PARONİŞİ

Definition Often it occurs in children. formed between an infection in the cuticle and nail bed Clinical findings Nail biting habit which may occur due to exposure and water for a long time. In immunocompromised patients, the oluşabilir.yüzeyel sensitive bulla, on erythematous ground occurs in the distal phalanx anterior fat tissue and can spread to the nail bed. dactylitis of the distal extremities with painful blisters bubble is characterized by painful blisters on your fingers beds. etiology Factors often S. pyogenes or Staphylococcus aureus. Staphylococci are the most frequent. Oral anaerobes, may be active fungi such as Fusarium in patients immunosuppressed Diagnosis Gram stain: Gram-positive cocci in chains or clusters of liquid that occurs. Treatment Incision and drainage. rarely you need antimicrobial agents in healthy individuals. The preferred penicillin factors S. pyogenes, S. aureus is dicloxacillin, I.jenerasyo ​​the cephalosporins, macrolides clindamycingib the Antistaphylococcal agent used in patients allergic to verilir.penisil. Treatment Incision and drainage. rarely you need antimicrobial agents in healthy individuals. The preferred penicillin factors S. pyogenes, S. aureus is dicloxacillin, I.jenerasyo ​​the cephalosporins, macrolides clindamycingib the Antistaphylococcal agent used in patients allergic to verilir.penisil. 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. been divided into two doses, 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.