Antimicrobials for skin disease

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Which antifungal medication is not recommended for use in cats?

Oral ketoconazole (correct)
Itraconazole
Fluconazole
Terbinafine

When is maintenance therapy with antifungal medication sometimes required?

When the infection is superficial
When the infection is caused by a resistant organism
When the infection is severe
When the underlying cause persists (correct)

What should be avoided when using an antifungal medication with an antibiotic?

Narrow spectrum antibiotics
Topical products
Lowest tier drugs
Polypharmacy products (correct)

What is the recommended first step when treating bacterial and fungal infections?

Do appropriate diagnostics (A) Signup and view all the answers

What type of products should be used when possible for skin disease treatment?

Topical products (D) Signup and view all the answers

What should be considered when using systemic antibiotics?

Use narrowest spectrum and lowest tier drug (B) Signup and view all the answers

During a bite or traumatic wound, When should bacterial culture and sensitivity testing be performed?

If systemic infection is noted (B) Signup and view all the answers

What is the recommended approach when treating bacterial and fungal infections?

Correct any underlying cause (B) Signup and view all the answers

Which type of antibacterial therapy is recommended for deep pyoderma in animals?

Combination of topical and systemic antibiotics (C) Signup and view all the answers

What is the recommended duration of therapy for deep pyoderma in animals?

4-6 weeks (A) Signup and view all the answers

Which antibiotic is recommended as first-line treatment for cellulitis in animals?

Doxycycline (C) Signup and view all the answers

What is the recommended duration of therapy for mild-moderate cellulitis in animals?

7-10 days (C) Signup and view all the answers

What is the recommended treatment for superficial bacterial skin infections in horses?

Topical antibacterial (C) Signup and view all the answers

What is the recommended treatment first step for treatment of abscesses in most species except rabbits?

Poulticing and hot compresses (D) Signup and view all the answers

What is the recommended treatment for dermatophytosis in healthy animals?

Leave it untreated (A) Signup and view all the answers

What is the mainstay of treatment for Malassezia infections in animals?

Topical antifungals (D) Signup and view all the answers

Which antifungal rinse is licensed for the treatment of dermatophytosis in cats?

Enilconazole (C) Signup and view all the answers

Which antifungal is licensed for the treatment of Malassezia infections in dogs?

Ketoconazole (D) Signup and view all the answers

Which of the following is NOT a suitable condition for antibacterial treatment?

Pruritus (D) Signup and view all the answers

What is the recommended treatment for acute bite wounds in a systemically well and non-pyrexic patient?

Debride and lavage with 2-4% chlorhexidine (C) Signup and view all the answers

In a bite wound, Which of the following is a recommended systemic antibacterial for cocci?

Trimethoprim/sulphonamide (A) Signup and view all the answers

What is the appropriate treatment for surface pyoderma (hot spots or intertrigo)?

Topical treatment with 2-4% chlorhexidine (D) Signup and view all the answers

What should be done if rods are seen on cytology or there is a history of MRSP/MRSA or multiple prior antibacterial courses for superficial pyoderma?

Culture and sensitivity testing (A) Signup and view all the answers

How long should superficial pyoderma be treated for?

Minimum 3 weeks (D) Signup and view all the answers

What is the recommended treatment for bites and traumatic wounds?

Debride and lavage (D) Signup and view all the answers

Which of the following is a recommended systemic antibacterial for rods?

Trimethoprim/sulphonamide (B) Signup and view all the answers

What should be done if a patient with surface pyoderma is systemically unwell and pyrexic?

Systemic antibacterials based on cytology (B) Signup and view all the answers

What are the recommended treatment options for otitis externa in animals?

Topical treatment only, using drugs such as Framycetin, Gentamycin, Polymyxin B, Florfenicol, Fusidic acid/framycetin, or Polymyxin B/miconazole. Signup and view all the answers

What is the appropriate treatment for bacterial skin infections in farm animals?

For small areas of superficial infection, use topical anti-bacterials/antiseptics such as chlorhexidine-based products or tetracycline/thiamphenicol spray. For larger areas, use a non-critically-important systemic antibiotic such as penicillin, cephalosporins, or oxytetracycline. Signup and view all the answers

What is the recommended approach for the treatment of abscesses in rabbits?

Avoid lancing and draining the abscess due to the caseous nature of rabbit pus. Antibiotics are unlikely to be curative and are normally used in conjunction with surgical management. Culture and susceptibility testing should ideally be performed on a section of the abscess wall, not the pus. Signup and view all the answers

What are some considerations when using antifungal therapy for maintenance therapy?

Antifungal therapy may be required for maintenance therapy if the underlying cause persists. However, it is important not to use a polypharmacy product with an antibiotic. It is better to establish and correct/control the underlying cause where possible. Signup and view all the answers

What is the recommended approach for treating bacterial and fungal infections?

