An abscess is a collection of pus that has built up within the tissue of the body. Signs and symptoms of abscesses include redness, pain, warmth, and swelling. The swelling may feel fluid-filled when pressed. The area of redness often extends beyond the swelling. Carbuncles and boils are types of abscess that often involve hair follicles, with carbuncles being larger.
许多人因细菌引起的皮肤感染而去急诊室。 Staphylococcus aureus 是这些感染背后的主要细菌,并且由于 community-associated methicillin-resistant Staphylococcus aureus (MRSA) 的出现而变得越来越难以治疗。 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.
根据对抗生素的反应, Staphylococcus aureus 可分为两种类型: methicillin-sensitive Staphylococcus aureus (MSSA) and methicillin-resistant Staphylococcus aureus (MRSA) 。过去几十年来,由于细菌进化和抗生素的过度使用, S. Aureus 对药物的耐药性不断上升,导致全球 MRSA 感染率上升。 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.
它们通常是由细菌感染引起的。最常见的细菌是耐甲氧西林金黄色葡萄球菌。皮肤脓肿的诊断通常根据其外观进行,并通过切开进行确认。在诊断不明确的情况下,超声成像可能有用。对于肛门周围的脓肿,计算机断层扫描 (CT) 对于寻找更深层次的感染可能很重要。
大多数皮肤或软组织脓肿的标准治疗方法是将其切开并在使用抗生素的同时引流。用针吸出脓液通常是不够的。
皮肤脓肿很常见,并且近年来变得更加常见。危险因素包括静脉注射毒品,据报告使用者的比例高达 65%。 2005年,美国有320万人因脓肿前往急诊室就诊。 2008 年,澳大利亚约有 13,000 人因这种情况住院治疗。
○ 治疗
在大多数情况下,用非处方药治疗脓肿很困难。如果全身出现发热、发冷等症状,请尽快就医。