Skin And Soft Tissue Infections Flashcards
(24 cards)
What is cellulitis?
Infection of the skin and the soft tissues beneath it
How does cellulitis present?
Erythema
Warm or hot tot touch
Tense
Thick
Oedematous
Bullae
Golden yellow crust (staphylococcus)
What is the most common cause of cellulitis?
Staph a
Strep pyogenes
What is the usual first line antibiotic to treat cellulitis?
Oral or IV Flucloxacillin
(Works very well against staph a)
What is the go to antibiotic if a cellulitis is near the eyes or nose?
Co-amoxiclav
What are the risk factors for developing necrotising fasciitis?
Poorly controlled diabetes
Alcoholism
SGLT2 inhibitors
What is the management for necrotising fasciitis?
Sepsis 6
IV meropenem
Urgent escalation to relevant team for anatomical location
Surgical debridement + send for MC+S
Then can focus Abx treatment following culture results
How would you manage a mild diabetic foot infection?
Oral co-amoxiclav 7-14days
How would you treat a moderate diabetic foot infection?
IV co-amoxiclav and then switch to oral as patient improves
How would you manage a severe diabetic foot infection?
Take deep tissue/bone cultures ?osteomyeleitis
IV piperacillin/tazobactam = tazocin
What is the management for osteomyelitis that is not a diabetic foot?
IV flucloxacillin
What mediation is used if the osteomyelitis occurs in a patient with diabetes/diabetic foot?
Tazocin
What is the first line management for septic arthritis?
IV flucloxacillin (suspecting staphylococcus aureus)
What is the management of a septic arthritis if you think it has a gram negative cause?
IV flucloxacillin + Ceftriaxone
What is the management of septic arthritis if it is caused by MRSA?
IV Vancomycin
How long are medications taken with septic arthritis?
2 weeks IV then. 4-6 weeks oral
How is spondylodiscitis managed?
Blood cultures and biopsy
IV flucloxacillin while awaiting results
What medication would you give to treat spondylodiscitis if the patient is an IVDU or diabetic?
IV tazocin or IV meropenem
What is the management for early Lyme disease?
Oral doxycycline
What antibiotics can be given if a patient has cellulitis and is penicillin allergic?
Doxycycline
Erythromycin
Clarithromycin
What is the most appropriate antibiotic in a patient with cellulitis who is pregnant and is penicillin allergic?
Erythromycin
What is the the management for necrotising fasciitis?
IV Tazosin + clindamycin
Or
IV Meropenem + clindamycin
Urgent surgical debridement
What is the management of an animal bite?
3 day course of oral Co-amoxiclav
What is the treatment for severe cellulitis?
IV co-amoxiclav
