Diagnosis Pyoderma

Oleh :

dr.Megawati Tanu

Diagnosis pyoderma dapat ditegakkan dengan mudah secara klinis pada pasien yang menunjukkan lesi kulit infeksius, misalnya papul atau pustul yang disertai adanya rambut di bagian tengah pada kasus folikulitis. Pyoderma perlu dibedakan menjadi lebih spesifik, yakni apakah impetigo, folikulitis, furunkel, karbunkel, erisipelas, dan selulitis. Pemeriksaan penunjang jarang diperlukan.[1-3]

Anamnesis

Faktor pencetus dan keluhan yang menimbulkan pyoderma bisa berbeda-beda tergantung dari jenis pyoderma yang dialami.

Referensi

1. Gupta D. Bacterial Skin and Soft Tissue Infections in Children. Pediatr Inf Dis 2021;3(4):146–155.
2. Gahlawat G, Tesfaye W, Bushell M, Abrha S, Peterson GM, Mathew C, et al. Emerging Treatment Strategies for Impetigo in Endemic and Nonendemic Settings: A Systematic Review. Clin Ther. 2021 Jun;43(6):986–1006.
3. Schachner LA, Andriessen A, Benjamin LT, Claro C, Eichenfield LF, Esposito SM, et al. Do Antimicrobial Resistance Patterns Matter? An Algorithm for the Treatment of Patients With Impetigo. J Drugs Dermatol JDD. 2021 Feb 1;20(2):134–42.
4. Johnson MK. Impetigo. Adv Emerg Nurs J. 2020;42(4):262–9.
5. Stevens DL, Bisno AL, Chambers HF, Dellinger EP, Goldstein EJ, Gorbach SL, Hirschmann JV, Kaplan SL, Montoya JG, Wade JC; Infectious Diseases Society of America. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Clin Infect Dis. 2014 Jul 15;59(2):e10-52. doi: 10.1093/cid/ciu444. Erratum in: Clin Infect Dis. 2015 May 1;60(9):1448. Dosage error in article text. PMID: 24973422.
6. Clebak KT, Malone MA. Skin Infections. Prim Care Clin Off Pract. 2018 Sep 1 ;45(3):433–54.
7. Rehmus WE. Folliculitis - Dermatologic Disorders. MSD Manual Professional Edition. 2022.
8. Johnson MK. Impetigo. Adv Emerg Nurs J. 2020 Oct/Dec;42(4):262-269. doi: 10.1097/TME.0000000000000320. PMID: 33105179.
9. Brishkoska-Boshkovski V, Dimitrovska I, Kondova-Topuzovska I. Clinical Presentation and Laboratory Characteristics in Acute and Recurrent Erysipelas. Open Access Maced J Med Sci. 2019 Mar 14;7(5):771-774. doi: 10.3889/oamjms.2019.213. PMID: 30962836; PMCID: PMC6447339.
10. Galindo E, Hebert AA. A comparative review of current topical antibiotics for impetigo. Expert Opin Drug Saf. 2021 Jun;20(6):677–83.
11. Michael Y, Shaukat NM. Erysipelas.In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022 Jan-.
12. Brown BD, Hood Watson KL. Cellulitis.In: StatPearls.Treasure Island (FL): StatPearls Publishing; 2022 Jan-.
13. Herchline TE. Cellulitis. Practice Essentials, Background, Pathophysiology. Medscape; 2022.
14. Ramakrishnan K, Salinas RC, Higuita NIA. Skin and Soft Tissue Infection. Am Fam Phys, 2015. 92(6): 474-483. https://www.aafp.org/afp/2015/0915/p474.pdf
15. Wipperman J, Bragg DA, Litzner B. Hidradenitis suppurativa: Rapid evidence review. American Family Physician. 2019
16. Davis LS. Erysipelas. Background, Pathophysiology and Etiology, Epidemiology of Erysipelas. Medscape; 2021.
17. Gunderson CG, Cherry BM, Fisher A. Do Patients with Cellulitis Need to be Hospitalized? A Systematic Review and Meta-analysis of Mortality Rates of Inpatients with Cellulitis. J Gen Intern Med. 2018;33(9):1553-1560. doi:10.1007/s11606-018-4546-z
18. Rrapi R, Chand S, Kroshinsky D. Cellulitis: A Review of Pathogenesis, Diagnosis, and Management. Med Clin North Am. 2021 Jul;105(4):723-735. doi: 10.1016/j.mcna.2021.04.009. PMID: 34059247.
19. Pelletier J, Gottlieb M, Long B, Perkins JC. Necrotizing soft tissue infections (NSTI): Pearls and pitfalls for the emergency clinician. Journal of Emergency Medicine. Elsevier; 2022.

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