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Infekcije > 6. Okužbe kože in mehkih tkiv > Flashcards

6. Okužbe kože in mehkih tkiv Flashcards

1
Q

Najpogostejši povzročitelji

A

Staf aureus
Beta hemolitični streptokoki

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2
Q

Zapleti impetiga

A

Celulitis, limfangitis, sindrom luščenja kože
Akutni postreptokokni GN

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3
Q

Zdravljenje impetiga

A

Topični antibiotiki - mupirocin
Pri hujših - flukloksacilin

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4
Q

Povzročitelji folikulitisa

A

S. aureus
Pseudomonas - kopanje

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5
Q

Zdravljenje folikulitisa

A

Simptomatsko, lokalno antibiotiki
Večji predel kože - flukloksacilin

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6
Q

Zdravljenje furunkla/karbunkla

A

Flukloksacilin ČE
Sistemska okužba
Razširjena okužba - celulitis
Oslabljena imunost
Okužba na obrazu

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7
Q

Zaplet furunkla

A

Če je na obrazu - tromboza kavernoznega sinusa, bakteriemija

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8
Q

Zdravljenje kožnih abscesov

A

Flukloksacilin
Anaerobne - klindamicin
Območje danke, spolovila, ust - amoksiklav

Drenažni vrez

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9
Q

Povzročitelji šena

A

Beta hemolitične streptokoki A, B, C, G
Strep. agalactiae

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10
Q

Virulentni dejavnik streptokokov

A

Beljakovina M

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11
Q

Pozni zapleti šena

A

Glomerulonefritis
NE razvije se akutna revmatična vročica

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12
Q

Elephantiasis nostras verrucosa

A

Ponavljanje šena, hude spremembe

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13
Q

Zdravljenje šena

A

Penicilin 7-10 dni

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14
Q

Zapleti celulitisa

A

Limfangitis, osteomielitis, artritis, tromboflebitis, bakteriemija, compartment sindrom, fasciitis

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15
Q

Zdravljenje celulitisa

A

Flukloksacilin

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16
Q

Plinska gangrena ali

A

klostridijska mionekroza

Prizadene skeletne mišice (toksini klostridijev)

17
Q

Okužba mehkih tkiv - laboratorij

A

Levkocitoza, pomik v levo, limfopenija, znižan Na, povišan CRP

18
Q

Okužba mehkih tkiv - zdravljenje

A

Kirurško + antibiotik

Tip 1 NF + Fournier - ampicilin + gentamicin + metronidazol (+ sulbaktam, karbapenemi)

Tip 2 NF (S. pyogenes) - penicilin G + klindamicin

Plinska gangrena - penicilin G

19
Q

Stafilokokni sindrom toksičnega šoka - laboratorij

A

Povišani levkociti
Znižani eritrociti, trombociti
Znižan Na, Ca
Povišani jetrni encimi
Metabolna acidoza

20
Q

Stafilokokni sindrom toksičnega šoka - zdravljenje

A

Flukloksacilin
Alergije - vankomicin

21
Q

Streptokokni sindrom toksičnega šoka - zdravljnje

A

Penicilin
Ceftriakson + klindamicin

22
Q

Povzročitelji okužb opeklinskih ran

A

Enterobakterije, pseudomonas, stafilokok

Infekcije (22 decks)

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