Skin Infections Flashcards

1
Q

What are non-abx tx that can be done for skin infections?

A

Elevation of affected area
Tx underlying conditions
If abscess forms (I & D)

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2
Q

Why is elevation indicated for a skin infection?

A

Gravity drainage of edema and inflammatory substances (make sure skin is hydrated to avoid cracking/dryness/interdigital maceration)

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3
Q

What are underlying conditions that predispose a pt to developing cellulitis?

A

Tinea pedis, Lymphedema, Chronic venous insufficiency

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4
Q

If pts have edema with a skin infection, what are two additional non-abx tx?

A

Compressive stockings

Diuretics

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5
Q

What are oral Abx indicated for MRSA skin infections?

How long should they be given?

A

Clindamycin
Trimethoprim-Sulfamethoxazole
Tetracycline (doxycycline or minocycline)
Linezolid

Individualized 5-10 days is typical.

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6
Q

When should a pt with cellulitis be treated with parenteral Abx?

A

Systemic toxicity

Erythema progressed rapidly

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7
Q

When should patient’s with a skin infection be referred to the ER?

A

Erysipelas

Systemic Sx: F/C

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8
Q

What is the preferred Tx for Erysipelas?

A

Penicillin 500 mg q6 hrs

Amoxicillin 500 mg q8 hrs

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9
Q

What is another optional Tx for Erysipelas?

A

Macrolides: erythromycin 250 mg q6 hrs (high resistance for b-hemolytic strep)

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10
Q

What is an option for Tx for Erysipelas for pts with Beta-lactam allergy?

A

Cephalexin
Clindamycin
Linezolid

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