10- Antimicrobials for skin disease Flashcards
T/F you can use antibiotics for malassezia dermatitis
False- because it is a fungi
List the general principles of antibacterial therapy in skin disease
Make sure bacteria are involved
use topical antibacterials/ antibiotics where possible
use the narrowest spectrum and lowest tier antibiotic that is likely to be effective
correct the underlying cause
What is the recommended treatment of bites/traumatic wound?
Debride & lavage
Systemically well = 2-4% chlorhexidine
Pyrexic/systemically unwell - antibiotics based on cytology
What antibiotics are a good choice for cocci?
Clindamycin
Cefalexin
Amoxicillin/ clavulanate
Trimethoprim/ sulphonamide
T/F We use topical treatment ONLY on surface pyoderma (intertrigo/hot spot)
True
What 2 products can be used for surface pyoderma?
Fusicidic acid +/- glucocorticoids (isaderm)
Silver sulphadiazine - rods (flamazine)
How long should you treat superficial pyoderma for?
min 3 weeks or 1 week beyond clinical cure
Describe how you would treat superficial pyoderma
use topical treatment only whenever possible
Do you need to use antibiotics for deep pyodermas
Yes- c and s depending
How long should you treat deep pyoderma for?
min 4-6wks or 2wks beyond clinical cure
What is the 1st line antibiotic used for pyoderma in horses?
Trimethoprim & sulphadiazine
T/F You use antibiotics always in abscesses
No - avoid use initially
Lance & drain
Only give if systemically unwell - temp
T/F Dermatophytosis is a self-limiting disease
True
Describe how you could possibly treat dermatophytosis
identify fungus and any predisposing conditions
reduce environmental contamination
monitor response to therapy
Name a topical anti fungal rinse/shampoo
Miconazole - combine with chlorhexidine (Malaseb)
Enilconazole rinse (imaverol)
