Cellulitis - Celulitis
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Noga je običajna lokacija za Celulitis (Cellulitis).
Tipičen primer
Faza celjenja.
References
Cellulitis je pogosta bakterijska okužba kože. Vsako leto v Združenih državah prizadene več kot 14 milijonov ljudi. Vsako leto povzroči približno 3,7 milijarde dolarjev stroškov ambulantne oskrbe in 650. 000 hospitalizacij. Običajno se cellulitis kaže kot topel, rdeč predel na koži z oteklino in občutljivostjo. Povzroča ga nenadna bakterijska okužba, ki sproži vnetje v globokih plasteh kože in bližnjem tkivu. Pri tej okužbi ni abscesa ali gnoja. Beta-hemolitični streptokoki, zlasti streptokoki skupine A (Streptococcus pyogenes) , so običajni krivci, sledi pa jim methicillin-sensitive Staphylococcus aureus.
Cellulitis is a common bacterial skin infection, with over 14 million cases occurring in the United States annually. It accounts for approximately 3.7 billion dollars in ambulatory care costs and 650000 hospitalizations annually. Cellulitis typically presents as a poorly demarcated, warm, erythematous area with associated edema and tenderness to palpation. It is an acute bacterial infection causing inflammation of the deep dermis and surrounding subcutaneous tissue. The infection is without an abscess or purulent discharge. Beta-hemolytic streptococci typically cause cellulitis, generally group A streptococcus (i.e., Streptococcus pyogenes), followed by methicillin-sensitive Staphylococcus aureus. Patients who are immunocompromised, colonized with methicillin-resistant Staphylococcus aureus, bitten by animals, or have comorbidities such as diabetes mellitus may become infected with other bacteria.
Cellulitis is a common bacterial skin infection, with over 14 million cases occurring in the United States annually. It accounts for approximately 3.7 billion dollars in ambulatory care costs and 650000 hospitalizations annually. Cellulitis typically presents as a poorly demarcated, warm, erythematous area with associated edema and tenderness to palpation. It is an acute bacterial infection causing inflammation of the deep dermis and surrounding subcutaneous tissue. The infection is without an abscess or purulent discharge. Beta-hemolytic streptococci typically cause cellulitis, generally group A streptococcus (i.e., Streptococcus pyogenes), followed by methicillin-sensitive Staphylococcus aureus. Patients who are immunocompromised, colonized with methicillin-resistant Staphylococcus aureus, bitten by animals, or have comorbidities such as diabetes mellitus may become infected with other bacteria.
Cellulitis je bakterijska okužba kože in mehkih tkiv. To se zgodi, ko obstajajo težave z zaščitno pregrado kože, imunskim sistemom ali krvnim obtokom. Sladkorna bolezen, debelost in starost povečujejo možnosti za cellulitis , saj vplivajo na ta področja. Ogledamo si tudi nedavne ugotovitve o diagnosticiranju cellulitis in poudarjamo pomen natančne diagnoze, saj se stanja, kot so vensko popuščanje, ekcem, globoka venska tromboza in protin, pogosto zamenjujejo s celulitisom. Antibiotiki, ki se uporabljajo za zdravljenje cellulitis , so izbrani skrbno, da ciljajo na običajne bakterije, ne da bi spodbujali odpornost na antibiotike. Govorimo tudi o novih antibiotikih, odobrenih za cellulitis. Cellulitis se pogosto vrne zaradi stalnih dejavnikov tveganja in poškodbe limfnega sistema.
Cellulitis is a bacterial infection of the skin and soft tissues. It happens when there are issues with the skin's protective barrier, the immune system, or blood circulation. Diabetes, obesity, and old age increase the chances of cellulitis by affecting these areas. We also look at recent findings on diagnosing cellulitis, highlighting the importance of accurate diagnosis since conditions like venous insufficiency, eczema, deep vein thrombosis, and gout are often confused with cellulitis. Antibiotics used to treat cellulitis are chosen carefully to target common bacteria without encouraging antibiotic resistance. We also talk about new antibiotics approved for cellulitis. Cellulitis often comes back because of ongoing risk factors and damage to the lymphatic system..
