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Exam (elaborations)

ILE VII- SSTIs.

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Exam of 8 pages for the course PHYA510: ACLS Algorithms at PHYA510: ACLS Algorithms (ILE VII- SSTIs.)

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  • June 21, 2024
  • 8
  • 2023/2024
  • Exam (elaborations)
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ILE VII- SSTIs
What are purulent infections commonly caused by?
S. aureus


What are non-purulent infections commonly caused by?
Strep. pyogenes


Describe folliculitis.
Superficial infection of the hair follicles; purulent


Describe furuncle.
Infection of a hair follicle that extends through the dermis into the
subcutaneous tissue; boil; purulent


Describe carbuncle.
Infection involving several adjacent follicles that are deeper than
furuncles which typically drain pus from several orfices; purulent


Describe abscess.
Collections of pus within the dermis and deeper layers of the skin;
fluctuant, tender, painful nodules with a circular rim of swelling; purulent


What are some risk factors for purulent infections?
Compromised skin integrity, immunosuppression, inadequate blood
supply, excessive skin moisture, close physical contact, poor hygiene,
crowded living conditions


What makes a purulent SSTI mild?
Localized infection with no systemic signs or symptoms.

, How do we treat mild purulent infections?
I&D only


What makes a purulent SSTI moderate?
Signs and symptoms of systemic infection, but the patient is clinically
stable.


What are some systemic signs and symptoms of infection?
Fever, chills, increased WBC, high heart rate, low blood pressure


How do we treat moderate purulent SSTIs?
I&D/C&S + TMP/SMX or Doxy
-Clindamycin is the alternative


What do we use to treat moderate purulent SSTIs that are defined
MRSA?
TMP/SMX


What do we use to treat moderate purulent SSTIs that are defined
MSSA?
Dicloxacillin or Cephalexin
Treated inpatient or outpatient


What makes a purulent SSTI severe?
Failed I&D, immunocompromised, two SIRS (fever, HR>90, RR>24,
WBC>12,000), clinically unstable


How do we treat severe purulent SSTIs?

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