About Folliculitis and further types of the folliculitis in this all about Folliculitis definition, causative agent, pathophysiology,sign and symptoms, diagnostic evaluation and briefly explained management with pharmacological as well as nursing diagnosis and health education...about prevention..

1. PRESENTATION ON
CHILD HEALTH
NURSING
FOLLICULITIS , BOILS &
CARBUNCLES...
By – Isha Kamboj

2. FOLLICULITIS
Definition:
• Folliculitis is defined as
the inflammation of one
or more hair follicles.
• It may be anywhere on
skin except palms of
hands and soles of feet..

3. CAUSES-
• Infection i.e.-bacterial staphylococcus aureus , viral
, fungal
• Chemicals-mineral oils , vegetable oils, cosmetic
exposure
• Mechanical – Pseudofolliculitis (after shaving in
the beard region , post-waxing folliculitis)

4. SUPERFICIAL FOLLICULITIS
DEEP FOLLICULITIS
.
Types

5. 1. SUPERFICIAL
FOLLICULITIS
It affects the upper part
of the hair follicles and
skin around the follicles.
Shown in figure1.

6. 2. DEEP FOLLICULITIS
It involves the entire follicle
or more than one follicles
are affected ..
It further divided into three
types-
A)Gram-negative folliculitis
B)Boils and Carbuncles
C)Eosinophilic folliculitis

7. A) GRAM NEGATIVE
FOLLICULITIS
It was first described by Fulton et al in 1968
Infection is caused by gram negative organisms
characterized by the pustular rash resembles
acne..
It may be the complication of acne vulgaris
and usually affected those who have received
systemic antibiotics for prolonged periods.

8. B) BOILS & CARBUNCLES
Definition:
1. Boils- A boil is a single pus filled bump that
forms under the skin when bacteria infect
and inflame the follicles
2. Carbuncles- A cluster of boils that form a
connected area of infection.

10. C) EOSINOPHILIC
FOLLICULITIS
It is defined as the itchy rash
with an unknown cause that is
most common among
individuals with HIV
characterized by recurring
patches of bumps and pimples
that form near follicles of the
face and upper body.

11. PRECIPITATING FACTORS
Diabetes
Problem with the immune system
Poor nutrition
Poor hygiene
Exposure to harsh chemicals that irritate the
skin.
Scratching

12. PATHOPHYSIOLOGY
.
Due to etiology
(Bacteria fungi virus,
Trapped growing hair)
Entry of microorganisms
into the hair follicles
Inflammation of hair
follicles
Redness, pus formation
swelling, fruncle ,
carbuncles

13. SIGN AND SYMPTOMS:-
A painful, red bump that start out small and can
enlarge to more than 2 inches.
Reddish or purplish , swollen skin around the
bump.
Increase in the size of bum over few days.
Development of yellow white tip that eventually
ruptures & allows the pus to drain out.

14. COMPLICATIONS..
Sepsis can lead to deep infection within your
body
Osteomyelitis
Endocarditis
Cellulitis

15. DIAGNOSTIC EVALUATION
History collection
Physical examination
Biopsy

16. TREATMENT
1.Pharmacological management -:
Lotions , gels and pills (Antibiotics)- to control the bacterial
infection..
Antifungals used to treat the yeast infection.
 Anti-inflammatory drugs.

17. Nursing management -:
History collection
Early diagnosis of the disease
condition to prevent the spread of
infection
Use aseptic techniques while handling
or assessing the patient.
Assess pain and nutritional status of
the patient.
Warm , moist dressings applied to the
affected area for discomfort.

18. NURSING DIAGNOSIS:-
• Risk for infection related to the loss of the protective barrier
of the skin and mucous membrane.
• Acute pain of skin related to the blistering and erosion.
• Impaired skin integrity related to the ruptured blister area of
skin.
• Disturbed body image related to the appearance of the skin.
• Anxiety related to physical appearance of the skin and
prognosis.

19. HEALTH EDUCATION
.
Wash skin before waxing and shaving.
Avoid tight clothing to reduce friction.
Practice good general hygiene and choose natural
skin care products.

20. ANY
DOUBT
??

21. RECAPITULATION
Define folliculitis?
Types of folliculitis?
Sign and symptoms of folliculitis?
Nursing interventions?

22. Bibliography –
• Sharma Rimple , ESSENTIAL OF PEDIATRIC NURSING, jaypee
publication India , page no.-522-524
• http://www.slideshare.com (folliculitis , boils, carbuncles)