//fpnotebook.com/
Skin Infection
Aka: Skin Infection, Pyoderma, Fungal Dermatoses, Parasite infestation, Parasitic Infections of the Skin, Skin and Soft Tissue Infection, SSTI, Skin and Subcutaneous Tissue Infection and Infestation- See Also
- Pathophysiology: Predisposing factors
- Decreased tissue perfusion oxygenation
- Peripheral fluid stasis and edema
- Increased Skin Trauma risk
- Suppressed immune function
- Types: Bacterial Skin Infections (Pyoderma)
- Impetigo
- Folliculitis
- Furunculosis (Furuncle or Skin Boil), Carbuncle or Skin Abscess
- Ecthyma
- Erysipelas
- Cellulitis
- Acute Paronychia
- Felon
- Necrotizing Fasciitis
- Staphylococcal Scalded Skin Infection
- Nodular Lymphangitis
- Preseptal Cellulitis and Periorbital Cellulitis
- Intertrigo
- Types: Complicated Bacterial Skin Infections
- Types: Fungal Skin Infection
- Types: Parasitic Skin Infection
- Types: Viral Skin Infections
- Risk Factors
- Immunodeficiency
- Asplenia
- Diabetes Mellitus (5 fold increased SSTI risk)
- HIV Infection
- Chemotherapy
- DMARDs (Rheumatoid Arthritis)
- Chronic Disease
- Comorbidity (e.g. cardiopulmonary, hepatorenal, debility)
- Dialysis (ESRD)
- Longterm intravascular access (MRSA risk)
- Lymphedema
- Obesity
- Peripheral Neuropathy
- Peripheral artery disease
- Trauma or surgery
- Eczema and other Pruritic Conditions
- Demographics
- Lifestyle
- Alcohol Abuse
- Nutritional deficiency
- IV Drug Abuse
- Water exposure (swimming in lakes, hot tubs)
- Immunodeficiency
- Classification
- Class 1
- Simple infection without systemic symptoms or signs of spread
- No uncontrolled comorbidities impacting treatment
- Outpatient antibiotic management planned
- Class 2
- Infection with systemic symptoms or signs of spread (e.g. fever, sweats, Tachycardia) or
- Uncontrolled comorbidities impacting treatment or
- Parenteral antibiotics required
- Class 3
- Infection with systemic symptoms or signs of spread (e.g. fever, sweats, Tachycardia) or
- Uncontrolled comorbidities impacting treatment
- Inpatient parenteral antibiotics required
- Class 4
- Infection with life-threatening systemic symptoms or signs of spread (e.g. severe Sepsis)
- Inpatient management with parenteral antibiotics (may require ICU care)
- Surgical Consultation may be warranted
- Class 1
- References