Current views on etiopathogenesis, clinical manifestations and treatment of pyodermas in children
Pyoderma - a pustular skin disease caused by pyogenic bacteria, - golden staphylococcus and pyogenic streptococcus [1], belongs to the group of diseases of interdisciplinary character, because it is found in the practice of therapists, infectious disease specialists, pediatricians, surgeons, and others. [2]. Pyodermas are one of the most widespread dermatoses in Russia and abroad, accounting for 17 to 43% of the total structure of skin pathology [3]. Changes in macroorganism reactivity, pathogenicity of microorganisms and unfavorable influence of environment determine pathogenetic mechanisms of pyodermas development. In this article, each of the listed factors for the development of the skin infection process, clinical forms and complications are considered in detail. Pyodermas caused by S. aureus are the most frequently encountered in the practice of a pediatrician. To date, the clinical picture of staphylodermia in children is very diverse and includes both localized and widespread forms, and may be characterized by a generalized flow threatening the life of the patient. The most dangerous forms of pyodermas in pediatric practice are Ritter’s exfoliating dermatitis and Staphylococcal scalded skin syndrome. This article describes the general principles of diagnosis and treatment of pyodermas. Emphasis is placed on the description of antibacterial therapy under conditions of continuous growth of antibiotic resistance. Taking into account the high prevalence of the disease among children, the age features and variants of the course of pustular diseases in this group of patients are analyzed in detail.