Skin and Soft Tissue Infections Quiz

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Which of the following is a life-threatening bacterial skin and soft tissue infection?

Cellulitis

Which bacterium makes up over 90% of the skin flora?

Staphylococcus epidermidis

What is the most appropriate specimen for the diagnosis of skin and soft tissue infections?

Tissue biopsy

Which skin and soft tissue infection may even be managed with oral antibiotics from home?

<p>Cellulitis</p> Signup and view all the answers

What is the emergency services number to dial?

<p>112</p> Signup and view all the answers

Which contact should International Students also inform in case of emergency?

<p>Embassy/Sponsor</p> Signup and view all the answers

What is the contact for late-night listening and support service?

<p>Niteline: 1800 793 793</p> Signup and view all the answers

Which service provides counseling free of charge to students?

<p>Student Assistance Programme</p> Signup and view all the answers

What does DubDoc provide?

<p>Urgent medical care to patients</p> Signup and view all the answers

Where can students find the details related to CBL Case 2?

<p>The Body: Movement &amp; Function – CASE SLIDE</p> Signup and view all the answers

What is the contact for Academic Development?

<p><a href="mailto:[email protected]">[email protected]</a></p> Signup and view all the answers

Which contact should be used for general queries?

<p><a href="mailto:[email protected]">[email protected]</a></p> Signup and view all the answers

Which bacterial species often causes cellulitis?

<p>Staphylococcus aureus</p> Signup and view all the answers

What are the clinical features of cellulitis?

<p>Erythema, swelling, and pain</p> Signup and view all the answers

What are the risk factors for cellulitis?

<p>Diabetes mellitus and obesity</p> Signup and view all the answers

What is the management approach for cellulitis?

<p>Blood cultures, marking boundaries, and IV antibiotics</p> Signup and view all the answers

Which bacterial infection leads to necrotic liquefaction of fatty tissue?

<p>Necrotising fasciitis</p> Signup and view all the answers

What are the clinical features of necrotising fasciitis?

<p>Rapidly progressive infection, systemic illness, and severe pain</p> Signup and view all the answers

What is crucial for managing necrotising fasciitis?

<p>Prompt diagnosis and urgent surgical assessment</p> Signup and view all the answers

What is Fournier's gangrene?

<p>A form of necrotising fasciitis occurring in the perineum</p> Signup and view all the answers

What causes gas gangrene?

<p>Toxin-producing Clostridium spp.</p> Signup and view all the answers

What is involved in the diagnosis and treatment of gas gangrene?

<p>Surgical debridement, broad-spectrum antibiotics, and supportive care, including hyperbaric oxygen</p> Signup and view all the answers

How should the spread of cellulitis be assessed?

<p>Marking the edges, observing, and monitoring temperature and pain levels</p> Signup and view all the answers

What are examples of less serious bacterial skin and soft tissue infections?

<p>Impetigo, folliculitis, furuncles, carbuncles, abscesses, and erysipelas</p> Signup and view all the answers

What is the recommended treatment for erysipelas?

<p>IV benzylpenicillin or oral amoxicillin</p> Signup and view all the answers

What is the primary cause of acne?

<p>Excess sebaceous secretion and blocked sebaceous glands</p> Signup and view all the answers

How is tetanus primarily transmitted?

<p>Through skin trauma</p> Signup and view all the answers

What is the mechanism of action of the neurotoxin tetanospasmin?

<p>Causing sustained muscle contraction and spasms</p> Signup and view all the answers

What are the common symptoms of tetanus?

<p>Muscle spasms, trismus, and &quot;risus sardonicus&quot;</p> Signup and view all the answers

How are animal bites managed?

<p>Tetanus prophylaxis and usually co-amoxiclav</p> Signup and view all the answers

What is the recommended management for human bites?

<p>Tetanus booster, antibiotics (usually co-amoxiclav), and consideration for blood-borne viruses and deep infections</p> Signup and view all the answers

What is the categorization of diabetic foot infections?

