Cellulitis - 蜂窩織炎
腿是蜂窩織炎 (Cellulitis)的常見位置。
典型案例
癒合階段。
References
Cellulitis 是一種常見的細菌性皮膚感染。它每年影響美國超過 1400 萬人。它每年導致約 37 億美元的門診護理費用和 65 萬人住院。通常， cellulitis 表現為皮膚上溫暖、紅色的區域，伴隨腫脹和壓痛。它是由突然的細菌感染引起的，會引發深層皮膚層和附近組織的發炎。這種感染沒有膿腫或膿液。 β-溶血性鏈球菌，尤其是 A 型鏈球菌 (Streptococcus pyogenes) 是常見的罪魁禍首，其次是 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 是皮膚和軟組織的細菌感染。當皮膚的保護屏障、免疫系統或血液循環出現問題時，就會發生這種情況。糖尿病、肥胖和老年透過影響這些區域來增加 cellulitis 的機會。我們也研究了最近診斷 cellulitis 的發現，強調了準確診斷的重要性，因為靜脈功能不全、濕疹、深部靜脈栓塞和痛風等疾病經常與蜂窩性組織炎混淆。用於治療 cellulitis 的抗生素經過精心選擇，以針對常見細菌，而不鼓勵抗生素抗藥性。我們也討論了批准用於 cellulitis 的新抗生素。 Cellulitis 由於持續的危險因子和淋巴系統受損，經常會復發。
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..
許多人因突發細菌性皮膚感染而去醫院或急診室。 Staphylococcus aureus 是造成這些感染的主要細菌，由於某些菌株對常見抗生素具有抗藥性，因此治療變得越來越困難。
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.
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.
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.
腿部和臉部是最常見的受累部位。危險因子包括肥胖、腿部腫脹和年老。最常見的細菌是鏈球菌和金黃色葡萄球菌。
治療通常採用口服抗生素，例如頭孢氨芐、阿莫西林或氯唑西林。大約 95% 的人在治療 7 至 10 天後病情有所改善。然而，患有糖尿病的人往往會出現更糟糕的結果。
蜂窩性組織炎是一種常見疾病，在英國，1.6% 的患者因蜂窩性組織炎入院。 2015 年，蜂窩性組織炎導致全球約 16,900 人死亡。
○ 治療 - 非處方藥
晚期蜂窩性組織炎需要僅由醫生開立的抗生素治療。如果病變進展較快，伴隨發燒、寒顫，建議盡快就醫。
在早期病灶處塗抹非處方抗生素軟膏可能會有所幫助。如果藥膏塗得太薄，可能根本不起作用。
#Polysporin
#Bacitracin
#Betadine
使用對乙醯氨基酚等非處方止痛藥來緩解疼痛。
#Ibuprofen
#Naproxen
#Acetaminophen
保持足部清潔並治療腳氣，因為腳氣會增加蜂窩性組織炎的風險。
○ 治療
#First-generation cephalosporins (e.g. Cefradine)
#Bacterial culture
#Third-generation cephalosporins (e.g. Cefditoren Pivoxil)