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    Furuncolosis 1

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    Furunculosis

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    Furuncolosis 1

    Uploaded by

    John Paul
    2 views13 pages
    Furunculosis

    Original Title

    FURUNCOLOSIS-1

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    © © All Rights Reserved

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    Furunculosis

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    2 views13 pages

    Furuncolosis 1

    Uploaded by

    John Paul
    Furunculosis

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 13

    FURUNCOLOSIS

    MUSINGUZI JOHNSON
    MPH,BSCN,DCN,ECN
    LEARNING OBJECTIVES
    • DEFINITION
    • PATHOLOGY
    • CAUSES
    • SIGNS & SYMPTOMS
    • MANAGEMENT
    • COMPLICATIONS
    • PREVENTION
    DEFINITION
    • Furunculosis is a localized form of otitis externa resulting from infection of
    a single hair follicle OR it is a localized infection of the external ear canal
    • Furuncles (boils) are skin abscesses caused by staphylococcal infection,
    which involve a hair follicle and surrounding tissue. It is can also be defined
    as a painful nodule formed in the skin by circumscribed inflammation of
    the dermis and subcutaneous tissue, enclosing a central slough or “core.”
    • Boils occur most frequently on the neck and buttocks, although they may
    develop wherever friction or irritation, or a scratch or break in the skin,
    allows the bacteria resident on the surface to penetrate the outer layer of
    the skin
    Pathology

    • Bacterial invasion of a single hair follicle results initially in a well


    circumscribed deep skin infection. As they progress a pustule forms and this
    progresses to local abscess formation. Often with considerable associated
    cellulitis and edema (deep skin infection-pustule-abscess-cellulitis and
    edema)
    • When these bacteria gain entrance to the skin, the infection settles in the
    hair follicles or the sebaceous glands.
    • To combat the infection, leukocytes travel to the site and attack the invading
    bacteria. Some bacteria and white cells are killed and they and their liquefied
    products form pus. The body's defenses may succeed in overcoming the
    invaders so that the boil subsides by itself, or the pus may build up pressure
    against the skin surface so that it ruptures, drains, and heals.
    Causes
    • Most boils are caused by a bacteria called Staphylococcus aureus
    however they can also be caused by fungal or viral infections
    • Risk factors; heat, humidity, trauma & maceration
    • Associated conditions causing it like diabetes mellitus
    Signs & symptoms
    • The skin around may become red, swollen and tender
    • There is pain especially before the boil ruptures and will most times
    improve after it drains
    Cont’d
    • The affected ear is extremely painful, feels blocked and exudates a
    scanty serosanguinous discharge
    • The pina and the tragus are tender on palpation
    • Itching especially for fungal infections
    • Pus discharge
    Diagnosis
    • Good history and physical examination
    • If there is a discharge, a pus swab for C&S can be taken off
    If the discharge is white or black it is fungal
    If it is yellow, it is bacterial
    • Otoscopic examination usually establishes the diagnosis
    • Etiology
    • Staphylococcus aureus
    • Risk factors; heat, humidity, trauma & maceration
    • Associated conditions causing it like diabetes mellitus
    Management
    • Oral or systemic antibiotics like penicillinase-resistant penicillin, macrolide,
    cephalosporin & if it is fungal anti-fungal drugs are given e.g. fluconazole
    • Topical treatment with antibiotics
    • Administer an analgesic like paracetamol to control pain
    • Incision & drainage
    • For patients suffering generalized recurrent furunculosis with S.aureus
    • Eradication therapy with nasal mupirocin
    • Eradication with oral flucloxacillin for 14 days
    • Maintain hand hygiene
    Complications
    • Sepsis
    • Infection to the brain
    • MRSA
    Prevention
    • Wash hands often
    • Treat wounds promptly
    • Avoid sharing personal items like sheets, towels, clothing
    • Avoid contact with people infected with MRSA/staph infections

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