<p>Non-limb-threatening and limb-threatening</p> Signup and view all the answers

What is involved in the management of severe diabetic foot infections?

<p>Multidisciplinary team involvement and antibiotics like co-amoxiclav or piperacillin-tazobactam</p> Signup and view all the answers

What are the categories of surgical site infections (SSI)?

<p>Clean, clean-contaminated, and contaminated surgeries</p> Signup and view all the answers

Which pathogen is the most common cause of surgical site infections (SSI)?

<p>Staphylococcus aureus</p> Signup and view all the answers

What is the appropriate antimicrobial regime for a patient with a deepened, sloughy-looking diabetic foot ulcer and signs of sepsis?

<p>Piperacillin-tazobactam or Vancomycin</p> Signup and view all the answers

What is the most likely cause of itchy lesions on the fingers of a nurse working in a nursing home?

<p>Scabies</p> Signup and view all the answers

What type of infections require appropriate wound cleaning and debridement before taking a superficial swab for accurate results?

<p>Diabetic foot ulcers</p> Signup and view all the answers

Which type of skin infection is caused by Human Papilloma Virus (HPV) in various forms?

<p>Warts</p> Signup and view all the answers

What are the common causes of skin infections often found on the skin or respiratory tract?

<p>Bacterial</p> Signup and view all the answers

Which type of skin infection requires specific treatment with topical permethrin?

<p>Scabies</p> Signup and view all the answers

What type of infection is characterized by necrotising fasciitis?

<p>Bacterial</p> Signup and view all the answers

Which infection is caused by the Human Papilloma Virus (HPV)?

<p>Warts</p> Signup and view all the answers

What type of infection requires specific treatment for Candida, ringworm, and Pityriasis versicolor?

<p>Fungal skin infections</p> Signup and view all the answers

What is the appropriate treatment for parasitic skin infestations like lice?

<p>Topical permethrin</p> Signup and view all the answers

What type of infection is commonly associated with healthcare-associated SSI?

<p>Bacterial</p> Signup and view all the answers

Study Notes

Skin and Soft Tissue Infections Summary

  • Surgical site infections (SSI) are classified as superficial, deep/incisional, or organ/space, with Staphylococcus aureus being the most common pathogen.
  • SSI prevention includes optimizing risk factors, such as diabetes mellitus, and ensuring proper skin asepsis and antibiotic prophylaxis during surgery.
  • A case study presents a patient with erythema and tenderness around a wound after bowel surgery, later diagnosed with Staphylococcus epidermidis, leading to an organ/space SSI.
  • Diabetic foot ulcers require appropriate wound cleaning and debridement before taking a superficial swab for accurate results.
  • A patient with a deepened, sloughy-looking diabetic foot ulcer and signs of sepsis requires an appropriate antimicrobial regime, such as Piperacillin-tazobactam or Vancomycin.
  • Viral skin infections include warts, cold sores, and hand, foot & mouth disease, caused by Human Papilloma Virus (HPV) in various forms, with different treatment options.
  • Fungal skin infections such as Candida, ringworm, and Pityriasis versicolor are common and require specific treatment.
  • Parasitic skin infestations like scabies and lice have characteristic clinical features and require specific treatments, such as topical permethrin for scabies.
  • A nurse with itchy lesions on her fingers, working in a nursing home, is likely to be diagnosed with scabies, requiring further information and specific treatment, as well as preventive measures such as washing clothes.
  • Skin and soft tissue infections can arise from bacterial, viral, fungal, or parasitic causes, with examples like necrotising fasciitis, herpes, Candida, and scabies.
  • Bacterial causes of skin infections are often found on the skin or respiratory tract, and common infections include impetigo, carbuncles, and healthcare-associated SSI.
  • Warts, tinea, and scabies are relatively common viral, fungal, and parasitic infections, respectively, requiring specific treatment.

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