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SKIN - Infectious Skin Diseases - BACTERIAL

Q: What causes impetigo, and what type of infection is it?

Impetigo is a superficial skin infection usually caused by Staphylococcus aureus and occasionally by Streptococcus pyogenes .

Q: What topical treatments are recommended for most patients with folliculitis?

Recommended topical treatments include: Clindamycin 1% Erythromycin 2% with an antibacterial wash or soap

Q: How should small furuncles be treated?

Small furuncles can be treated with warm compresses three or four times a day for 15 to 20 minutes .

Q: What is the treatment approach for larger furuncles and carbuncles?

Larger furuncles and carbuncles often warrant incision and drainage .

Q: What is the indicated treatment if methicillin-resistant S. aureus (MRSA) is suspected?

If MRSA is implicated or suspected, vancomycin (1-2 g IV daily in divided doses) is indicated, coupled with culture confirmation .

11 important questions on SKIN - Infectious Skin Diseases - BACTERIAL

What causes impetigo, and what type of infection is it?

Impetigo is a superficial skin infection usually caused by Staphylococcus aureus and occasionally by Streptococcus pyogenes.

How is folliculitis characterized?

Folliculitis is a superficial infection of the hair follicles characterized by erythematous, follicular-based papules and pustules.

What are some indications of topical antibacterial agents?

Indications of topical antibacterial agents include:

Erythromycin, Clindamycin, and Tetracycline
Skin infections: impetigo, erysipelas, cellulitis, etc.
Prevention of infections in clean wounds
Reducing colonization of the nares by staphylococci
Infected dermatoses
Deodorisation for ulcers, fungating tumours

What topical treatments are recommended for most patients with folliculitis?

What is ecthyma, and in which patients is it common?

Ecthyma is a deep infection of the skin that resembles impetigo. Ecthyma is somewhat common in patients with poor hygiene or malnutrition.

When are systemic antistaphylococcal antibiotics necessary?

Systemic antistaphylococcal antibiotics are usually necessary for furuncles and carbuncles, especially when cellulitis or constitutional symptoms are present.

How should small furuncles be treated?

Small furuncles can be treated with warm compresses three or four times a day for 15 to 20 minutes.

What is necrotizing fasciitis?

Necrotizing fasciitis is a rare infection of the subcutaneous tissues and fascia that eventually leads to necrosis.

What is the treatment approach for larger furuncles and carbuncles?

Larger furuncles and carbuncles often warrant incision and drainage.

What is the indicated treatment if methicillin-resistant S. aureus (MRSA) is suspected?

If MRSA is implicated or suspected, vancomycin (1-2 g IV daily in divided doses) is indicated, coupled with culture confirmation.

How long should antimicrobial therapy be continued?

Antimicrobial therapy should be continued until inflammation has regressed or altered depending on culture results.

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Phamarcology

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SKIN - Infectious Skin Diseases - BACTERIAL

11 important questions on SKIN - Infectious Skin Diseases - BACTERIAL