What Is a Necrotizing Soft Tissue Infection?

Redness, swelling, increased skin temperature, tenderness, sclerosis, lumps, or concentric spreading red pain strips, whether there is local fluctuation, necrosis, ulcers and dysfunction, etc. Pay attention to whether the regional lymph nodes are enlarged. Whether the same lesions exist in other parts of the body. Active hand and foot tinea.

Skin and soft tissue purulent infections

Common purulent infections of the skin and soft tissues are mainly folliculitis, palate, palate, acute cellulitis, abscess, erysipelas, and acute lymphangitis. Rare skin, subcutaneous tissue, fascia and soft tissue necrotic infections are mainly the following: bacterial synergistic necrosis; necrotizing fasciitis; hemolytic streptococcal necrosis; subcutaneous necrosis of the newborn.

Skin and soft tissue purulent infection symptoms and signs

Diagnosis of skin and soft tissue purulent infections

History of skin and soft tissue purulent infections

Ask whether the affected area has redness, swelling, heat, pain, its occurrence and development, whether it has fever and its extent, and whether it has suffered local trauma before onset. In addition, you should also pay attention to asking for hand and foot tinea; varicose veins of the lower extremities and their degree; and history of tuberculosis and diabetes.

Skin and soft tissue purulent infections

Localized swelling, increased skin temperature, tenderness, induration, lumps, or concentric spreading red pain strips, localized fluctuations, necrosis, ulcers, and dysfunction. Pay attention to regional lymph nodes for swelling. Whether the same lesions exist in other parts of the body. With or without active hand and tinea pedis.

Skin and soft tissue purulent infection test

Check the blood routine, check the blood sugar if necessary, because the patients with diabetes are prone to skin and soft tissue infections.

Special examination of skin and soft tissue purulent infections

When diagnosis is difficult, ultrasound and / or diagnostic puncture may be performed. Deep abscesses must exclude tuberculous abscesses, aneurysms, and tumors.

Skin and soft tissue purulent infections bacteriological examination

When the general treatment effect is not good, wound secretion and abscess puncture fluid smear examination, bacterial culture and drug sensitivity test should be performed. Anaerobic bacteria culture if necessary. When septicemia is suspected, blood culture and drug sensitivity tests should be performed.

Skin and soft tissue purulent infections treatment options

Skin and soft tissue suppurative infections

braking and raising the affected limb;

Physical therapy such as local hot compress or supplemented with ultraviolet radiation;

external application of Chinese medicine;

closed therapy;

radiation therapy;

Those who have locally purulent ulcers should be changed appropriately.

Skin and soft tissue purulent infections. Use effective antibiotics as appropriate and clear Chinese medicine

The drug was discontinued 3 days after the body temperature and blood returned to normal. Penicillin and aminoglycoside drugs can be used. In severe cases, cephalosporins of the second and third generation can be given. When mixed infection with anaerobic bacteria is suspected, anti-anaerobic drugs such as metronidazole can be added. If necessary, adjust the use of sensitive drugs according to the results of bacterial drug sensitivity tests.

Incision and drainage of skin and soft tissue purulent infections

When an abscess is formed, incision and drainage should be performed in time. When incision and drainage, the following matters must be paid attention to:

The incision and drainage should be performed after the infection is limited to prevent the infection from spreading.

Deep abscesses should be punctured before surgery to determine the location and depth of the abscess.

The incision site should be at the lowest position to facilitate drainage, and the direction of the incision should be parallel to the large blood vessels and nerve trunks on the deep side. Start with a small incision, use your fingers to find out the exact range of the abscess, then expand as needed, and drain the incision if necessary.

The drainage should not be too tight (unless the wound is bleeding), so as not to hinder the drainage, and it should be properly fixed, and its number and location should be accurately recorded.

When incision and drainage, the two ends of the incision should be a little more than the edge of inflammation to reach the deep fascia.

Skin and soft tissue purulent infections Thorough debridement and removal of necrotic tissue

For some serious special infections, such as necrotizing fasciitis, streptococcal necrosis, etc., extensive debridement should be performed, the skin should be opened and the free flaps should be fully submerged, and the skin, subcutaneous and fascial necrotic tissue should be removed as far as possible. After the wound is clean, the skin is transplanted.

Skin and soft tissue purulent infections give nutritious and digestible food

Water and electrolyte balance must be maintained. If necessary, infuse fresh blood several times to improve the body's resistance. Diabetics should actively treat diabetes. People with active athlete's foot should be treated with ringworm at the same time, such as topical application of antifungal drugs such as ketoconazole cream.

Skin and soft tissue purulent infections care

1. Bed rest when necessary. Pay attention to isolation to prevent cross infection.

2. Drink plenty of water and eat vitamin-rich fruits. When the fever is high, follow the routine care of high fever care.

3. People who cannot move by themselves should help them change their position frequently.

4. Always pay attention to whether the immobilization of the affected limb is proper and the position is correct, and support the cover with a bracket to prevent the affected part from being compressed.

5. When hot compress, pay attention to aseptic operation. The towel must be boiled and sterilized, and it should be placed on sterile gauze. The skin of the affected area is coated with sterile vaseline ointment to avoid burns.

Discharge criteria for skin and soft tissue purulent infections

Systemic symptoms disappear, wound healing or inflammation control. After discharge, she was treated in the clinic.

Skin and soft tissue purulent infections disease prevention

1. Avoid tobacco and spirits. Eat less sweet, greasy and spicy food.

2. Drink plenty of water, and often drink some mung bean soup, silver flower tea, chrysanthemum tea.

3. Develop good hygienic habits, take regular baths, wash hands, cut nails, and change clothes.

4. Keeping the skin dry and fresh and the sweat glands unblocked is an effective measure to prevent the body from purulent infection.

5, try to prevent mosquitoes, insects and other bites, avoid glass, nail cuts and stab wounds and water and fire burns, etc., to prevent infection.

6. People with itchy skin disease must be actively treated to avoid scratching and do not arbitrarily squeeze and discharge pus to prevent inflammation from spreading.