What Is An Abscess

An abscess is a localized collection of pus in the skin and can occur on any skin surface. Symptoms and signs include pain and tenderness as well as a constant or fluctuating swelling. The diagnosis can be set based on the investigation findings generally. The treatment is effected by incision and drainage.

Bacteria that cause skin abscesses are often residents of the skin in the affected area. In abscesses on trunk, extremities, axillae and neck and head are usually Staphylococcus aureus and streptococci responsible. In recent years, methicillin-resistant S. aureus (MRSA) have become a more common cause.

An abscess is a localized collection of pus in the skin and can occur on any skin surface. Symptoms and signs include pain and tenderness as well as a constant or fluctuating swelling. The diagnosis can be set based on the investigation findings generally. The treatment is effected by incision and drainage. Bacteria that cause skin abscesses are often residents of the skin in the affected area. In abscesses on trunk, extremities, axillae and neck and head are usually Staphylococcus aureus and streptococci responsible. In recent years, methicillin-resistant S. aureus (MRSA) have become a more common cause. Abscesses the perianal region (inguinal, vaginal, buttocks, perirektal) contain faecal bacteria, mostly anaerobes or a combination of aerobes and anaerobes. Carbuncles and boils are emanating from the follicles skin abscesses with typical features (boils and carbuncles). Skin abscesses formed preferably in patients with bacterial overgrowth in vorausgegangenem trauma (v. A. With Fremdkörperinkorporation) as well as immunodeficiency or circulatory disorders. Symptoms and complaints skin abscesses are painful, painful to touch, indurated and occasionally erythematous. They vary in size, usually 1-3 cm long, but occasionally much larger. Initial swelling is found later, the skin becomes thinner, while the abscess melts and fluctuates. Often the abscess drained then spontaneously. As accompaniments in various distribution a local cellulitis, lymphangitis, regional lymphadenopathy, fever and leukocytosis occur. Diagnosis Physical examination culture to identify MRSA Diagnosis can usually provide the basis of the investigation findings. A culture is recommended to identify primarily MRSA. Medical conditions that are similar to simple skin abscesses, hidradenitis suppurativa the (hidradenitis suppurativa) and ruptured epidermal cysts. Epidermoid (often incorrectly referred to as cheesefeet) rarely become infected. By the rupture, however keratin is released into the dermis and occasionally triggers an excessive inflammatory response, which is reminiscent of clinical infection. In cultures of these ruptured cysts rarely can be cultivated bacteria. Perineal abscess may represent the higher kicking a lower Perirektalabszesses on skin level or a drainage fistula tract due to Crohn’s disease. These conditions can usually be detected by a history and a digital rectal exam. Treatment incision and drainage Sometimes antibiotics Some small abscesses heal without treatment by opening up at some point and drain. Warm compresses accelerate this process. Incision and drainage are indicated in significant pain, tenderness and swelling; until the occurrence of fluctuation does not need to be serviced. Under sterile conditions, a local anesthetic is given either as lidocaine injection or icing spray. Patients with large, extremely painful abscesses often benefit from an i.v. Sedation and analgesia during drainage. Often the incision extends from the scalpel tip to open the abscess. Once pus is drained, the abscess cavity should be truncated and screened with a gloved finger or a curette after chambers then rinsed with 0.9% saline. Some surgeons fill the abscess cavity loosely with a Mullschlauch, the 24-48 h is later removed. Local heat and elevation contribute to the healing of the inflammation. Antibiotics are not necessary if the patient does not exhibit signs of a systemic infection, a cellulitis or multiple abscesses, is immune compromised or there is a Gesichtsabszess in the drained from a cavernous sinus area. (. Eg, trimethoprim / sulfamethoxazole, clindamycin, vancomycin for severe infections) In these cases, an empirical treatment with an effective against MRSA drug should be started while waiting for the results of bacterial culture. Summary pathogens reflect the flora of the area involved (eg., S. aureus and streptococci on the trunk, axilla, head and neck), but MRSA has become more common. Abzesskulturen be included to identify MRSA. Abscesses in which significant pain, tenderness and swelling occur are drained and adequate analgesia and, if indicated, sedation is provided. For simple abscesses, antibiotics are avoided.

Health Life Media Team

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