Veterinary: Pyoderma
- Created by: Lotto65
- Created on: 30-09-22 16:12
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- Pyoderma
- Surface
- Moist erythema between skin folds
- Chlorhexidine wipes
- 'Hotspot'
- Topical glucocorticoid as is place of friction and irritation
- Superficial
- Papules, pustules, epidermal collarettes
- Moth eaten focal areas of alopecia
- Tier System
- Tier One: Empirical
- Cephalexin, amoxiclav, potentiated sulphonamides, clindamycin/ lincomycin
- Tier Two: Following Culture and Sensitivity
- Cefovecin, fluoroquinolones, minocycline, doxycycline
- Tier Three: Multi-Drug Resistance
- Aminoglycosides, chloramphenicol, rifampicin
- Tier One: Empirical
- Deep
- NEVER glucocorticoids as risk sepsis!
- Haemorrhagic crusting and satellite lesions
- Empirically, on cytology, if cocci give beta lactam, if rods give fluoroquinolone
- Culture and sensitivity essential!
- 6-8 weeks course for 2 weeks after clinical resolution
- Multi-Drug Resistance
- MRSA
- Tetracyclines, TMPS
- MRSP
- Gentamicin, rifampicin, fusidic acid
- MRSA
- Recurrences
- Re-test every 2-3 months for endocrinopathies, trial allergy testing and glucocorticoids if not deep
- Topical treatment not systemic antibiotics
- Staph autogenous vaccine fortnightly
- Surface
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