Page 71 - 2021 IDMT Digital
P. 71
PARONYCHIA
Introduction:
• ,QIHFWLRQ RI WKH SHULXQJXDO WLVVXHV WKDW FDXVHV SDLQ DORQJ WKH QDLO PDUJLQ
• 8VXDOO\ DFXWH EXW FKURQLF FDVHV PD\ RFFXU
• &DXVDWLYH RUJDQLVPV DUH XVXDOO\ Staphylococcus aureus RU VWUHSWRFRFFL
o 2UJDQLVPV HQWHU WKURXJK D EUHDN LQ WKH HSLGHUPLV UHVXOWLQJ IURP D KDQJQDLO
WUDXPD WR QDLO IROG ORVV RI FXWLFOH RU FKURQLF LUULWDWLRQ
• ,Q WRHV LQIHFWLRQ RIWHQ EHJLQV DV DQ LQJURZQ WRHQDLO
Subjective:
• 6LJQV DQG 6\PSWRPV
o 3DLQ DORQJ WKH QDLO PDUJLQ
o &DQ GHYHORS RYHU KRXUV WR GD\V
o 'LVFKDUJH XVXDOO\ GHYHORSV DORQJ QDLO PDUJLQ DQG VRPHWLPHV EHQHDWK QDLO
Objective:
• 3K\VLFDO ([DP
o 5HGQHVV VZHOOLQJ SDLQ DORQJ QDLO ERUGHU
o 3RVVLEOH GLVFKDUJH
o 1DLO ERUGHU WHQGHU WR SDOSDWLRQ
o *DLW DEQRUPDOLWLHV GXH WR SDLQ
Assessment:
• 'LIIHUHQWLDO
o 2VWHRFKRQGURPD EHQLJQ ERQH WXPRU FRPPRQ LQ \RXQJ DGXOWV [ UD\V QHHGHG
o $PHODQRWLF PHODQRPD RFFXUV LQ ROGHU DGXOWV JUDQXODWLRQ WLVVXH DURXQG WRH
o ,QJURZQ WRHQDLO LQFXUYDWLRQ RU LPSLQJHPHQW RI D QDLO ERUGHU LQWR LWV DGMDFHQW QDLO
IROG FDXVLQJ SDLQ
o 7LQHD XQJXLXP RQ\FKRP\FRVLV OXVWHUOHVV EULWWOH GLVFRORUHG K\SHUWURSKLF QDLOV
o %XQLRQ YDOJXV GHIRUPLW\ RI JUHDW WRH
Plan:
• $QWLVWDSK\ORFRFFDO DQWLELRWLFV
o 'LFOR[DFLOOLQ RU FHSKDOH[LQ
o ,I &$ 056$ FRPPXQLW\ DFTXLUHG PHWKLFLOOLQ UHVLVWDQW S Dureus)
&RQVLGHU WULPHWKRSULP VXOIDPHWKR[D]ROH
• 'UDLQDJH
o ,I IOXFWXDQW VZHOOLQJ RU YLVLEOH SXV GUDLQ XVLQJ D VFDOSHO EODGH EHWZHHQ QDLO
DQG QDLO IROG VNLQ LQFLVLRQ LV XQQHFHVVDU\
• ,QIHFWHG LQJURZQ WRHQDLO
o 1DLO H[FLVLRQ
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