Skin and Soft Tissue Infections Flashcards
Why is there particular concern about cellulitis in the hands?
Due to the small spaces in the hands, we know that compression can occur quickly in the hands and especially in the fingers. This can cause compression to the vasculature and nerves.
What is the first line Abx for uncomplicated cellulitis in a patient with no allergies?
Flucloxacillin
What is the only mammal that carries rabies in the UK?
Bats
What is the first line Abx for a cellulitis infection from a dog bite?
Co-Amoxiclav
Define the word ‘colonisation’
The presence of microbes on a non-sterile body surface (skin, mouth, intestines, airway) without causing disease (no symptoms).
Define the term ‘Infectious disease’
Host damage caused by combination of microbial invasion and host response to the microbe.
What Abx would you give to someone who has MRSA cellulitis and is unresponsive to flucloxacillin?
Vancomycin or doxycycline
What are the 2 categories of staphylococcus aureus infections?
Methicillin-sensitive (MSSA)
Methicillin-resistant (MRSA)
What is a very concerning sign for a deep soft tissue infection?
Pain out of keeping with clinical signs
Which individuals are more prone to skin and soft tissue infectons?
IV drug users
What are common signs on examination that may suggest IV drug use?
Track marks
What can occur if someone is a groin IV drug user?
- Groin sinuses
- Groin abscesses
- False aneurysms of the femoral artery
When suspecting necrotising fasciitis, what should your first actions be?
- Call your senior
- Call the surgical team
What is the only cure for necrotising fasciitis?
Surgical debridement
What are the 2 most common bacteria that is implicated in skin and soft tissue infections?
- Staphylococcus aureus
- Streptococcus pyogenes
