Rajiv I. Nijhawan, Lauren A. Smith, Kavita Mariwalla

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

Background Although there is no universally accepted topical emollient recommended for wound care, there has been a trend toward minimizing exposure to common culprits of allergic contact dermatitis. Objective To assess the current practices of postoperative emollient use of dermatologic surgeons. Methods and Materials An anonymous 10-question survey on postoperative emollient use for clean surgical wounds was e-mailed to 857 members of the American College of Mohs Surgery. Results Two hundred ninety-four members (34.3%) responded. After routine closure, the most commonly used topical emollient placed immediately postoperatively was petroleum jelly (53.1%), followed by Aquaphor (Beiersdorf Inc., Wilton, CT) (19.4%) and bacitracin (8.2%) (p <.001). Respondents recommended that patients use the following topical emollients at home to keep the wound moist: petroleum jelly (69.4%), Aquaphor (38.4%), bacitracin (10.0%), mupirocin (9.2%), polymyxin (8.8%), neomycin (2.0%), and gentamicin (1.0%) (p <.001). The three most common topical emollients that were requested not to be used were neomycin (92.8%), polymyxin (44.3%), and bacitracin (44.3%) (p <.001). Conclusion Although emollients with low risk for contact allergy such as petroleum jelly are used more frequently, topical antimicrobials with known sensitizing potential are being applied and recommended for clean surgical wounds. A change in practice is needed to avoid these allergens.

Original languageEnglish (US)
Pages (from-to)1260-1263
Number of pages4
JournalDermatologic Surgery
Volume39
Issue number8
DOIs
StatePublished - Aug 1 2013

ASJC Scopus subject areas

  • Surgery
  • Dermatology

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