festering sore

Clinical findings Non-bullous form, often on the face and extremities, cut, scratches, insect bites, minor occurs as a result of trauma. Erythematous papules on the ground, and then begins to form small vesicles, pustules and will quickly rupture. Purulent discharge characteristic dry and thick, yellow-green shells are formed. Honeycomb is in view. Itching is common, and with the itch spreads. Is superficial, not ulcerated and infiltrating the dermis does not. Light can be a regional lymphadenopathy. Systemic signs of infection, fever is extremely rare. It is painless and does not leave scars. impetigo caused by streptococci group may sometimes lead to poststreptokokal glomerulonephritis. Bullous impetigo; It occurs in newborns and infants. It begins as vesicles, which then passes into blisters, blisters rupture easily, red surface occurs, the revealed light brown crusts. Often, neck, face and jaw amount. etiology Action is usually to group A beta hemolytic streptococcus or staphylococcus aureus. It may also be combined. Bullous impetigo is a factor in S. aureus (including group II bacteriophage). Newborn in Group B streptococcus may also factors. Epidemiology Streptococcal impetigo is usually the passage in question in physical contact. . Epidemics can. Following impetigo also often colonize the upper respiratory tract. Diagnosis A definitive diagnosis is infected with S. pyogenes or Staphylococcus aureus culture in isolation from the region. Microbiological studies usually required. Gram staining can be done. Differential diagnosis Although the initial chickenpox Typically, fungal infections, herpes simplex virus infections, can be confused with acute pustular psoriasis. Treatment 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 given orally twice a day from g of com. Protection To comply with personal hygiene rules. Skin infection that should not be sent to school until 24 hours after the start of antimicrobial therapy, if possible, it should avoid close contact period.