《特应性湿疹治疗指南》内容预览

Bacterialinfectionissuggestedby:
–crusting,weeping,pustulationand/orsurroundingcellulitiswitherythemaofotherwisenormal-lookingskin
–asuddenworseningofthecondition

Oralantibioticsareoftennecessaryinmoderatetosevereinfectionoriftheinfectionisrecurrentorwidespread:
–a7-daycourseshouldbegiven
–flucloxacillinorallyisusuallymostappropriatefortreatingStaphylococcusaureus
–erythromycinoroneofthenewmacrolidescanbeusedifthereisapenicillinallergyorpenicillinresistance
–phenoxymethylpenicillinandflucloxacillinshouldbegivenifbetahaemolyticstreptococciareisolatedorsuspectedonclinicalevaluation
Steroid-antibioticcombinationsareeffectiveinclinicalpracticealthoughevidenceforsuperiorityinefficacyislacking.Theyshouldbeusedinshortcourses(typically1week)toreducetheriskofdrugresistanceorskinsensitisation

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