Flashcards in Skin & Soft Tissue Infection (SSTI) Deck (26):
Which layer(s) of the skin does cellulitis extend into?
Which layer(s) of the skin does erysipelas extend into?
Which layer(s) of the skin does necrotising fasciitis extend into?
Which layer(s) of the skin does impetigo extend into?
What is a major cause of deep SSTI?
In the case of a bacterial infection, what re the most abundant leukocytes?
What is the most common bacterial film appearance causing SSTI?
GRAM POSITIVE COCCI
(only rarely is SSTI caused by gram negative cocci)
Name a gram negative coccus bacterium which is penicillin sensitive and is present in cases of zoonosis, septic arthritis, septicaemia and meningitis.
What percentage of A&E visits does animal bites account for?
What is the most common location of an animal bite on a child?
What is the most common location of an animal bite on an adult?
How does dog bite differ from a cat bite?
Cat = deep puncture wound, little superficial damage
Dog = extensive superficial injury, crush injury
What are some potential dangers regarding human bites?
Can lead to clenched fist due to tendon damage in the hand
Common deep infection
List the four steps of animal bite wound management.
Why are antibiotics administered?
Prevents disease/reduces risk of infection
Prolonged use usually selects for drug resistance
High risk patients benefit most from use of antibiotics
When are antibiotics generally administered and how long is the average course?
Prior to surgery
7 day course
What should NEVER be used as treatment/prophylaxis of an animal bite?
What is meant by 'mono therapy'?
Use of the drug on its own
Name the antibiotics used for mild-moderate cases of animal bites.
Doxycycline & Metronidazole
Clindamycin & Ciprofloxacin
Name the antibiotics used for sever cases of animal bites.
Ben pen, Ciprofloxacin & Mtz
Meropenem & Clindamycin
How long should the course of antibiotics be for treatment of cellulitis?
How long should the course of antibiotics be for treatment of tenosynovitis?
How long should the course of antibiotics be for treatment of septic arthritis?
How long should the course of antibiotics be for treatment of osteomyelitis?
Why are antibiotic courses for septic arthritis, tenosynovitis and osteomyelitis longer than, say, cellulitis?
Due to the avascular nature of the structures they affect