It is important to be sure of what you are treating by doing appropriate diagnostics. Use topical products where possible. If systemic antibiotics are required, use the narrowest spectrum and lowest tier drug that is likely to be effective. Signup and view all the answers

When should bacterial and C&S testing be carrier out in order to treat skin disease?

Bacterial and C&S testing should be done if rods are seen on cytology, if there are deep infections, if there is poor response to prior antibiotics, or if a resistant organism is suspected. Signup and view all the answers

What is the importance of treating an infection fully but not longer than necessary?

It is important to treat an infection long enough to fully resolve it, but no longer than necessary. Additionally, it is important to correct any underlying cause, as prevention is better than cure. Signup and view all the answers

What are the general principles of antibacterial therapy?

Ensure bacteria are involved – do cytology whenever possible. Antibacterial treatment not suitable for, e.g. Malassezia dermatitis, Treatment of non-specific skin problems (e.g. pruritus). Use topical antibacterials/antibiotics where possible - minimise use of systemic antibiotics. Use the narrowest spectrum and lowest tier antibiotic that is likely to be effective. Correct the underlying cause. Signup and view all the answers

What is the recommended treatment for acute bite wounds in animals?

Debride and lavage if systemically well and no pyrexic: Topical treatment with 2-4% chlorhexidine. If systemically unwell and pyrexic: Systemic antibacterials based on cytology: For cocci: Clindamycin, Cefalexin, Amoxicillin/clavulanate, Trimethoprim/sulphonamide. For rods: Flouroquinolones. Signup and view all the answers

What is the appropriate treatment for surface pyoderma (hot spots or intertrigo)?

Topical only treatment: 2-4% chlorhexidine, Fusidic acid +/- glucocorticoid, Silver sulphadiazine (if rods). If required: Clindamycin, Cefalexin, Amoxicilline/clavulanate, Trimethoprim/sulphonamide. Culture if rods are seen on cytology or there is a history of MRSP/MRSA or multiple prior antibacterial courses. Treat for minimum 3 weeks or 1 week beyond clinical cure. Repeat cytology to assess response. Use doses at top end of range for better skin penetration. Signup and view all the answers

Antimicrobials for skin disease

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Questions and Answers

Which antifungal medication is not recommended for use in cats?

When is maintenance therapy with antifungal medication sometimes required?

What should be avoided when using an antifungal medication with an antibiotic?

What is the recommended first step when treating bacterial and fungal infections?

What type of products should be used when possible for skin disease treatment?

What should be considered when using systemic antibiotics?

During a bite or traumatic wound, When should bacterial culture and sensitivity testing be performed?

What is the recommended approach when treating bacterial and fungal infections?

Which type of antibacterial therapy is recommended for deep pyoderma in animals?

What is the recommended duration of therapy for deep pyoderma in animals?

Which antibiotic is recommended as first-line treatment for cellulitis in animals?

What is the recommended duration of therapy for mild-moderate cellulitis in animals?

What is the recommended treatment for superficial bacterial skin infections in horses?

What is the recommended treatment first step for treatment of abscesses in most species except rabbits?

What is the recommended treatment for dermatophytosis in healthy animals?

What is the mainstay of treatment for Malassezia infections in animals?

Which antifungal rinse is licensed for the treatment of dermatophytosis in cats?

Which antifungal is licensed for the treatment of Malassezia infections in dogs?

Which of the following is NOT a suitable condition for antibacterial treatment?

What is the recommended treatment for acute bite wounds in a systemically well and non-pyrexic patient?

In a bite wound, Which of the following is a recommended systemic antibacterial for cocci?

What is the appropriate treatment for surface pyoderma (hot spots or intertrigo)?

What should be done if rods are seen on cytology or there is a history of MRSP/MRSA or multiple prior antibacterial courses for superficial pyoderma?

How long should superficial pyoderma be treated for?

What is the recommended treatment for bites and traumatic wounds?

Which of the following is a recommended systemic antibacterial for rods?

What should be done if a patient with surface pyoderma is systemically unwell and pyrexic?

What are the recommended treatment options for otitis externa in animals?

What is the appropriate treatment for bacterial skin infections in farm animals?

What is the recommended approach for the treatment of abscesses in rabbits?

What are some considerations when using antifungal therapy for maintenance therapy?

What is the recommended approach for treating bacterial and fungal infections?

When should bacterial and C&S testing be carrier out in order to treat skin disease?

What is the importance of treating an infection fully but not longer than necessary?

What are the general principles of antibacterial therapy?

What is the recommended treatment for acute bite wounds in animals?

What is the appropriate treatment for surface pyoderma (hot spots or intertrigo)?

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