From the FDA Drug Label
If a reaction suggesting sensitivity or chemical irritation should occur with the use of mupirocin ointment 2%, treatment should be discontinued and appropriate alternative therapy for the infection instituted. The FDA drug label does not answer the question.
From the Research
Skin tears should not be treated with antibiotics unless they show signs of infection, as most can be managed with proper wound care alone, reducing the risk of antibiotic resistance and minimizing side effects. The decision to use antibiotics should be based on the presence of signs of infection, such as increasing redness, warmth, swelling, purulent discharge, increasing pain, or systemic symptoms like fever 1, 2. Proper wound care includes gentle cleansing with saline or water, applying an appropriate dressing to maintain a moist wound environment, and protecting the wound from further trauma.
Some key points to consider in the management of skin tears include:
- The use of topical antimicrobials, such as antiseptics and antibiotics, should be limited to cases where infection is present or suspected, due to the potential for adverse effects and the development of antimicrobial resistance 1.
- The implementation of a risk-reduction program, including twice-daily skin moisturization, can help prevent skin tears, particularly in older adults 2.
- When infection is present, common antibiotic choices may include cephalexin or dicloxacillin, although the specific choice of antibiotic should be guided by the severity of the infection, the presence of any allergies, and the potential for resistance 3.
- A liquid dressing, such as a cyanoacrylate-based dressing, may be a safe and effective treatment for superficial skin tears, eliminating the need for topical antibiotics and dressings 4.
Overall, the management of skin tears should prioritize proper wound care and the prevention of infection, reserving antibiotics for cases where they are truly necessary.