You choose the method to note this regardless of the context you are in to ensure that the important facts are available whenever you access the topic, whether it is tomorrow or six months from now. Annotations with scribble, doodle or text History to open frequently visited pages Tap and Hold launch icon to open Last Topic, History, Favorites. Use "Spotlight Search" from Home screen Locate a disease, symptom or medication in the fastest possible manner: 10 Interactive flowcharts.Įditor : Larry P. Covers clinical sign, diagnoses, treatment & follow-up.
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Download the FREE app and view selected topics (Approximately 10% of the content is viewable in the free app and tapping on the locked topic will launch the in-app purchase screen).īased on the latest print edition. Fast access to key information on the diagnosis and treatment of diseases and conditions in dogs and cats. Household bleach at a 1:32 dilution is bactericidal for MRSP.Blackwell's Five-Minute Veterinary Consult: Canine and Feline. Conditioners and sprays containing chlorhexidine and dilute (5%) household bleach solution rinses provide excellent residual antiseptic effects.Įnvironmental decontamination may help reduce recolonization with MRSP.
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Shampoos containing 2%–4% chlorhexidine or 2.5%–3% benzoyl-peroxide have demonstrated excellent efficacy. Patients with MRSP should be bathed twice weekly, even daily if possible. Treatment should continue until one week past clinical resolution of all regions. However, these antibiotics are associated with potentially life-threatening effects clients should be counseled on adverse reactions and the need for proper laboratory monitoring. In cases with multi-drug resistance, amikacin at 20 mg/kg q24h or rifampin at 10 mg/kg q12–24h may be required. Additional choices-if reported effective-may include clindamycin at 11 mg/kg q24h or doxycycline at 5–10 mg/kg q12–24h. Exudate from within a pustule or from beneath the peeling edge of an epidermal collarette is preferred for culture.īased on culture and sensitivity testing results, potentiated sulfonamides at 15–30 mg/kg q12–24h and chloramphenicol at 30–50 mg/kg q8–12h are common treatment options. Samples for culture are best obtained when previous antibiotic therapy (and topical antiseptic therapy) has been discontinued for several days.
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S aureus and S pseudintermedius are cultured with similar frequency from the skin of healthy cats and cats with inflammatory skin disease, although the frequency of culturing methicillin-resistant strains is low. Canine infection with S aureus-particularly methicillin-resistant S aureus (MRSA)-is often associated with exposure to a human in the household with MRSA or frequent visits to healthcare facilities.
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Infection by S schleiferi and S aureus is less common. It is frequently a resident of the nares, lip folds, and anal region of dogs, and a transient on the haircoat.
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Related Article MRSA & MRSP at a Glance Staphylococcus pseudintermedius is the primary bacterium isolated in superficial bacterial folliculitis. Multiple crusted patches with erythema and malodor eventually develop. Similar in appearance to a pebble cast into calm water, individual lesions increase into ever-expanding circular areas with peripheral crusts, erythema, and central clearing (ie, the epidermal collarette). The initial lesion of pyoderma is the pustule leading to the crusted papule. Signs vary widely and reflect the underlying cause (eg, allergic skin disease, endocrinopathy).
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Superficial bacterial folliculitis, or pyoderma, is common in dogs, uncommon in cats, and most often a secondary disease.