For treatment of burns, why might bacitracin be favored relative to silver sulfadiazine even though its antimicrobial coverage is less broad?

because silver sulfadiazine causes:
  • allergy in patients with sulfa sensitivity
  • permanent silver staining of the skin and therefore should not be used on the face or other cosmetically sensitive areas
  • severe hemolysis in patients with G6PD
  • sulfonamide kernicterus in children less than 2 months and therefore should be avoided in pregnant women, newborns and nursing mothers

Source

Hall, R., Watts, L., and Bashiti, S.  "Thermal Burns"   Critical Decisions in Emergency Medicine.  March 2012.
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