Do you prescribe silvadene cream for patients with a sulfa allergy?  

No. I will consider hydrogel wound dressings in those situations

I rarely use silvadene cream in my breast practice, as it is an antimicrobial, and in my experience it is extremely rare to have a patient with an infection post radiation. However, it is recommended to avoid the use in patients with sulfa allergies. Other topical antibiotics could be substituted if...