Why should silver sulfadiazine be avoided in the treatment of Stevens-Johnson syndrome (SJS), and which antiseptic should be used instead?

Updated: Jan 17, 2019
  • Author: C Stephen Foster, MD, FACS, FACR, FAAO, FARVO; Chief Editor: Andrew A Dahl, MD, FACS  more...
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Answer

Because of the association between Stevens-Johnson syndrome and sulfonamides, avoid the use of silver sulfadiazine, which is commonly used in burn units. Instead, use another antiseptic, such as 0.5% silver nitrate or 0.05% chlorhexidine, to paint and bathe the affected skin areas.


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