Alle ziektebeelden en antibiotica in schematische overzichten over de stof uit alle onderwijsvormen van infectie en immuniteit I. (Impetigo, furunkel, erysipelas, staphylococcal scalded skin syndrome (SSSS), cellulitis orbita, meningokokkensepsis, toxische shock syndroom (TSS), mononucleosis infect...
Week 1
Staphylococca
Impetigo Furunkel Erysipelas
Syndrom
1 Staphylococcus aureus 1 Staphylococcus aureus 1 Staphylococcus aureus 1 Staphylococcus a
Gram+ Gram+ Gram+ Gram+
Verwekkers 2 Groep A-streptokokken 2 Groep A-streptokokken
Bijv. streptococcus pyogenes Bijv. streptococcus pyogenes
Gram+ Gram+
Papel → blaasje → indroging → Bacterie in haarfollikel → fagocytose Ontsteking dermis + oppervlakkige Bacterie vormt exo
geelbruine korsten → pusvorming → huidabces subcutis → oedeem → uittreding bindt receptoren o
Verloop granulocyten verbreekt intercellu
verbindingen → bla
stuk → loslaten van
1 Impetigo contagiosa (vulgaris) 1 Steenpuist 1 Scherp begrensde roodheid + 1 Dunwandige blare
nattende, erosieve letsel met 2 Karbunkel: vaak koorts + algehele zwelling 2 Zeer pijnlijke, diff
Ziekteverschijnselen korsten ‘’krentenbaard’’ malaise 2 Vaak koorts + algehele malaise
2 Impetigo bullosa 3 Hoofdpijn, misselijk, braken
blaarvorming
1 Zalf met antibioticum, 1 Expectatief beleid 1 Systemische antibioticum 1 Antibioticum
fusidinezuurcrème 2 Bij koorts of riskante lokalisatie: 2 Bij cellulitis: langer behandelen 2 Pijnstilling
Behandeling 2 Bij systemische verschijnselen systemische antibioticum bijv. (osteomyelitis) 3 Wondverzorging
systemische antibioticum bijv. flucloxacilline 4 Uitdroging voork
flucloxacilline 3 Karbunkel: chirurgie + antibioticum
1 Oppervlakkig 1 Diep 1 ‘’wondroos’’ Bij kinderen < 5 jaa
2 Besmettelijk (huidcontact) 2 Incidenteel of recidiverend 2 Bij cellulitis: dieper en roodheid +
3 Kinderen en volwassenen zwelling meer diffuus en vlekkerig
Algemeen 4 Ongevaarlijk
Vormen:
1 Impetigo vulgaris, zonder blaren
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