Folliculitis • 08.07.08
There are also forms of non-infectious folliculitis, such as those caused by tar, oils and fats that come into contact with the skin.
When, Where, and who gets folliculitis?
Toxin folliculitis is superficial and is quite common in people of all ages. It is probably more common in those with eczema and diabetes. You might see in his face, scalp, upper torso, buttocks, or as a sty in his eyelids.
In Depth folliculitis toxin is rare and can be seen as boil-like lesions in diabetics. There is also a condition called sycosis, a pustular folliculitis, particularly in the area of bearded men.
Gram-negative folliculitis is rarely seen, usually in the face of those who have been taking long-term antibiotics for acne. Gram-negative folliculitis occurs most frequently in people who have been in a hot tub or whirlpool that has been contaminated by the bacterium Pseudomonas.
Folliculitis by fungi:
Trichophyton folliculitis is seen mostly women who shave their legs, presumably this propagate their Athlete’s Foot fungal infection.
Pityrosporum folliculitis is usually located on the upper back and shoulders of young people. It is most common in individuals who are immunosuppressed.
Candida folliculitis can be seen on the scalp and occlusion in damp areas like under the breasts and groin areas of people who are obese.
Laboratory tests:
Swabbing the skin, and then send it to a lab for bacteria and yeast cultures confirm the infection.
A skin biopsy may be needed to confirm deep fungal folliculitis of yeast.
Testing blood sugar and / or HIV testing must be done for those who have repeated infections or an infection that does not have the typical symptoms
What can I do about my folliculitis?
Self help:
The good hygiene with regular hand washing is a duty to minimize the risk of staph infections. Maintaining healthy skin and avoid factors that can dry the excess skin, causing it to crack should be avoided. Collection and tightens the skin causing minor damage, which in turn makes it easier to establish in A skin infection that is clean and intact, without scratches or sites of friction or irritation is less likely to become infected. In some circumstances, there may be a role for antibacterial cleaners. Jacuzzis should be checked regularly to detect pH and antiseptic.
Medical treatment:
If you think you have folliculitis, the most important thing for you to do is see your doctor to confirm the diagnosis, so you can seek treatment folliculitis. Ideally, the organism that causes the infection must be identified and their sensitivity to antibiotics should be established.
Sometimes, your doctor treat an infection based on their clinical suspicion, especially if the appearance is typical.
Bacterial Folliculitis can be caused by bacteria the following
* Staphylococcus aureus
* Gram-negative
Pseudomonas (hot tub folliculitis)
* E. coli
* Klebsiella
* Fungi and yeast folliculitis
* Candida albicans
* Pityrosporum ovale
* Trichophyton rubrum
Topical treatments:
Topical antifungal creams and antibiotics to treat folliculitis toxin:
The choice of folliculitis treatment will depend on the cause of infection and how deep and widespread is. Topical Antibiotics should be used in the short term to minimize the risks of bacterial resistance.
Topical Antibiotics can clear superficial localized infections. The affected area should be treated with the cream or ointment two or three times a day. Staph chronic can be carried inside the nose, and may be a factor if the infection is repeated. In this case, nightly application of the ointment inside the nose clear that the reservoir of the bacterium. Oral antibiotics will be required if there is an inadequate response.
1) The fusidic acid:
The fusidic acid is an antibiotic that was isolated by Godtfredsen, et al, in Europe from the fermentation of Fusidium coccineum. It was introduced in clinical practice in 1926, as an oral drug. About twenty years later, was introduced in Canada as a topical drug.
How do I use this medicine?
The fusidic acid is available as a cream and as an ointment. You must apply by little in the infected area 3-4 times a day.
How does it work?
The fusidic acid inhibits the synthesis of proteins in bacteria and without that capacity, the bacteria die. The topical formulation penetrates damaged, infected layer cornea better than intact skin. This indicator is related to cephalosporin, an antibiotic produced by Cephalosporium, a genus of fungi.
Are there side effects?
Side effects of topical preparations are very rare. No human trials have been conducted during pregnancy and lactation, but there has been no negative reports.
Can I take other medicines?
No interactions of the topical formulation of fusidic acid.
What brands are available?
* Fucidin ® 2% cream and ointment available and HCl Fucidin ®, which is combined with 1% hydrocortisone acetate
* Fucidin Intertulle ® – in a gauze impregnated
* IV, tablets and oral suspension (250mg/5ml) are available, IM and subcutaneous administrations are too irritating
2) mupirocin:
A natural product of Pseudomonas fluorescens that has antibacterial action against gram-positive bacteria such as Staphylococcus and Streptoccus. Have any activity against gram-negative organisms. It is inactive against chlamydia anaerobic bacteria and fungi.
How do I use this medicine?
Mupirocin is available as a cream and an ointment. You should apply it thinly on the affected area 3 times a day for up to 10 days. It may be used in all ages except in the U.S. where Bactroban nasal ointment is not recommended for children under 12 years.
How well it works?
Mupirocin is easy to apply and is very effective against pathogens common skin such as Streptococcus and Staphylococcus. It works well for impetigo, as well as bacterial folliculitis. The incidence of resistance remains low. For impetigo localized works, as well as oral antibiotics in 90% of cases. It is not effective against Pseudomonas and fungi. It is useful in treating chronic Staph carriage in the previous narinas (nose).
How does it work?
It is unlike other antibiotics to the extent that inhibits bacterial transfer RNA synthetase isoleucyl-blocking protein synthesis. It is bacteriostatic at low concentrations and bacteriocidal in high concentration. Virtually no systemic absorption through the skin intact and everything is being done to gigigasp acid is metabolized and quickly eliminated by the kidneys.
Are there side effects?
Local:
Dry skin, swelling, burning pain and itching rash. The effects are usually mild. Allergic reactions are rare. Polyethylene glycol is irritating if the ointment is used around the eyes.
Systemic:
Renal toxicity absorbing vehicles polyethylene glycol (ointment) if large quantities are used in open wounds or burns.
What brands are available?
* Bactroban mupirocin ointment 2% (base polyethylene glycol)
* Bactroban cream 2% mupirocin (oil-water-based emulsion)
* Bactroban nasal – for nose and is in a white paraffin / glycerine base (in Canada)
What conditions are treated by this drug?
* Staphyococcal skin infections, including impetigo, folliculitis, burns and wounds
* It is also used to treat infections by streptococcus
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