Wednesday, May 26, 2021
daily actions toward becoming better prepared for societal collapse
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Cellulitis is a common serious infection of the skin, one
which will likely become more frequently encountered as people engage in more daily
survival activities like gardening and woodcutting. It is potentially deadly and also is quite
easily managed—if you are prepared.
The bacteria that cause cellulitis, usually strep or staph,
are always present on healthy skin. That’s
one reason why frequent handwashing and bathing and maintaining healthy skin is
so important. It’s also why protecting
the skin from injury by wearing good clothing, shoes, and gloves when called
for is essential. And it is a reason why
any wound to the skin—anytime the skin is broken—must be carefully and
thoroughly cleaned.
Cellulitis most often develops on the extremities—the arms,
hands, legs, and feet—because this is where most minor injuries occur, but it
may appear anywhere on the body. [i] Scratches, scrapes, insect bites and stings,
cuts, rashes (which cause the patient to scratch and break the skin), cracked
skin, splinters—these all can allow bacteria to enter the body and let
cellulitis gain a foothold. [ii]
Risk factors
Other risk factors for the development of cellulitis
include:
Cellulitis is of particular concern because it can develop
and invade underlying tissues so quickly.
If it enters the lymph nodes and bloodstream, sepsis becomes a real
possibility. And recovering from sepsis
without antibiotics rarely occurs. [iv]
A healthy body will generally resolve minor infections
without further treatment. [v] Immunocompromised individuals—the stressed
and malnourished—as well as those with major infections will need some help.
Signs and symptoms
As the rash of cellulitis spreads (and this can happen very
quickly), the skin is stretched a bit, usually making it look a bit shiny. In lighter skinned people the skin color may
range from a little pink to bright red.
In people with darker skin, change in skin color may be more difficult
or even impossible to discern. The affected
skin will be warm and may be slightly raised.
It will be painful to the touch. [vi] Other signs and symptoms include:
Treatment
As with most rashes and infections of the skin, the border
should be outlined with a Sharpie so that you can determine whether the rash is
spreading or shrinking. Cellulitis will
continue to spread without antibiotic treatment.
Doctors disagree on which antibiotics to use. Dr. Koelker indicates that penicillin,
ampicillin, and amoxicillin are usually ineffective for treating cellulitis; Dr.
Alton includes these in the list of options.
Dr. Alton also suggests clindamycin, 150-300 mg, 3x per day,
7-10 days[viii]
Other antibiotics used to treat cellulitis are the same as those
for a regular infection of the skin:
If neither of those work, switch to or add:
If those are still ineffective, a doctor will try
ciprofloxacin or Levaquin. [x]
In contrast to other skin infections, as noted above cellulitis
has much greater potential to enter the bloodstream and cause septic
shock. Topical treatment such as with
antibiotic ointment is more effective for preventing
an infection; it will likely be of little efficacy in treating cellulitis.
Links to related posts:
Antibiotic Chart to Guide Acquisition
[i]
Cynthia Koelker, Armageddon Medicine, 2012, 206.
[ii]
Joseph Alton, Survival Medicine Handbook, 2013, 191.
[iii]
Joseph Alton, Survival Medicine Handbook, 2013, 191.
[iv]
Joseph Alton, Survival Medicine Handbook, 2013, 191.
[v]
Cynthia Koelker, Armageddon Medicine, 2012, 206.
[vi]
Cynthia Koelker, Armageddon Medicine, 2012, 206.
[vii]
Joseph Alton, Survival Medicine Handbook, 2013, 191.
[viii]
Joseph Alton, Soft Tissue Infections, Survival Medicine, 26 October 2020, https://www.doomandbloom.net/soft-tissue-infections/?utm_source=feedburner&utm_medium=feed&utm_campaign=
Feed%3A+drBonesAndNurseAmysdoomAndBloomtmShow+%28………DR+BONES+and+NURSE+AMY%27S+……….Doom+and+Bloom%28tm%29+Show%29
(accessed 20 May 2021).
[ix]
Joseph Alton, Survival Medicine Handbook, 2013, 191.
[x]
Cynthia Koelker, Armageddon Medicine, 2012, 206.
Wednesday, May 26, 2021
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