ssti

Question 1

What is Localized skin infection?

Answer 1

Localized SSSIs include lesions such as furuncles, carbuncles, and abscesses, which would generally be treated by incision and debridement with drainage

Question 2

when to call it complicated

Answer 2

Surrounding cellulitis, immunocompromised, or the presence of potentially infectable prostheses, such as cardiac valves, orthopedic devises or vascular grafts, mandates antibiotic use and might well mean that the infection would be classed as complicated

Question 3

name the part of skin involved in
impetigo
erysipelus
cellulitis
fascitis

Answer 3

superficial epideermis
deep epidermis
dermis
sub cut fat

Question 4

most common organism for the above

Answer 4

for impetigo staph and for the reststrep pyogenes

Question 5

What sort of skin structure infections are usually caused by staphylococci?

Answer 5

It is often helpful to remember that localized SSSIs above the belt are more likely to be caused by S. aureus than those below the belt, which are more likely to be associated with mixed flora

Question 6

management of abscess

Answer 6

in case of abscess incision and drainage if possible.no ant5ibiotic coverage required if less than 3 cm abscess.if greaqter than 3 cm abscess then drtain and treat with vancomycin.

Question 7

how t6o de escalate antibiotic therapy for abscess

Answer 7

de-escalate to oral tmp-smx and cefalexin
if patient has sulpha allergy cotrimoxazole to be replaced by tetracycline or doxycycline
if patient has penicillin allergy clindamycin may be used in place of cephalewxin
linezolid may be used in place of both

Question 8

treatment of purulent celluliotis

Answer 8

same antibiotic management