Erysipelas is an infectious skin disease caused by group A beta-hemolytic streptococcus. In the structure of all infectious diseases, erysipelas ranks fourth after acute respiratory viral infections, intestinal diseases and viral hepatitis.
The tendency of many infectious agents such as fungi, bacteria, protozoa to recur in skin lesions leads to the fact that the conditions caused by them often become chronic. Irrational treatment due to irregular medication or premature interruption of the therapeutic course contributes to the development of resistance of pathogens to etiotropic therapy.
Therefore, doctors need to be guided in modern aspects of the treatment of skin diseases of infectious origin, the most effective and safe schemes of etiotropic therapy, as well as the rules for preventing their recurrence in the future. What should be included in the treatment of one of the most common infectious diseases of the skin – erysipelas, read on estet-portal.com in this article.
Which antibiotics are most effective for treating erysipelas
Most often this disease occurs in women over 50 years of age. The incidence of pathology is an average of 10 cases per 10 thousand of the population, which indicates the widespread and relevance of the timely treatment of erysipelas in our time.
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The most effective drugs used for the etiotropic treatment of erysipelas are penicillin antibiotics. This is due to their pharmacokinetic ability to penetrate into the lymphatic bed – main reservoir of latent infection. It is well known that the main route of infection in recurrent chronic erysipelas is endogenous.
When drawing up a treatment regimen for infectious diseases, it is important to take into account not only the spectrum of action of antibiotics, but also the pharmacokinetic characteristics of the drugs prescribed.
Penicillin must be administered parenterally at a dose of 1 million IU 6 times a day. The duration of therapy is at least 7 days and is determined by the doctor individually. It is possible to use oral antibiotic therapy with protected penicillins in case of a mild course of the disease. And only if the patient has hypersensitivity to antibiotics of the penicillin series, the use of other groups of drugs is indicated: cephalosporins, macrolides, fluoroquinolones.
Modern methods of prevention of erysipelas
To prevent the recurrence of erysipelas, it is of great importance to carry out prophylaxis after the end of the main course of treatment.
Prevention of erysipelas consists in the systematic administration of penicillins at a dose of 1.5 million units once a month for 6 months after the patient's clinical recovery.
In addition, it is necessary to pay attention to those concomitant pathological conditions that may be factors in the occurrence of erysipelas in the future: varicose veins, post-thrombophlebitis syndrome, lymphedema, tonsillitis, otitis media and other chronic diseases, and refer the patient to the appropriate specialist for the necessary treatment.
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