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Flashcards in Skin And Soft Tissue Infections Deck (12):
0

What does impetigo look like?

Initially start off as vesicles
Which eventually erupt
To form golden crusts

1

What age group is affected most by impetigo?

Children

2

What specific advice would you give to patients with impetigo?

Very contagious
Avoid spread of infection by not sharing towels, washing hands often etc

3

What organisms may cause impetigo?

S aureus
Group A haemolytic strep

4

How would you treat impetigo

Topical antibiotics e.g. fusidic acid
Oral flucloxacillin if systemically unwell

5

How does cellulitis usually present?

Skin is red, swollen, painful, warm and may look shiny
Systemic features - fever, malaise, increased RR

6

Where on the body does cellulitis usually affect?

Skin on the legs
But can affect anywhere

7

What organisms commonly cause cellulitis?

Staph aureus
Strep pyogenes

8

How would you treat cellulitis?

Oral flucloxacillin
IV flucloxacillin if systemically unwell or not responding to oral treatment

9

What is the maximum safe dose of flucloxacillin?

2g qds

10

If flucloxacillin was ineffective at the max dose in treating cellulitis, what other diagnoses would you consider?

MRSA
Necrotising fasciitis

11

How would you treat necrotising fasciitis?

IV tazocin and clindamycin
Surgical deebridement