Folliculitis, Furnculosis, Carbunculosis, Hidradenitis Suppurativa, Insect Bites, Warts Flashcards
Folliculitis: What is it?
- an inflammatory process involving any part of the hair follicle
- most commonly secondary to infection, usually staph aureus
Folliculitis: Risk Factors
- DM
- immunosuppression
- poor hygiene
- shaving
- tight jeans
- occlusive steroid therapy
- exposure to contaminated water in hot tubs or swimming pools
Folliculitis: Assessment Findings
- itching and burning in hairy areas
- superficial pustule with mild erythema
- less than 5 mm in size surrounding a hair follicle
Folliculitis: Diagnostic Tests
- gram stain and culture
** Important to differentiate bacterial from non-bacterial folliculitis
Folliculitis: Possible Complications
Abscess formation
Folliculitis: Prevention
- good hygiene
- avoiding heat/friction
- frequent handwashing
- changing towels and sheets daily
- treating hot tubs and pools properly
- controlling blood glucose in diabetics
Folliculitis: Non-Pharmacologic Treatment
- intermittent application of warm, moist compresses
- allow spontaneous drainage
- frequent hand washing
- hydrate skin and apply moisturizing shaving gel before shaving
Folliculitis: Treatment for generalized folliculitis
Anhydrous ethyl alcohol containing 6.25% aluminum chloride applied 3-7 times per week to lesions
Folliculitis: Pseudomonas Folliculitis Treatment
Will usually clear spontaneously if not immunosuppressed if lesions are superficial, but also may be treated with ciprofloxacin 500 mg PO BID for 5 days
Folliculitis: Bacterial Folliculitis Treatment
MRSA - vancomycin
MSSA - cefazolin
** Both for 4-8 weeks if scalp, axilla, beard, or groin
Folliculitis: Gram negative Folliculitis Treatment in acne
Isotretinoin
Folliculitis: Eosinophilic Folliculitis Treatment
Combination of potent topical corticosteroids and oral antihistamines
Folliculitis: Malassezia Folliculitis Treatment
Topical sulfacetamide lotion BID alone or in combination with itraconazole or fluconazole
Folliculitis: Demodex Folliculitis Treatment
Topical 5% permethrin every other night until clear; ivermectin 200 mcg/kg once weekly; oral metronidazole 500 mg once daily or a combination of the two
Furuncle: What is it?
- a deep seated infection involving the entire hair follicle and adjacent subcutaneous tissue
- caused by staph
- very contagious
- most common sites: hairy parts exposed to irritation and friction, pressure, or moisture
Furuncle: Risk Factors
- DM
- Injection drug use
- HIV/immunosuppression
- Athletic teams
- Prisons
- Military
- Hospitalization
- Homelessness
Furuncle: Assessment Findings
- pain and tenderness
- round or conical abscess
- gradually enlarges, softens, and opens in a few days to 1-2 weeks and discharges necrotic tissue and pus
Furuncle: Diagnostic Tests
- slight leukocytosis
- C&S of wound drainage
Furuncle: Prevention
- good hygiene
- avoiding heat/friction
- frequent handwashing
- changing towels and sheets daily
- treating hot tubs and pools properly
- controlling blood glucose in diabetics
- clean meticulously with bleach