Vesiculopustulosis in newborns: pathogens, symptoms and treatment
An example of infectious disease is: vesiculopustulosis in newborns, pemphigus, omphalitis, etc. These diseases require the hospitalization of the baby in the children's hospital, since without timely treatment can lead to the development of sepsis.
What is it?
Vesiculopustulosis in newborns is a fairly common disease. It refers to the infectious lesions of the skin. The main manifestations of the disease - this is the appearance of pustular rash on the body and a weakly expressed intoxication syndrome. For newborns who are breast-fed, having normal body weight in the absence of other pathologies, vesiculopustulosis usually does not pose a hazard.
With timely treatment, symptoms quickly regress, complications are not observed. However, one should be alerted if the disease does not respond well to therapy, and the condition of the baby worsens. In these cases it often turns out that, in addition to skin lesions, there is also some kind of infectious pathology, most often congenital.
Vesiculopustulosis in newborns: causes of
The disease refers to purulent-septic pathologies characteristic of a given period. A lot of bacteria can cause vesiculopustulosis in newborns. Pathogens - Gram( +) cocci, E. coli. In most cases, the disease causes staphylococcal infection. In addition, there are factors that contribute to the development of purulent-septic processes. For example, congenital vesiculopustulosis in newborns is almost always associated with intrauterine infections transmitted by the baby from the mother. Among them are the herpes simplex virus, CMV, chlamydia, etc.
Other causes of vesiculopustule include:
- Inadequate skin care for a baby. With constant wrapping in warm clothes, the baby often develops a sweating fever. If the folds of the baby are treated untimely( use powder, baby cream), then a bacterial infection can join. As a result, develops vesiculopustulosis.
- Reduced immunity in a child. Most often observed in premature infants or in infants with intrauterine infection. It should be remembered that the normal development of the immune system of newborns is facilitated by breastfeeding.
- Non-observance of hygiene of mother and child( rare bathing, changing diapers, tight swaddling).
- High temperature and humidity in the room.
Symptoms of vesiculopustule in newborns
Most often, vesiculopustulosis develops in the first month of a baby's life. Usually it is preceded by sweating - the appearance of redness in the skin folds( armpits, neck, inguinal region).The first rashes may appear on the face. The disease occurs as a result of blockage of sweat glands and infection. First, the vesicular elements( vesicles) filled with transparent contents appear on the baby's skin. Later the rash spreads throughout the body. Often vesicles and pustules appear on the scalp, abdomen, legs, in the inguinal and axillary folds.
If the disease is not treated in time, then the contents of the vesicles become purulent. Rashes are opened independently, leaving a hyperemic surface. Later on the place of pustular elements appear crusts, healing takes place. Often, vesiculopustulosis in newborns is not accompanied by symptoms of intoxication. Sometimes subfebrile temperature, lethargy can be observed.
Differential diagnosis for vesicle pustule
Vesiculopustulosis can often be confused with other skin conditions. This is due to the fact that many dermatological pathologies begin with similar symptoms, changing over time into heavier forms. These diseases include infectious and allergic dermatitis, pemphigus of newborns. Vesiculopustulosis is characterized by a weakly expressed intoxication syndrome( sometimes it is completely absent), the size and nature of the rashes. It should be noted that it almost always occurs against the background of sweating and spreads after bathing the baby. In the conduct of the OAB and OAM changes are not observed, in contrast to other pathologies. If the disease is not amenable to therapy, then the content of the rashes is analyzed for the selection of antibacterial drugs.
Vesiculopustulosis: treatment of a newborn in a hospital
Despite the fact that the disease is not accompanied by a serious condition of the baby, the child must be hospitalized. This is necessary for accurate diagnosis and treatment effectiveness. In most cases, vesiculopustulosis in newborns does not require antibiotic therapy. Most often, sufficient local treatment. The rashes are treated with a solution of fucocine, brilliant green. The skin of the baby is gently wiped, bathing is contraindicated.
The wrinkles are treated with a weak solution of potassium permanganate, furacilin. If treatment does not help, then more thorough diagnosis( for the presence of intrauterine infections).Assign antibacterial drugs: "Cefazolin", "Penicillin."
Prevention of Complications of Vesiculopustule
With rapid healing and improvement of the baby's condition, it is possible to accurately diagnose vesiculopustulosis in newborns. Photo of skin rashes with this disease can be seen in special textbooks on neonatology. To avoid complications of vesiculopustules, it is necessary to carefully handle new vesicles, do not bathe the baby, wash hands before taking the baby. Primary prevention of the disease includes breastfeeding and proper hygiene of the newborn.