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.
許多人因細菌引起的皮膚感染而去急診室。 Staphylococcus aureus 是這些感染背後的主要細菌,並且由於 community-associated methicillin-resistant Staphylococcus aureus (MRSA) 的出現而變得越來越難以治療。 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.
根據對抗生素的反應, Staphylococcus aureus 可分為兩種: methicillin-sensitive Staphylococcus aureus (MSSA) and methicillin-resistant Staphylococcus aureus (MRSA) 。過去幾十年來,由於細菌進化和抗生素的過度使用, S. Aureus 對藥物的抗藥性不斷上升,導致全球 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.
它們通常是由細菌感染引起的。最常見的細菌是抗甲氧西林金黃色葡萄球菌。皮膚膿腫的診斷通常根據其外觀進行,並透過切開進行確認。在診斷不明確的情況下,超音波成像可能有用。對於肛門周圍的膿腫,電腦斷層掃描 (CT) 對於尋找更深層的感染可能很重要。
大多數皮膚或軟組織膿瘍的標準治療方法是將其切開並在使用抗生素的同時引流。用針吸出膿液通常是不夠的。
皮膚膿腫很常見,近年來變得更加常見。危險因子包括靜脈注射毒品,據報告使用者的比例高達 65%。 2005年,美國有320萬人因膿瘍前往急診室就診。 2008 年,澳洲約有 13,000 人因這種情況住院治療。
○ 治療
在大多數情況下,用非處方藥治療膿瘍很困難。如果全身出現發燒、發冷等症狀,請盡快就醫。