notice for nursing students

1. Kirandeep kaur
Phd scholar
Bacterial Infections Of Skin

2. Impetigo
It is the superficial pustules covered by a thick,
honey yellow colored crusts
Etiology:
 Group A beta hemolytic streptococci
 Staphylococci
 Poor hygiene
 Low socioeconomic status

3. Clinical Manifestation
 Vesiculopustular lesions develop like thick honey
colored lesions
 Erythema
 Pruritic lesions
 Primary infection

4. Treatment
 Systemic antibiotics like penicillin, streptomycin
 Oral antibiotics like oral penicillin, erythromycin
 IM bezathine penicillin
 Local topical antibiotic ointments like bactroban
 Warm saline or aluminium acetate followed by
soap & water removal of crusts.
 Proper hygiene is adviced

5. Folliculitis
It is the small pustule formed near the opening of
the hair follicles.
Etiology:
 Staphylococci present in areas of friction,
moisture, rubbing or oil.
 Increased incidence in patients with diabetes
mellitus.

6. Clinical Manifestations
 Small pustule at hair follicle with erythema
 Development of crusts
 Most commonly seen in scalp, beard &
extremities
 Tender to touch

7. Treatment
 Anti staphylococcal soap like hibiclens, lever
2000 and washes with water
 Topical antibiotics like bactroban
 Warm compresses of water or aluminium acetate
solution
 Systemic antibiotics like penicilin is administered

8. Furuncle
 It is the deep infection of the skin with tender
erythematous area around the hair follicle.
Etiology:
 Staphylococci infection &
 Seborrheic dermatitis

9. Clinical Manifestations
 Tender erythemas around the hair follicle
 Pus formation with discharges
 Core of necrotic debris around the rupture
 Common in face, back of neck, axillae, breasts,
buttocks, perineum, thighs.
 Pain in the area of furuncles

10. Treatment
 Incision and drainage of the furuncles.
 Packing the area with dressings
 Application of warm and moist compresses to
improve healing
 Antibiotics with penicillin and erythromycin.
 Meticulous care of the skin by maintaining proper
hygiene and antiseptic solutions to clean the
affected site.

11. Cellulitis
It is the inflammation of the sub cutaneous tissue
possibly a complication of a primary infection
Etiology:
 Staphylococcus aureus
 Streptococcal infection
 Any condition causing skin break down

12. Clinical Manifestations
 Hot, tender erythematous and edematous area
with diffuse borders,
 Chills
 Malaise
 Fever & head ache
 Characteristic tenderness

13. Management
 Most heat application to the affected area,
 Immobilization and elevation of the affected area
 Antibiotic therapy with oral and systemic penicillin
treatment
 Amputation of the affected limbb if progressive
gangrene develops.