INFEKSI BAKTERI

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Text of INFEKSI BAKTERI

  • PENYAKIT KULIT YANG DISEBABKAN OLEH BAKTERIYunita Hapsari Bagian Ilmu Kesehatan Kulit dan KelaminFakultas Kedokteran Universitas Mataram

  • PYODERMAInfeksi pada kulit, yang disebabkan oleh bakteri yg membentuk nanah atau piogenik dan mudah menularEtiologi :Staphylococcus S.aureusStreptococcus Streptococcus grup AKedua-duanya

  • Faktor predisposisi :Daya tahan tubuh rendahHigiene individu kurangHigiene lingkungan kurangTelah ada penyakit kulit sebelumnya

  • Klasifikasi pyoderma :PRIMERSEKUNDERImpetigo FolikulitisFurunkelKarbunkelParonikia Ektima ImpetigenisataHidradenitis supurativaIntertrigoUlkus

  • IMPETIGOPyoderma superfisialEtiology : Streptococcus grup A S.aureus2 bentuk :BulosaNon-bulosa / krustosa

  • Impetigo vesiko-bulosa, cacar monyetEtiology : phage group II S.aureus (strain 77 & 55) exfoliatin toxin type A and BClinical : newborn and older infantsVesicle flaccid bullae (rapid progression)Nikolsky sign (-)Bullae : clear yellow fluid dark yellow & turbidMargin : sharply demarcated w/o erythematous halow/i a day or two bullae rupture & collapseIMPETIGO BULOSA

  • IMPETIGO BULOSA

  • Lab : Pengecatan GramKultur histoPADD/ :Dermatitis kontakInsect biteErupsi obat tipe bulosaIMPETIGO BULOSA

  • Complication :CellulitisLymphangitisBacteremiaOsteomyelitisSeptic arthritisPneumonitisSepticemiaSSSSIMPETIGO BULOSA

  • IMPETIGO NON BULOSA/KRUSTOSAImpetigo kontagiosa, impetigo vulgaris, impetigo Tillbury Fox70% of cases of this form of pyodermaEtiology :Streptococcus group A pre-school aged children (
  • Clinical finding:Pruritus; soreness; burning ; painlessCommonly on the skin of the face (around the nares) or extremities after traumaTransient pustule or vesicle honey-colored crusted plaque (2cm) w/i surrounding erythemaNo constitutional symptomsRegional lymphadenopathy (90%)

    IMPETIGO NON BULOSA/KRUSTOSA

  • IMPETIGO NON BULOSA/KRUSTOSA

  • Lab : Gram stainCulture DD/ :Atopic dermatitisAllergic contact dermatitisVaricella Dermatophyte infectionIMPETIGO NON BULOSA/KRUSTOSA

  • Complication :Untreated process may persist and new lesions over the course and for several weeksResolve spontaneusly except there is some underlying cutaneous diseaseErysipelasCellulitisBacteremiaMajor serious sequela acute post-streptococcal glomerulonephritisIMPETIGO NON BULOSA/KRUSTOSA

  • MANAGEMENT OF IMPETIGOWashing (removal of dirt, crusts and debris by soaking with soap & water)Good hygienePharmacology: topical and systemicTopical & Systemic Antibiotic

  • FOLIKULITISDef : a pyoderma that begins within the hair folliclesClassified : Depth of invasion : superficial and deepMicrobial etiology : bacterial, fungal, viral and parasite infestation

  • FOLIKULITIS SUPERFISIALImpetigo Bockhart; follicular impetigoEtiology : S.aureusClinical finding:Location : scalp (children); beard area, axillae, extremities, buttocks (adults)A small, fragile, dome-shaped pustule infudibulum of a hair follicleDD/ : - gram-negative folliculitisPityrosporum folliculitisHerpes simplexDeep folliculitis sycosis barbae

  • FURUNKELBoil / bisulDeep-seated inflammatory nodule that develops around a hair follicle, usually from a preceding, more superficial folliculitis and often evolving into an abcessEtiology: S.aureusClinical finding :Pain surrounding the lesionNodule (hard, tender, red folliculocentric) enlarge fluctuant abcess formation ruptureSingle/multiple

  • Furunkel / Furunkulosis ?

  • FURUNKELLab:LeukocytosisGram stain of pusCulture

    ComplicationNot commonRecurrent furunculosis

  • KARBUNKELLarger, more serious inflammatory lesion with a deeper baseExtremely painfulFever, malaiseLocation : nape of the neck, the back or thighsEfl : red, indurated, multiple pustules confluent

  • MANAGEMENT OF FURUNCLE & CARBUNCLEWashing and hygieneLocalized local application of moist heatSystemic systemic antibiotic Incision and draining the lesions

  • EKTIMAA cutaneous pyoderma characterized by thick crusted erosions or ulcerationEtiology: S.aureus &/ group A StreptococcusClinical finding:Poor hygiene & neglectLocation : lower extremities (children, DM, elderly)Efl: ulcer punched-out, indurated, raised, violaceous, granulating base slow to heal need several weeks of antibiotic treatments

  • ERISIPELAS Soft tissue infection erysipelas & cellulitisUsually present at an antecedent lesion or siteLocal pain, variable degrees of erythema, systemic symptoms

  • ERISIPELAS Distinct type of superficial cutaneous cellulitis with marked dermal lymphatic vessel involvementEtiology : group A -hemolytic Streptococcus (>>) ; S.aureus (
  • SELULITISExtends deeper into the dermis and subcutaneous tissueEtiology : S.aureus and group A Streptococcus (>>)Clinical finding :Erythema, tenderness, painLack of distinctive margins between affected and normal skinDeeper, firmer form of tender indurationCrepitus on palpationBulla and necrosisRegional lymphadenopathy

  • SELULITIS

  • PENATALAKSANAANIstirahat tirah baring & elevasi tungkaiSistemik antibioticTopikal : kompres dingin dengan normal saline sterilIntervensi bedah