5,7Īnother effective treatment for superficial pyoderma is a 5.25% solution of bleach. 6 Because the turnover of skin takes about 3 weeks, this study recommends the duration of topical treatment be similar to that of systemic antibiotics for superficial pyodermas: a minimum of three weeks, with one week beyond clinical resolution. For generalized lesions, bathing twice weekly with chlorhexidine 4% shampoo has an efficacy similar to systemic amoxicillin-clavulanate administration. For focal lesions, twice-daily application for 10 to 15 minutes of contact time would be ideal. 5 Chlorhexidine 2% to 4% is effective for Staphylococcus and comes in multiple convenient formulations, including shampoos, sprays, wipes, and mousses. The growing prevalence of methicillin-resistant Staphylococcus species in companion animals necessitates judicious systemic antimicrobial use in veterinary medicine and emphasizes the need for topicals as sole-agent therapeutics for superficial and local pyodermas as frequently as possible. Veterinary technicians can be trained in obtaining and reading cytology to achieve efficiency in busy clinics. These noninvasive, inexpensive diagnostics can sometimes make the diagnosis or discover the next step to a more expensive and more invasive test. 4 The authors recommend sampling from at least 2 or 3 locations on a patient to improve sensitivity. 3 In general, the more samples that can be obtained, the better the likelihood of making a diagnosis. 2 Superficial or deep skin scrapings can detect mite infestations. 1 A trichogram, which is a direct examination of hairs, has some efficacy in diagnosing dermatophytosis. 1 Slides stained with Diff-Quick can identify bacteria and yeast. With any dermatologic problem, cytology is the first step for ruling infectious agents in or out. Although there are many other antiparasitic, antimicrobial, otic, and ophthalmic topicals, this article focuses on ingredients available in the United States. ![]() Topicals such as pour-ons, shampoos and ointments, provide concentrated treatment for both focal and generalized skin problems while minimizing systemic adverse effects.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |