How do you treat gram-negative folliculitis in a transplant patient on sirolimus who cannot use isotretinoin due to drug interactions?
Answer from: at Academic Institution
The most critical issue with these infections in the immunocompromised host is the correct identification of the organism and its sensitivities to allow appropriate selection and course of antibiotics.
Because the infection is deep in the hair follicle and the patient will shave the area, there is ...
Comments
at Tufts University School of Medicine Agreed. Selective antibiotic use and prevention ar...
at University Hospitals Topical .1-.2% sodium hypochlorite has also been s...
at Ginsburg Dermatology Center I like using hypochlorous acid wipes in many condi...
Considering that Isotretinoin has a fairly short list of medication interactions, I would consider if the potential interacting medication is amenable to a therapeutic alternative.
After trialing topical options, as contributors have suggested, getting an accurate sampling of the major culprit orga...
Agreed. Selective antibiotic use and prevention ar...
Topical .1-.2% sodium hypochlorite has also been s...
I like using hypochlorous acid wipes in many condi...