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When checked, Shutterstock's safe search screens restricted content and excludes it from your search results. 2. Flaring treatments these treatments should be used as soon as there is a flare (an acute deterioration), such as increasing erythema and itch, and weaned?? Secondary bacterial infection of eczema is a common complication, it should be suspected if there is crusting, weeping, erythema, cracks, frank pus or multiple excoriations and increased itch suggest bacterial infection. Secondary herpes simplex 1 infection is characterised by a sudden onset of grouped, small white or clear fluid filled vesicles, satellite or "punch out" lesions, pustules, and erosions.
NOTE: most patients with viral infected eczema, invariably also have a bacterial skin infection as well.
Refer to immunologist, allergist or dermatologist for (SPT) and a dietician if food allergies are proven on SPT or RAST test. For further assistance the Dermatology Registrars and Nurse Practitioners can be paged via switchboard.
The development of this clinical guideline was coordinated by Emma King, Nurse Practitioner, Dermatology Department.
If your finger has been cut, the first step is to wash it thoroughly with warm water, cleaning out any dirt — and with it, bacteria — that would love to make its way into your bloodstream. To further treat this infection, apply an ointment specifically designed for staph bacteria, and cover the damaged area with a bandage.


There is no cure of AE, however if treated and managed well the disease has less impact on daily living and is less likely to have a negative effect on quality of life for the patient and family. Refer to RCH policy on specimen collectionHerpes Simplex Virus (HSV) swab (in viral medium) to be taken for herpes simplex virus verification. After the finger has dried, pour hydrogen peroxide over the wound, continuing to pour until all bubbling has stopped.
Avoid any hand washing for at least 30 minutes after application, and re-apply the ointment every four to six hours. This type of finger infection is of the herpetic variety, and is often misdiagnosed as a paronychia. The best way to treat a finger infection is to clean and disinfect a cut or wound immediately after it occurs. Next, apply a triple antibiotic ointment to the damaged area and cover it with a clean bandage.
Ointments geared to fight bacteria are ineffective against a virus, and you will need to obtain a prescription for an antiviral drug. For moderate eczema apply within 1-2 days of starting the topical steroids if the eczema has NOT cleared) There are 2 types of wet dressings that can be applied. It is very important that a virus on the finger – known as a herpetic whitlow – be kept clean and covered.


If a cut is deep, and if you even suspect you need stitches, you should pay a visit to the emergency room for more in-depth care and a possible tetanus shot. Treat a paronychia in much the same way you would treat a cut, but soak the affected finger in the peroxide for 10 or 15 minutes. Otherwise, you not only run the risk of contracting a bacterial infection, you could well spread the virus to other areas of your body. If you don’t have peroxide handy, an equal mix of white vinegar and water may work almost as well. For example, a lung abscess may form following a bout of pneumonia; a brain abscess may form after a penetrating head wound (an injury in which the outer covering of the brain is pierced), etc. For a skin abscess, this involves a small operation to cut the top of the skin and allow the pus to drain.



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