Volume : 7, Issue : 7, July - 2018

A STUDY OF BACTERIAL INFECTIONS (PRIMARY PYODERMAS) IN CHILDREN

Dr. Abarna Muthulakshmi. M, Dr. Ashok Kumar. N

Abstract :

<p>&nbsp;Introduction The normal human skin is colonized by huge numbers of bacteria that live harmlessly as commensals</p> <div>on its surface and within its follicles. Cutaneous bacterial infections may be divided into primary and secondary</div> <div>5 types. Bacterial skin infection is the single most common diagnosis among those with skin problems, accounting for 17% of all clinic visits.</div> <div>These infections are the most common cause of childhood morbidity and constitute one of the prime causes for hospital attendance in</div> <div>children.</div> <div>Aim of the study To study the clinical pro􀃶le of primary pyodermas in children.</div> <div>Materials and Methods Study Design: Descriptive study Study Setting: Dermatology &amp; Venereology department, Medical College</div> <div>hospital, Thiruvananthapuram. Duration of study: 1 year. Inclusion criteria: Clinically diagnosed cases of primary pyoderma of both sex</div> <div>and age between 1 to 12 years . Exclusion criteria: Those children between 1 to 12 years with primary pyoderma started on antibiotic</div> <div>therapy.</div> <div>Observation Primary pyodermas were more common in children between 1 to 4 year age group (56%). Male to female sex ratio was</div> <div>2.33:1.Children belonging to low socioeconomic status (64%) were more commonly affected by primary pyodermas. Primary pyodermas</div> <div>were seen more commonly in adequately nourished (76%) children. Children attending anganwadis, nurseries and schools (72%) were</div> <div>more commonly affected by primary pyodermas which points to the necessity of providing anganwadi and nursery teachers adequate</div> <div>awareness regarding pyodermas. Concurrent systemic diseases were present in 22% of cases. Among these the most common disease was</div> <div>feile seizures (6%), Regional lymphadenopathy in 52% cases; most of such cases were impetigo contagiosa indicating that it is much</div> <div>more commonly associated with lymphatic spread than other pyodermas. Impetigo contagiosa (76%) was the most common clinical type</div> <div>of primary pyoderma in both boys (77.14%) and girls (73.34%) and also in both pre-school (75%) and school going children (77.27%).</div> <div>Conclusion Impetigo contagiosa (76%) was the most common clinical type of primary pyoderma in both boys (77.14%) and girls (73.34%)</div> <div>and also in both pre-school (75%) and school going children (77.27%). Leukocytosis and elevated ESR in 42% cases and neutrophilia in 18%</div> <div>cases were noted. Lymphocytosis was also a consistent 􀃶nding in 70% cases.</div>