Page 71 - LECTURE NOTES
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4.2. Learning Objective

               At the end of reading through this module the nurse should be able to

               1.  Distinguish different types of common skin diseases
               2.  Provide the necessary nursing care accordingly

               3.  Practice the various types of preventive method


               4.3 Pyodermal bacterial skin diseases

               4.3.1 Erysipelas

               Erysipelas is skin infection caused by  staphylococcal pyogens or B-hemolytic
               streptococcus, characterized by well-demarcated erythema and swelling on the face or

               extremities associated with pain and fever.


               The distinctive features of erysipelas are well-defined erythema with indurated margin

               particularly among nasolabial fold rapid progression and intense pain flaccid bullae may
               develop during the second and third days of illness


               Treatment

               ¾   Penicillin is the drug of choice which is given if the lesion becomes bullous or to
                   higher level

               ¾ Anti pain

               ¾  General skin care- cleaning the skin and applying antiseptic cream
               ¾  Encourage personal hygiene like regular washing hands


               4.3.2. Boil (Furuncle)

                   Definition – Bacterial infection of hair follicles

               ¾  A furuncle is an infection of a hair follicle and curbancle infection of more than one
                   hair follicle

               ¾  It often occurs as an extension a superficial folliculitis
               ¾  These infections often occur in hairy areas of the body, especially where there is

                   perspiration and friction.




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