CONSIDERS
Definition
Which leads to ulceration and dermal skin is infection dating back to the epidermis. Treatment is like impetigo.
Clinical findings
Previously trauma, malnutrition, occurs more frequently in those with poor hygiene and alcoholics. Single or multiple starts as blisters, but the shell would cause ulceration and scarring leaves .. It usually occurs in the lower extremities.
etiology
Factors: S. aureus or group A streptococci, sometimes with two factors. Diagnosis: The clinical, to culture.
Treatment
Treatment is like impetigo. Local wound care is useful (washing with soap and water). Topical antibiotics; bacitracin, neomycin-bacitracin, mupirocin is also available. 3 times a day, 7-8 days is usually enough. Common impetigo, if domestic infection, nursery groups or athletic teams and topical agents in bullous impetigo is not enough. If it requires the use of systemic antimicrobial agents; Penicillin or oral amoxicillin is given .. 1.jenerasyo the cephalosporins, penicillin allergy in patients; erythromycin, azithromycin dose is given clarithromycin. Staphylococci is considered to be active, to büllözs; penicillinase-resistant oral penicillin eg dicloxacillin - cloxacillin or I.jenerasyo the cephalosporins; cephalexin, cephradine or, cefadroxil is not used for effective oral kullanılabilir.cefix I Staphylococcus aureus. Amoxicillin / clavulanic acid, Clindamycin or trimethoprim / sulfamethoxazole 160/800 administered orally twice daily g of com. Antistaphylococcal other agents can also be used if necessary. the duration of treatment with oral agents is one week.
Doses: Penicillin Oral penisilinv; From 25000 to 90000 U / kg / day, four doses, 10 days in adults; 250 mg orally, 4 times / day or benzathine penicillin G for 300 children 000-600000 1200 000 adults applied as a single dose into muscles.
Amoxycillin: 25-50mg / kg / day, in three doses in adults: 1.5 g. Two or three doses
Ampicillin: 50-100mg / kg / day, in 4 doses in adults: 2-4 g / day, in 4 doses
1.jenerasyo of oral cephalosporins: Cephadroxil oral; 30mg / kg / day, in two divided doses, 2 g in adults. two doses partitioned, Cefpodoxime; 10mg / kg / day in 2 doses, adult 800 mg, divided into two doses, cefprozil; 15-30mg / kg / day divided into two doses, adult to 1 g / day in two divided doses, Ceftibuten 9 mg / kg / day, a dose of cephalexin; 25-50mg / kg / day divided into 4 doses daily dose of 1-4 g in adults, cephradine; 25-50mg / kg / day in 2-4 doses 250mgx4 dose in adults.
Erythromycin: Newborn dose: low weight babies than 2000gr.; 10 mg / kg weight in 12 hours, at greater than 2000gr.; 10mg / kg every 8 hours, 20-50mg / kg dose in adults 2-4 as a 250-500mg every 6 hours.
Azithromycin 5-12mg / kg day single dose in adults: 500 mg / day, or 0.5 gr.dah first day then 250 mg / day total dose of 5 gün.maksim; 600 mg.
Clarithromycin 7.5 mg / kg / day in two divided doses, adult to 1 g / day, in two divided doses ,. 10 days is given.
Dicloxacillin: 3.125-6.25 mg / kg-cloxacillin 12.5 mg / kg four dividing adults 250mg orally 4 times / day) or cephalosporins: cephalexin, cephradine (25-50mg / kg) divided in half (in adults 250mg orally, 4 times a day) or, cefadroxil 30mg / kg / day, in two divided doses used.
Amoxicillin / clavulanic acid: 25-45 mg / kg / day in 2-3 doses (depending on the formulation) in adults: 1.5 gr./g of, at three doses.
Clindamycin: infants less than 2000gr. Zealand 5 mg / kg, 12 hours, 1 week to greater than 5 mg / kg every 8 hours, little large and 1 week after 2000gr. 5 mg / kg every 8 hours, great for a week, 5 mg / kg every 6 hours in infants; 15-25mg / kg / day oral dose of 3-4, 150 mg-450 mg in adults orally 4 times a day.
Trimethoprim / sulfamethoxazole: 8 mg / kg / day (according to trimethoprim), 2 doses, adult; 160/800 g of com orally twice a day.
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