Diseases of the neonatal period are alwaysrequire special attention. Especially it concerns infectious lesions. Due to the fact that the baby's body is still poorly adapted to the new environment, and the immune system's functioning is still imperfect, inflammatory pathologies can lead to dangerous complications. Especially it concerns premature newborns, as well as children who are on artificial feeding. These babies are at risk and require increased attention of medical personnel.
An example of an infectious lesion 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.
Vesiculopustulosis in newborns - rathera 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 quicklyregress, 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.
The disease refers to purulent-septicpathologies characteristic of this 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, and so on.
Other causes of vesiculopustosis include:
Most often vesiculopustosis develops in the firstmonth of life baby. It is usually preceded by prickly heat - the appearance of redness in the skin folds (armpits, neck, inguinal region). The first rash may appear on the face. The disease results from blockage of sweat glands and the addition of infection. First, vesicular elements (bubbles) 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, inguinal and axillary folds.
If the disease is not treated in time, the contentsvesicles become purulent. The rash itself is opened, leaving a hyperemic surface. Later in place of the pustular elements appear crusts, healing takes place. Often, vesiculopustosis in newborns is not accompanied by symptoms of intoxication. Sometimes there may be low-grade fever, lethargy.
Vesiculopustosis can often be confused with others.skin diseases. This is due to the fact that many dermatological pathologies begin with similar symptoms, turning into more severe forms over time. These diseases include infectious and allergic dermatitis, pemphigus neonatal. Vesiculopustosis is characterized by a mild intoxication syndrome (sometimes it is completely absent), the size and nature of the rash. It should be noted that it almost always occurs against the background of chickens and spreads after bathing the baby. When conducting KLA and OAM changes are not observed, unlike other pathologies. If the disease does not respond to therapy, then the content of lesions is analyzed for the selection of antibacterial drugs.
Despite the fact that the disease is not accompaniedthe serious condition of the baby, the child must be hospitalized. It is necessary for accurate diagnosis and treatment effectiveness. In most cases, vesiculopustosis in newborns does not require antibiotic therapy. Most often, sufficient local treatment. The rash is treated with a solution of fukortsin, brilliant green. Baby's skin is gently rubbed, bathing is contraindicated.
Folds are treated with a weak solution.potassium permanganate, furatsilina. If the treatment does not help, then a more thorough diagnosis (for the presence of intrauterine infections) is carried out. Prescribed antibacterial drugs: "Cefazolin", "Penicillin".
With rapid healing and improvementbaby can accurately diagnose vesiculopustosis in newborns. Photos of skin rashes in this disease can be seen in special textbooks on neonatology. To avoid complications of vesiculopustosis, it is necessary to thoroughly process the new bubbles, do not bathe the baby, and wash your hands before taking the baby. Primary prevention of the disease includes breastfeeding and proper hygiene of the newborn.
