Lymphangitis medical therapy: Difference between revisions
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==Overview== | ==Overview== | ||
Lymphangitis most often is an acute complication following an extension from the skin infection with the potential of a systemic spread. It has to be promptly treated with appropriate antibiotics along with analgesics, anti-inflammatory medications, warm and moist compresses. Certain conditions like nodular lymphagitis that is complicated by abscess and lymphedema with significant lymphatic obstruction may require surgical intervention. | Lymphangitis most often is an acute complication following an extension from the skin infection with the potential of a systemic spread. It has to be promptly treated with appropriate [[antibiotics]] along with [[analgesics]], [[anti-inflammatory medications]], warm and moist compresses. Certain conditions like nodular lymphagitis that is complicated by abscess and [[lymphedema]] with significant lymphatic obstruction may require surgical intervention. | ||
==Principles of Therapy== | ==Principles of Therapy== | ||
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| style="padding: 0 5px; font-size: 90%; background: #F5F5F5;" align=center | '''''For Suspected Methicillin-Resistant Staphylococcus Aureus (MRSA)''''' | | style="padding: 0 5px; font-size: 90%; background: #F5F5F5;" align=center | '''''For Suspected Methicillin-Resistant Staphylococcus Aureus (MRSA)''''' | ||
|- | |- | ||
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=left | ▸ '''''[[Vancomycin]] 15 mg/kg IV q6h'''''<BR> OR <BR> ▸ '''''[[Linezolid]] 10 mg/kg IV/PO q8h'''''<BR> OR <BR> ▸ '''''[[Daptomycin]] 5-9 mg/kg IV q24h'''''<BR> OR <BR> ▸ '''''[[Clindamycin]] 10-13 mg/kg IV/PO q6-8h | | style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=left | ▸ '''''[[Vancomycin]] 15 mg/kg IV q6h'''''<BR> OR <BR> ▸ '''''[[Linezolid]] 10 mg/kg IV/PO q8h'''''<BR> OR <BR> ▸ '''''[[Daptomycin]] 5-9 mg/kg IV q24h'''''<BR> OR <BR> ▸ '''''[[Clindamycin]] 10-13 mg/kg IV/PO q6-8h''''' | ||
|- | |- | ||
| style="padding: 0 5px; font-size: 90%; background: #F5F5F5;" align=center | '''''For Suspected Beta-Hemolytic Streptococci and Methicillin-Resistant Staphylococcus Aureus (MRSA)''''' | | style="padding: 0 5px; font-size: 90%; background: #F5F5F5;" align=center | '''''For Suspected Beta-Hemolytic Streptococci and Methicillin-Resistant Staphylococcus Aureus (MRSA)''''' | ||
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| style="padding: 0 5px; font-size: 90%; background: #F5F5F5;" align=center | '''''For Animal Bites''''' | | style="padding: 0 5px; font-size: 90%; background: #F5F5F5;" align=center | '''''For Animal Bites''''' | ||
|- | |- | ||
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=left | ▸ '''''[[Ampicillin sulbactam]] 50 mg/kg IV q6h''''' | | style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=left | ▸ '''''[[Ampicillin sulbactam]] 50 mg/kg IV q6h''''' | ||
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| style="padding: 0 5px; font-size: 90%; background: #F5F5F5;" align=center | '''''Preferred Regimen''''' | | style="padding: 0 5px; font-size: 90%; background: #F5F5F5;" align=center | '''''Preferred Regimen''''' | ||
|- | |- | ||
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=left | ▸ '''''[[Clarithromycin]] 500 mg PO q12h'''''<BR> PLUS <BR>'''''[[Ethambutol]] 15 mg/kg PO q24h'''''<BR> OR <BR>'''''[[Rifampin]] 600 mg PO q24h''''' | | style="font-size: 90%; padding: 0 5px; background: #DCDCDC;" align=left | ▸ '''''[[Clarithromycin]] 500 mg PO q12h'''''<BR> PLUS <BR> ▸ '''''[[Ethambutol]] 15 mg/kg PO q24h'''''<BR> OR <BR> ▸ '''''[[Rifampin]] 600 mg PO q24h''''' | ||
|- | |- | ||
| style="padding: 0 5px; font-size: 90%; background: #F5F5F5;" align=center | '''''Alternative Regimen''''' | | style="padding: 0 5px; font-size: 90%; background: #F5F5F5;" align=center | '''''Alternative Regimen''''' |
Revision as of 19:14, 3 June 2014
Lymphangitis Microchapters |
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Treatment |
Case Studies |
Lymphangitis medical therapy On the Web |
American Roentgen Ray Society Images of Lymphangitis medical therapy |
Risk calculators and risk factors for Lymphangitis medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vendhan Ramanujam M.B.B.S [2]
Overview
Lymphangitis most often is an acute complication following an extension from the skin infection with the potential of a systemic spread. It has to be promptly treated with appropriate antibiotics along with analgesics, anti-inflammatory medications, warm and moist compresses. Certain conditions like nodular lymphagitis that is complicated by abscess and lymphedema with significant lymphatic obstruction may require surgical intervention.
Principles of Therapy
Therapy Based on Clinical Form
Acute Lymphangitis
Empiric Therapy
▸ Click on the following categories to expand treatment regimens.[1][2]
Mild - Moderate Acute Lymphangitis ▸ Adults ▸ Children age >28 days Severe Acute Lymphangitis ▸ Adults ▸ Children age >28 days |
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Pathogen Based Therapy
▸ Click on the following categories to expand treatment regimens.[1][2]
Bacteria ▸ Streptococcus Pyogenes ▸ Methicillin Sensitive Staphylococcus Aureus ▸ Methicillin Resistant Staphylococcus Aureus ▸ Pasteurella Multocida |
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Chronic Lymphangitis
Pathogen Based Therapy
▸ Click on the following categories to expand treatment regimens.[3][4][5]
Bacteria ▸ Mycobacterium Marinum Fungi ▸ Sporothrix Schenckii Parasites ▸ Brugia Malayi ▸ Wuchereria Bancrofti |
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Other Therapies
- Analgesics and anti inflammatory medications can be used to control pain and inflammation.
- Hot, moist compresses can also be used to reduce pain and inflammation.
References
- ↑ 1.0 1.1 Moran GJ, Abrahamian FM, Lovecchio F, Talan DA (2013). "Acute bacterial skin infections: developments since the 2005 Infectious Diseases Society of America (IDSA) guidelines". J Emerg Med. 44 (6): e397–412. doi:10.1016/j.jemermed.2012.11.050. PMID 23466022.
- ↑ 2.0 2.1 Liu C, Bayer A, Cosgrove SE, Daum RS, Fridkin SK, Gorwitz RJ; et al. (2011). "Clinical practice guidelines by the infectious diseases society of america for the treatment of methicillin-resistant Staphylococcus aureus infections in adults and children". Clin Infect Dis. 52 (3): e18–55. doi:10.1093/cid/ciq146. PMID 21208910.
- ↑ Kauffman CA, Bustamante B, Chapman SW, Pappas PG, Infectious Diseases Society of America (2007). "Clinical practice guidelines for the management of sporotrichosis: 2007 update by the Infectious Diseases Society of America". Clin Infect Dis. 45 (10): 1255–65. doi:10.1086/522765. PMID 17968818.
- ↑ Griffith DE, Aksamit T, Brown-Elliott BA, Catanzaro A, Daley C, Gordin F; et al. (2007). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". Am J Respir Crit Care Med. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. PMID 17277290.
- ↑ "Parasites - Lymphatic Filariasis".