Skin and soft tissue infection Flashcards
What are the 5 cardinal signs of inflammation
Calor Dolor Rubor Tumor Loss of function
What are the causatives of Cellulitis/Erysipeas
Group A Beta haemolytic (Strep Pyogenes)
Staph Aureus
How is impetigo described on a child
Honey Clustered Crusty lesion on chin and cheek (itchy)
What colour does a swab turn for impetigo
Black charcoal swab
What is the difference between staph and strep on a catalase test
Positive = Staph = golden colonies Negative = Strep Pyogenes = Total haemolysis
How is Typical Impetigo treated
Flucloxacillin /Benzylpenicillin
How is MRSA treated
Vancomycin
What 3 samples are needed for an infected cannula site
Infected cannula
Blood culture
Black charcoal swab
Why is flucloxacillin and benzylpenicilli given for infected cannula sites
They cover both S Aureus AND S Pyogenes
A patient presenting with MRSA should be investigated how?
Axilla and Groin swab
What are two possible drugs for MRSA
Vancomycin and Teicoplannin (>2weeks)
When should you give Abx for MRSA longer than 6 weeks
If there is evidence of deep source infection such as Infective Endocarditis
What are the main SE of Vancomycin and Teicoplanin
Nephrotoxic
