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,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,2020/10/23,#,Bacterial infected skin diseases,Bacterial infected skin diseas,1,Bacteria on the skin,resident flora:staphylococcus,epidermidis,transient flora,：,staphylococcus aureus,B,acteria and skin,d,irect infection,Impetigo,Folliculitis,Furuncle,Carbuncle,Erysipelas,ind,irect immunological induction,psoriasis,atopic dermatosis,Introduction,Bacteria on the skin Introduct,2,Impetigo,（脓疱疮）,3,Big pustle,C,rust,Big pustleCrust,4,Pathogen,:,staphylococcus aurous,50%-70%,beta hemolytic streptococcus,environment,:,Higher,h,umidity of,skin,the skin maceration,prevalent in summer/fall.,human body,:,scratching,because,of,pruritic,skin disease,Transmission pathway,:,contact infection,autoinoculation,Etiology,Pathogen:staphylococcus aurou,5,Impetigo contagiosa(impetigo vulgaris):接触性脓疱疮（寻常型脓疱疮）,Ecthyma,（深脓疱疮）,Impetigo,bullosa(,大疱性脓疱疮）,Impetigo,neonatorum(,新生儿脓疱疮）,S,taphylococcal,scalded,skin,syndrome(,葡萄球菌性烫伤样综合征，,ssss),Clinical types,Impetigo contagiosa(impetigo v,6,Children,predilection on,e,xposed,areas,such,as,face,neck,Red,papule,then depvelop,into,pustle,with,thin,wall,and,f,lush,a,round,the,pustle,which,are,easy,to,broke,out,and,form,erosions,and,yellow,crust,s,.,Extension,after,scratching.,1.,impetigo,vulgaris,Children1.impetigo vulgaris,7,Children,and,old,person,with,malnutritiion.,predilection,on,l,egs,or,buttocks,Pustle,develop,into,deeper,part of,skin,and,then,skin,necrosis,and,crust,w,ith,red and,swollen,around,the,lesions.,Deep,and,sharp,ulcers,could,be,seen,after,moving,the,crusts.,More,painful.,2,.ecthyma,Children and old person with m,8,Phage II,type 71,staphylococcus aurous,Children,or,adult,with,deficency,of,immunity.,predilection on,f,ace,trunck,and,limbs,Vesicle,or,p,ustle,then,develop,in,t,o,bullae,，,which,is,characterized,by,half,moon,like,empyema,.The,wall,of,bullae,is,thinner,and,easy,to,broke,out and form,curst,and,pigmentation.,3,.Impetigo,bullosa,Phage II,type 71staphylococcu,9,H,alf,moon,like,empyema,Half moon like empyema,10,Impetigo bullosa on trunk,Impetigo bullosa on trunk,11,Happen,in,neonatorum,.,Acute,generalized,and,more,infectious,with,mutiple,empyema,erosions and crusts.,Normally,have,sever,systemic,symptoms,such,as,high,fever,a,nd,systemic toxemic,symptoms,.,4.Impetigo neonatorum,Happen in neonatorum.4.Impetig,12,Induced,by,toxins,produced,by,Phage,II,type 71,staphylococcus aurous,.,Children,in,5,years,old.,P,rodrome,include,respiratory,skin,infections,erythema,starts,from,mouth,o,r,around,eyes,and,further,develops,into,all,o,ver,body,which,are,characterized,by,exfoliation,s,and,erosions.,5.,S,taphylococcal,scalded,skin,syndrome,，,ssss),Induced by toxins produced by,13,Prevalent season:summer/fall,Onset age:infant/old individual,Diseased part:facial/hip,Skin rash characteristic:blister,、,pustule,、,honey gold crust.,Bacterial test,Diagnosis,Prevalent season:summer/fallD,14,Non impetigo bullosa differential diagnosis with varicella,、,papular urticaria,Differential diagnose,Non impetigo bullosa different,15,p,revention:,Personal Hygiene,keep skin dry,cure itch skin disease.,systemic therapy:,skin lesions extensive with fever and lymphnoditis or weakness infant drug sensitive test sensitive antibiotic,topical therapy,：,calamine lotion,，,1,：,5000,potassium permanganate,solution,and,mupirocin ointment et al.,Therapy,prevention:Therapy,16,Folliculitis(,毛囊炎）,，,Furuncle,（疖）,and,Carbuncle,（痈）,Folliculitis(毛囊炎），Furuncle（疖,17,A set of diseases involving the hair follicle and surrounding tissue infections,Pathogen:,Staphylocoagulase(+)staphylococcus aurous,A set of diseases involving th,18,suppurative infection limited to follicular orifice,Predilection on face,、,neck,、,hip,、,vulvar,Clinical manifestation:1week,with,slight,pain,Red hair follicles papule-pustule-dry crust,Folliculitis,suppurative infection limited,19,Folliculitis,Folliculitis,20,Folliculitis,Folliculitis,21,Folliculitis,Folliculitis,22,suppurative infection in deep of hair folical and surrounding tissues,Predilection on,face,、,hip,、,neck,Clinical manifestation:,Hair follicles inflammatory papules Red hard nodules(painful)abscess,pus plug in the centercrust,Complication:,fever,headache,lymphadenectasis,Furuncle,suppurative infection in deep,23,Furuncle,Furuncle,24,Furuncle,Furuncle,25,Skin deep infection in multiple adjacent hair follicles and the tissues around the hair follicles,Predilection on,neck,、,back,、,hip,、,thigh,。,Manifestation,:,Diffuse inflammation knot center for softening,multiple pus plug appear on the surfacecellular deep ulcer,Normally,accompanied,by,systemic,symptoms.,Carbuncle,Skin deep infection in multipl,26,carbuncle,carbuncle,27,carbuncle,carbuncle,28,Principle:,topical treatment,system treatment for multiple folliculitis and severe furuncle and carbuncle.,Topical,:20%ichthammol Ointment,Mupirocin Ointment,System treatment,:Penicillin,cephalosporins large ring lactone class,quinolone,Physiotherapy,：,hot compress,、,Infrared,Surgery:,for furuncle and carbuncle at
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