Skin Infections and Infestations Flashcards
What is infection?
The pathological state results from the invasion of the body by pathogenic microorganisms.
We all have bacteria on the skin, but this does not mean we have an infection
What lives on our skin?
Aerobic cocci
- Staphylococcus Epidermidis
-Staphylococcus Aureus
Aerobic and anaerobic
-Corynebacterium
- Propionbacterium
Yeasts
- Malassezia Furfur
What are the signs of infection?
Erythema
Hot
Tender
Pus
Exudate
Fever
Impetigo is a common bacterial infection in children. What is impetigo?
Superficial skin infection
Can be bullous
Can be due to Staphylococcus aureus or Due to Streptococcus Pyogenes
What is the treatment for impetigo?
If localized:
- Fusidic acid 2% cream 3-4 times daily for 5 days
- Mupirocin 2% cream up to 3 times daily for 5 days (if MRSA)
If widespread:
- Flucoxacilin 500mg oral four times daily for 7 days
Erythromycin 500 mg oral four times daily for 7 days
What is the cause of Cellulitis/ Erysipelas?
Likely Streptococcus Pyogenes, Staphylococcus aureus
What is the first choice of antibiotic for Cellulitis/ Erysipelas
Flucloxacillin 1g IV every 6 hours
Plus
Benzylpenicillin 1.8 IV every 6 hours
What is Oedema Blister?
Acute Exacerbation of oedema
Dorsum of feet
Often erythematous
Can feel hot
What is Lipodermatosclerosis?
If acute, can be hot and tender
- look for signs of venous disease
- bilateral
What is the treatment for Lipodermatosclerosis?
Treat the underlying venous disease
Topical steroids
What are the two different types of fungal infections?
Tinea
- Infection by dermatophyte
Candidiasis (which is yeast)
What is the treatment for Tinea?
If on feet, body, hands, or groin, usually Topical Treatment
- Terbinafine or Clotrimazole cream
If on the scalp or nails, usually oral antifungals
What is the treatment for candida?
Nystatin, Miconazole, Ketoconazole cream
What causes Intertriogo Candida?
It is inflammation in the skin fold. Most cases are secondary to friction and the irritating effect of sweat. It can also be due to infection or skin conditions.
State the treatment for finger viral warts
Treatments are not very effective.
Wart paints and cryotherapy can stimulate the immune system. warts will go away when patient develops immunity against wart virus