skin and soft tissue infection

Question 1

what % people carriers of staph aureus

Answer 1

25%

Question 2

antibiotic against staph aureus

Answer 2

fluclox

Question 3

what antibiotics can be used in MRSA

Answer 3

vancomycin and teicoplanin

Question 4

predisposing factors for skin and soft tissue infection

Answer 4

DM, chronic lymphoedema, venous ulcers, peripheral vascular disease, steroids, malnutrition

Question 5

what is toxic shock syndrome

Answer 5

toxin secreting staph. exotoxin TSST-1- cytokine release fever and shock

Question 6

signs TSS

Answer 6

diffuse macular rash, desquamation palms and soles

Question 7

what is necrotising fasciitis

Answer 7

infection of the deep fascia and causing necrosis of the subcut tissue

Question 8

what organism is responsible for nec fas

Answer 8

group A b haemolytic strep

Question 9

signs Necrotising fasciitis

Answer 9

severe pain at site of infection, erythema, pain, crepitus. high CRP very high WCC

Question 10

treatment necrotising fascitis

Answer 10

radical debridement +- amputation. benzylpenicillin and clindamycin