SURGICAL SKIN INFECTIONS

Dr. Nazimuddin Jat

FRCS
Department of Surgery
Al-Tibri Medical College & Hospital
SURGICAL SKIN INFECTION
Anatomy of the skin
Physiology of Skin
• Protective Layer
• Control the body temperature
• Keep skin wet
• Prevent the injurious agent
• Serve as sensory receptors
Common Conditions Affecting the Skin

• Skin Infections/Surgical and Non Surgical

• Burns
• Trauma’s
• Tumors
Surgical Skin Infections
• Cause normally by
• Bacteria
• Fungi  Paronichia & Madura foot
• Viruses  Rubella, EBV & Mums, Erethyema
Infectiosum
• Parasites Bites by various parasites i.e flies,
scorpion

Today we are dealing only with bacterial &

Fungal skin infections
Commonly encountered Skin
Infections in Medical practice

 Postoperative Wound Infection

 Cellulitis
 Erysipelas
 Boil (Furuncle)
 Carbuncle
 Hydradenitis Suppurativa
 Abscess
 Actinomycosis
 TB
 Madura Foot
 Fungal Paronichia
HOST FACTORS
• Metabolic-Malnutrition,diabetes,jaundice

• Disseminated cancer and AIDS

• Radiotherapy,chemotherapy and steroids
FACTORS DETERMINING WHETHER A
WOUND WILL BE INFECTED
• HOST RESPONSE
• VIRULENCE OF MICRO ORGANISM
• VASCULARITY OF TISSUE
• PRESENCE OF DEAD SPACE
• ANTIBIOTIC IN DECISIVE PERIOD
Commonly encountered Bacteria’s in skin
infections in Medical practice
POST OPERATIVE WOUND INFECTIONS
• LOCAL WOUND SEPSIS(SSSI)
Common Surgical Skin Infections
Cellulitis
• Is an invasive non suppurative infection of the
loose connective tissue

• Cause
• Clinical Features
• Diagnosis
• Treatment
EMPETIGO
Superficial skin infection by stepccoci preschool
going childrens
 Erysipelas
• Definition
Is a rapidly spreading
non-suppurative
inflammation of the
lymphatics and the
Epidermis of the skin

• Presentation
• Cause
• Treatment
 Boil [Furuncle]
• Definition
Is a staphylococcal
infection of a hair follicle
or a sebaceous gland
Collection of debris dead
WBC.

• Cause
• Clinical Presentation
• Treatment
 Carbuncle
• Definition
Is infective gangrene of
the subcutaneous tissues
usually secondary to
infection by
Staphylococcus aureus.

• Cause
• Clinical Presentation
• Treatment
 Hydradenitis Suppurativa
• Definition
Mixed staph. And
streptococcal infection
of the apocrine sweat
glands, in the
perineum or the
axilla,produces

• Cause
• Clinical Presentation
• Treatment
Abscess
Acute or Chronic
• Definition
It is a localized suppurative
inflammation.
It is caused by pyogenic
organisms. The
commonest are staphylococci
that produce a coagulase
enzyme.

• Cause
• Clinical Presentation
• Treatment
Skin Tuberculosis
• Definition
It is a infection
mycobacterium of
lymphnodes.

• Cause
• Clinical Presentation
• Treatment
Actinomycosis
• Definition
Multiple Discharging
Sinus mostly at the
angle of the jaw.

• Cause
• Clinical Presentation
• Treatment
Madura Foot
• Definition
Fungal infection of
soft tissue and bone
caused by
Eumycetoma

• Cause
• Clinical
Presentation
• Treatment
Sequlea
• Definition

• Treatment
When Pus Forms
• The fever becomes • The inflamatory
hectic. reaction becomes
• Skin shows pitting localized
oedema. • Fluctuation test
• The pain becomes becomes positive.
throbbing. • There is shooting
leucocytosis
Treatment
• Before suppuration:
• antibiotic, rest -hot application.
-supportive general measures.
• After suppuration:
• adequate surgical drainage.
• specimen of the pus is sent for culture and
sensitivity.
• antibiotic if there is systemic manifestation.