Cellulitis newborns

Cellulitis newborn severe purulent infection caused by Staphylococcus. Heavy course of the disease result in low immunological reactivity of the newborn and low sensitivity aureus to many antibiotics. Often the disease is preceded by a rash, often pyoderma.
The disease begins on 5-8th day life, sometimes later, with the rise in temperature to 38-39 degrees; the children are restless, bad breast-feed. Notes reddening limited skin, usually on the back (especially in the lumbar and sacral area). Red spot is growing rapidly, gaining cyanotic tint. Deteriorating General condition of intoxication develops. When the feeling is first calculated seal and swelling of the skin, then in the center of the lesion appears fluctuation. At the opening phlegmon allocated liquid pus or muddy serous fluid.
Treatment must be carried out in children or purulent surgical Department, the child should be immediately transferred from the maternity ward. Opening infiltration produce multiple small incisions. The cuts on the border of healthy and diseased skin better contribute to the outflow detachable and limitation of the inflammatory process. After opening the wound treated with bandages soaked in the solution of etakrydina (of rivanol) or gramicidin. Appoint a semisynthetic penicillins (ampicillin, oxacillin, methicillin), inside, sulfanilamida, intravenous isotonic solution of sodium chloride, glucose solutions; repeated blood transfusions.
Under favorable course of the wound process is gradually filled with granulations and slowly roboeda. Complications occur as secondary sepsis. With timely and proper treatment outcome favorable.
Prevention is the perfect newborn care (see), in strict isolation of children paralyzed by pyoderma.