特應性濕疹治療指南
《特應性濕疹治療指南》內容預覽
Bacterialinfectionissuggestedby:
–crusting,weeping,pustulationand/orsurroundingcellulitiswitherythemaofotherwisenormal-lookingskin
–asuddenworseningofthecondition
Oralantibioticsareoftennecessaryinmoderatetosevereinfectionoriftheinfectionisrecurrentorwidespread:
–a7-daycourseshouldbegiven
–flucloxacillinorallyisusuallymostappropriatefortreatingStaphylococcusaureus
–erythromycinoroneofthenewmacrolidescanbeusedifthereisapenicillinallergyorpenicillinresistance
–phenoxymethylpenicillinandflucloxacillinshouldbegivenifbetahaemolyticstreptococciareisolatedorsuspectedonclinicalevaluation
Steroid-antibioticcombinationsareeffectiveinclinicalpracticealthoughevidenceforsuperiorityinefficacyislacking.Theyshouldbeusedinshortcourses(typically1week)toreducetheriskofdrugresistanceorskinsensitisation
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