Adjunctive Treatment
In the absence of reliable evidence, it is the opinion of the work group that adjunctive treatment is of limited value in the management of surgical site infections.

Rationale

1. There is consensus opinion that local delivery of antibiotics could be beneficial in the management of surgical site infections.
2. In the absence of available evidence, there is no benefit in the use of topically applied antibiotics.
3. The workgroup believes that there is lack of quality evidence for or against the use of negative pressure wound therapy in the treatment of surgical site infections.
4. The consensus of the workgroup is that there is no benefit in the use of antibiotics or antiseptics in irrigation solution in the management of these infections.
5. There is consensus opinion that appropriate soft-tissue coverage of open wounds is advantageous in the treatment of surgical site infections.
6. The workgroup believes that there is no quality literature that supports the use of adjuvant hyperbaric oxygen therapy in the treatment of patients with surgical site infections.
7. Further research is required to develop high-quality evidence to support the use of these adjuvant treatments.


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