Cellulitis is a bacterial infection of the skin and soft tissues. It happens when there are issues with the skin's protective barrier, the immune system, or blood circulation. Diabetes, obesity, and old age increase the chances of cellulitis by affecting these areas. We also look at recent findings on diagnosing cellulitis, highlighting the importance of accurate diagnosis since conditions like venous insufficiency, eczema, deep vein thrombosis, and gout are often confused with cellulitis. Antibiotics used to treat cellulitis are chosen carefully to target common bacteria without encouraging antibiotic resistance. We also talk about new antibiotics approved for cellulitis. Cellulitis often comes back because of ongoing risk factors and damage to the lymphatic system..
Mnogi ljudje gredo v bolnišnice ali sobe za nujno pomoč zaradi nenadnih bakterijskih okužb kože. Staphylococcus aureus je glavni klic, ki povzroča te okužbe, in ga je vse težje zdraviti, ker so nekateri sevi odporni na običajne antibiotike.
Acute bacterial skin and skin-structure infections are a common reason for seeking care at acute healthcare facilities, including emergency departments. Staphylococcus aureus is the most common organism associated with these infections, and the emergence of community-associated methicillin-resistant Staphylococcus aureus (MRSA) has represented a considerable challenge in their treatment.
Acute bacterial skin and skin-structure infections are a common reason for seeking care at acute healthcare facilities, including emergency departments. Staphylococcus aureus is the most common organism associated with these infections, and the emergence of community-associated methicillin-resistant Staphylococcus aureus (MRSA) has represented a considerable challenge in their treatment.
Staphylococcus aureus lahko razdelimo na dve vrsti glede na njihov odziv na antibiotike: methicillin-sensitive Staphylococcus aureus (MSSA) and methicillin-resistant Staphylococcus aureus (MRSA) . V zadnjih nekaj desetletjih je zaradi razvoja bakterij in prekomerne uporabe antibiotikov odpornost S. Aureus na zdravila naraščala, kar je povzročilo globalno povečanje stopnje okužbe MRSA.
According to the sensitivity to antibiotic drugs, S. aureus can be divided into methicillin-sensitive Staphylococcus aureus (MSSA) and methicillin-resistant Staphylococcus aureus (MRSA). In recent decades, due to the evolution of bacteria and the abuse of antibiotics, the drug resistance of S. aureus has gradually increased, the infection rate of MRSA has increased worldwide.
According to the sensitivity to antibiotic drugs, S. aureus can be divided into methicillin-sensitive Staphylococcus aureus (MSSA) and methicillin-resistant Staphylococcus aureus (MRSA). In recent decades, due to the evolution of bacteria and the abuse of antibiotics, the drug resistance of S. aureus has gradually increased, the infection rate of MRSA has increased worldwide.
To review the salient features of the management of severe skin and soft tissue infections (SSTIs), including toxic shock syndrome, myonecrosis/gas gangrene, and necrotizing fasciitis.
Noge in obraz so najpogostejša prizadeta mesta. Dejavniki tveganja so debelost, otekanje nog in starost. Najpogosteje prizadete bakterije so streptokoki in Staphylococcus aureus.
Zdravljenje je običajno z antibiotiki, ki jih jemljemo peroralno, kot so cefaleksin, amoksicilin ali kloksacilin. Približno 95 % ljudi je bolje po 7 do 10 dneh zdravljenja. Tisti s sladkorno boleznijo pa imajo pogosto slabše rezultate.
Celulitis je pogosta motnja in v Združenem kraljestvu je bil celulitis razlog za 1,6 % sprejemov v bolnišnico. Celulitis je leta 2015 povzročil približno 16.900 smrti po vsem svetu.
○ Zdravljenje ― OTC zdravila
Napredovali celulitis zahteva zdravljenje z antibiotiki, ki jih predpiše le zdravnik. Če lezija hitro napreduje in jo spremljata vročina in mrzlica, je priporočljivo čimprej obiskati zdravnika.
Pomaga lahko nanos mazila z antibiotiki brez recepta na zgodnje lezije. Če je mazilo naneseno pretanko, morda sploh ne bo delovalo.
#Polysporin
#Bacitracin
#Betadine
Za lajšanje bolečin uporabljajte zdravila proti bolečinam brez recepta, kot je acetaminofen.
#Ibuprofen
#Naproxen
#Acetaminophen
Ohranjajte stopala čista in zdravite atletsko stopalo, ker atletsko stopalo povečuje tveganje za celulitis.
○ Zdravljenje
#First-generation cephalosporins (e.g. Cefradine)
#Bacterial culture
#Third-generation cephalosporins (e.g. Cefditoren Pivoxil)