Of all the skin diseases most common pyoderma, in which are formed on the surface of the skin pustules. This prevalence is due to the fact that even the skin of a healthy person has a large number of pathogens, which can be activated with a decrease in the body's defenses.
Pyoderma - disease off-season, but there is some growth pustular infections in the autumn-winter period. In countries with hot and humid climate, the disease occurs throughout the year with the same frequency and the prevalence is second only to fungal diseases of the skin.
Most susceptible pyoderma children, people of low socio-hygienic culture and employees of those enterprises whose activities are connected with the processing of wood, agricultural products, rocks, as well as the transportation of passengers and cargo.
Aggravating factors in the development of pyoderma are overheating or cooling, high humidity, pollution skin, fatigue, stress, skin damage of varying severity, disease of the gastrointestinal tract and metabolism.
When pyoderma often affects the sweat and sebaceous glands, hair follicles, but there are deeper penetration of infection in which there is one festering boils or carbuncles rod with two or more cores.
Pyoderma can be acute and chronic nature of the disease and its severity depends on the overall condition of the body, the depth of focus of inflammation, and the presence of comorbidities.
Symptoms of pyoderma
Symptoms depend on the location of pyoderma process, depth and size of the lesion. As a rule, the place where the inflammation begins, there is little congestion, which is visible in the center of the yellow dot with purulent contents. There soreness and a little itchy. The general condition usually does not suffer the normal body temperature. Pyoderma in children occurs more pronounced due to the fact that the child may unknowingly combing places where there abscesses and infection spreads throughout the body.
Most noticeable to others pyoderma person called acne vulgaris when the inflammatory process involves the sebaceous glands. In the initial stage of the disease appear on the skin black dots - comedones, the site of which the development of pyoderma formed acne. Pus formation may be different in depth and external dimensions. In severe cases, the disease is possible merger of several acne one focus of inflammation. According to the recovery site of the lesion is characteristic ospovidny scar.
If affects the deeper layers of the skin and develops a boil, then the radius of congestion increases, and in the center there is a pustule. At her autopsy naturally or surgically exposed core, which remains after the removal of the plague. If there is soreness and festering local temperature rise. When this type of pyoderma boils can be both single and multiple. After healing at the site of infection forms a scar.
Also, large-sized pustules occur in the hair follicles of pyoderma. Despite the sharp pain in folliculitis, unlike boils, festering no rod.
The general condition of the body is much worse in the development of a carbuncle: body temperature rises, there is a headache, weakness and other signs of intoxication. The patient tries not to make unnecessary movements, as it causes excruciating pain.
A favorite place for such manifestations of pyoderma are neck and back, slightly less abscess appears on the chest and abdomen. For carbuncle characterized by multiple cores, the removal of which leads to extensive long-term healing of ulcers. At the site of infection formed a tight knot purple-bluish hue, surrounded by edematous tissue roll. Pus thick consistency mixed with blood. Recovery completes rough scar formation.
Treatment of pyoderma
Treatment of pyoderma is aimed at improvement of the body, both inside and outside.
It is necessary to ensure the rational care of the skin. If pyoderma localized form, that is isolated foci of inflammation, it is not recommended to wash the skin in these places. Whereas the prevalence of taking shared baths generally prohibited. This is done in order to prevent the transfer of infection to healthy skin.
To the same end use processing undamaged skin around the hearth festering 0, 1% aqueous solution of potassium permanganate (potassium permanganate) or 1-2% alcoholic solution of salicylic acid.
In those places where there are pustules, apply antiseptic solution which destroy the pathogen and promote faster healing. Foci of inflammation in pyoderma treated with an alcoholic solution of brilliant green, paint castellans, ichthyol salve or ointment Vishnevsky. Good effect irradiation with ultraviolet rays. It is undesirable to use for the treatment of pyoderma alcoholic solution of iodine, or may increase the inflammatory process.
During the chronic pyoderma, a large area of injury, the presence of complications, deterioration of the patient is assigned to a course of antibiotic therapy. A single dose, the frequency of summer, the route of administration, and duration of the course determines the medication a doctor, self unacceptable. Before treatment of pyoderma required sowing purulent discharge for microorganism sensitivity to different types of antibiotics.
At intolerance of antibiotics for the treatment of pyoderma used sulfa drugs.
As an additional means have been used successfully nonspecific treatments: vitamin therapy, autohemotherapy, the introduction of immunoglobulins.
Pyoderma Treatment for boils and carbuncles only operative after opening the abscess patients received appropriate therapy. The remaining scarring can be lubricated with special creams or hire the services of beauticians.
In children, treatment of pyoderma should be started at the first sign of the disease. Procrastination is threatened not only by the external spread of infection, but leaving it in, which threatens the development of severe complications such as sepsis, osteomyelitis and other diseases.
Prevention of pyoderma
Preventive measures directed at pyoderma to comply with sanitary regulations and the prevention of micro-traumas. It is also necessary to conduct timely processing of skin antiseptic solutions with the appearance of scratches, abrasions and other minor injuries.
In the presence of chronic diseases of the gastrointestinal tract or metabolic necessary to conduct a timely treatment to prevent recurrence.
Prevention of pyoderma in children in infancy is to monitor pregnant women in antenatal clinics. Expectant mothers are recommended to increase the immune system, in time to treat pockets of infection, as well as observe the regime of work and rest.