Pyoderma in children

Particularly prone to piodermii children the first year of life. The skin of newborns extremely vulnerable and accessible to the penetration of bacteria due to the fact that the epidermal layer is very thin, and protective functions insufficient.
The clinical picture of pyodermia in newborns very different from the clinical picture, seen in older children and adults,the disease is severe, the infection is likely to generalization and often develops septic process. In children there are the following types of pyodermia, they can pass one into another: vesiculopustular, pseudoforces (multiple abscesses), disease of the newborn, impetigo, boils, aktima.
Vesiculopustular. Pathogen Staphylococcus aureus. On the skin of the trunk, in the folds on the contact surfaces of the body, the skin of the neck and scalp are often against the background of potnica there are many small pustules, which are surrounded by a mild inflammatory bezel. Pustules quickly dry up, but in the following days may be new. Poor child care and irrational treatment of the disease can easily switch to another type of pyoderma.

Pyoderma the child.

Pseudoforces(synonym multiple abscesses). Pathogen Staphylococcus aureus; marvel at the excretory ducts and the glomeruli of the sweat glands. More often suffer infants, especially in poor maintenance, improper feeding, and also undergoing infectious diseases, dyspepsia, rickets. On the head, torso, legs appear multiple painful subcutaneous infiltrates various sizes, the skin above them is bright red (Fig). After some time infiltrates opened with pus, after a few days the process ends with scarring. Pseudoforces long runs with remissions and relapses. Violated the General condition of the child loses weight and has no appetite, upset sleep, appears intermittently low body temperature; can be complications in the form of cellulitis, otitis, pneumonia, in cases of severe sepsis.
Disease of newborns. Pathogens - streptococci and staphylococci. Affects newborns first 7-10 days of life. Bubbles the size 0,5-1 cm in diameter with serous content, surrounded by narrow pink aureole, occur on the skin of the trunk and extremities, except for the palms and soles, unlike syphilis water - see Syphilis. They quickly grow; after opening detected hot pink erosive surface. The disease occurs in severe General condition of the child (increase of temperature to 38 degrees and above, lethargy, loss of appetite, diarrhea) and is highly contagious, in maternity hospitals can occur outbreak. Disease duration is 4-6 weeks.
One of the heavy rare forms of pyoderma newborns is exfoliative dermatitis Ritter. The disease is close to that of the disease of newborns, begins with the appearance of erythema of the face, trunk, limbs, then there are bubbles that rise and merge, causing the skin is bright red, epithelium clusively layers, reminding burns of II degree.
Forecast serious - in any pyogenic disease, especially in infants and children first months of life, can cause General infection and sepsis, which in the late diagnosis or irrational treatment can end with a lethal. Children with severe forms of pyoderma must be urgently hospitalized.
Treatment of pyodermia in children is aimed at strengthening the resilience of the organism: rational feeding with the inclusion of freshly made fruit and vegetable juices and vitamin D, stay in the fresh air, preventing overheating. Children of the first months of life is unacceptable prohibition baths, especially in the long course of the disease; designate a regular bath of boiling water with the addition of potassium permanganate to pink - they contribute to the drying pustules, the elimination of potnica and improve the General condition of the child. In older children healthy skin around the hotspots daily wipe salicylic acid, camphor, or boric alcohol. Underwear should be changed as often as possible, to boil and to iron a hot iron on both sides, in maternity hospitals to use only sterile diaper. Shows General ultraviolet irradiation, on a separate infiltrates - UHF. Of antibiotic therapy is the most effective treatment of large doses of penicillin from 150 000 to 250 000 UNITS per 1 kg of weight per day. In connection with the advent of penicillin-resistant strains of staphylococci recently used semisynthetic penicillins - oxacillin, methicillin sodium salt (50 000 UNITS per 1 kg of weight per day), and preparations with wide spectrum of oleandomitina phosphate (20 000 UNITS per 1 kg of weight per day).
When vesiculopustular pustules several times a day to process 2% solution of aniline dyes, appointed baths with potassium permanganate, ultraviolet irradiation. When pseudoformicaleo: abstemious infiltrates to open, delete, pus, wash with disinfectant solution, neskrivaema infiltrates to put a bandage with Vishnevsky ointment, 5-10% Ichthyol ointment. Bandages to strengthen the adhesive tape or kleola and save till the end of healing. Bandage should not be, because when the movements of the child is rubbing pus in healthy skin. In severe cases shown introduction of gamma globulin, plasma and blood, antibiotics.
When the disease neonatal antibiotic treatment should begin from the first day of the disease. Bubbles open and process a few times a day with a 2% solution of aniline dyes or ointments with antibiotics. Drink plenty of water. Enter gamma globulin (3 ml in 2 days 2-3 times), plasma 20-30 ml intravenously, kordiamin 0.1 ml subcutaneously, conduct vitamin therapy. If you have large erosive surfaces of the child wrapped in a sterile napkin, topped oxide zinc and talc (no starch!), to which is added the powders sulfanilamidami and antibiotics. Bathing your baby, change diapers, flip it very carefully, because any manipulation can cause the appearance of new bubbles; do not wear underwear.
Prevention. Because the source of infection is often the medical staff or the mother of the newborn, the necessary fight against germ-carriers in healthy and mandatory temporary suspension from work of people who are suffering with boils, hidradenitis or another form of staph infection. At occurrence in a medical institution cases, water babies should immediately separate the healthy children from patients, to conduct a thorough disinfection of the premises, sterilization linen. Cm. also Staph infection.