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A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis
Published on: March 14, 2025
[Surgical managing of current cutaneous infections in children]
D Gonnelli1, N Degardin, T Guidicelli
1Service de chirurgie plastique, reconstructrice et esthétique, hôpital de la Conception, 147, boulevard Baille, 13385 Marseille cedex 05, France. davidgonnelli@hotmail.com
Insights
Pediatric surgical infections, including folliculitis and boils, often require medical and surgical care, not always antibiotics. Prompt treatment is crucial to prevent aesthetic, functional, and vital complications.
Area of Science:
- Pediatric Surgery
- Dermatology
- Infectious Diseases
Context:
- Cutaneous infectious pathologies are common and diverse in children.
- Surgical infections in pediatrics frequently necessitate specialized plastic surgery interventions.
- Superficial skin and pilosebaceous follicle infections, like folliculitis and boils, are prevalent in older children.
Purpose:
- To review the diagnosis and management of common and severe cutaneous infections in pediatric surgery.
- To highlight the importance of appropriate treatment to avoid long-term sequelae.
- To emphasize the need for specialized follow-up for specific conditions like whitlow and ingrown toenails.
Summary:
- Most superficial infections (folliculitis, boils) are treated medically and surgically, often without antibiotics.
- Abscesses and certain localized infections require similar management, with specific cases needing closer monitoring.
- Severe conditions like necrotizing cellulitis and fasciitis are surgical emergencies with established treatment protocols.
Impact:
- Proper management of pediatric surgical infections is vital for preserving aesthetic appearance, function, and overall health.
- Timely and accurate diagnosis prevents complications and ensures optimal outcomes.
- Understanding varied clinical presentations guides appropriate, age-specific interventions.
Abstract:
The cutaneous infectious pathology of the child is varied and frequent. Authors deal with surgical infections seen in current pediatrics, which often have to appeal to a plastic pediatric surgeon for their treatment. Superficial infections of skin and pilo-sebaceous follicles are common in big children. The folliculitis and the boil are the most frequent. Their treatment is medical and surgical and does not require an antibiotic treatment in most of the cases. The primitive abscesses or following an anterior lesion recover from a similar treatment. Some localizations or risky context need a particular follow-up. The whitlow is a particular example and needs to have a particular follow-up because of the risk of hand cellulitis. Nails embodied of the child require a specialized notice because of their numerous clinical forms, which must be distinguished according to the age. Finally the necrotizing cellulitis and fasciitis are surgical emergencies and have a well-codified treatment. These infections in children must benefit from an attentive care because when they are badly treated, they can involve the aesthetic, functional and vital forecast.
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