Microbial eczema: treatment with ointments, alternative agents, antibiotics

Eczema is one of the most common skin diseases that do not have any sexual or age preferences. This means that each of us can face this pathology at least once in a lifetime. Most often the disease, accompanied by reddening of the skin, peeling, rashes and itching on it, caused by inflammatory processes in the epidermis, is allergic in nature. However, there is a kind of disease that occurs against the background of already existing skin pathologies and is bacterial in nature. Moreover, microbial eczema develops due to disturbances in the immune system, which are caused by relapses of other types of inflammatory skin diseases.

[1], [2], [3], [4], [5], [6], [7]

Epidemiology

According to statistics, eczema occupies a leading position in the tape of various skin diseases. She accounts for about 40% of cases of treatment for skin diseases. Microbial eczema doctors diagnose in 12-25% of cases of treatment for eczematous skin lesions.

Unlike true or professional eczema, microbial eczema develops against the background of existing diseases, and not due to the usual contact with the allergen, which caused an inadequate immune response with the activation of lymphocytes. For its development requires the presence of lesions on the skin in the form of scratches, abrasions, cuts, trophic ulcers, mycoses (fungal lesions), purulent wounds, eczematous lesions of an allergic nature.

Foci of a chronic infection can be found both externally (exogenous eczema) and within the body (endogenous pathology). In the second case, we are talking about odontogenic infections with localization in the head and neck region, inflammatory pathologies of the ENT organs, digestive and genitourinary systems.

[8], [9], [10], [11], [12], [13], [14]

Causes of the microbial eczema

As we have already understood, the emergence of microbial eczema against the background of recurrent skin diseases is caused by disruptions in the immune system. In other words, the lowered immunity contributes to the further development of the bacterial-inflammatory process.

But on the other hand, a decrease in immunity also does not occur from scratch. Failures in the work of the immune system (autoimmune reactions) and the weakening of the body's defenses are primarily promoted by bacterial and viral agents. Frequently repeated virus diseases, chronic course of bacterial and fungal pathologies negatively affect the state of the immune system, which simply does not have time to rest and gain strength. Depletion of the immune system leads to malfunctions in her work.

Disorders of the central nervous system and brain pathology, as the main regulating organ of the human body, can also cause malfunctions in the immune system, leading to the development of eczematous skin reactions. To promote the development of microbial eczema can also diseases of internal organs, such as the liver, kidneys, organs of the digestive tract.

Eczema is one of the manifestations of an allergy that develops as a result of inadequate functioning of the immune system, when the latter reacts too actively to certain stimuli. So, allergic reactions may well lead to the development of various types of pathology, both primary and secondary, such as microbial eczema.

Disorders of the endocrine system lead to metabolic disturbances and fluctuations in the hormonal background, which also confuses the immune system, which reacts instantly to any changes in the body.

In some cases, we can note the influence of the hereditary factor. Inadequate functioning of the immune system may be due to mutations in genes that are transmitted from generation to generation, or pathologies of fetal development in the prenatal period. By the way, the human immune system develops up to 15 years, which means that the impact of negative factors in childhood can lead to disruption of the immune system in the adult.

Microbial eczema can develop against the background of already existing bacterial and fungal skin lesions, long-term non-healing wounds, varicose veins of the surface veins with a disturbance of blood flow in them (stagnant phenomena in the vessels of the skin sometimes lead to the development of varicose eczema).

[15], [16], [17], [18]

Risk factors

Risk factors for the development of bacterial and inflammatory skin diseases can be:

• insufficient skin hygiene,
• emotional lability and frequent stress,
• chronic diseases,
• frequent cases of infectious diseases,
• increased radiation or contamination of the environment,
• violation of the integrity of the skin during cosmetic procedures and insufficient care for it (for example, microbial eczema can develop against the background of post-traumatic form of eczematous skin lesion, which is caused by skin damage with tattooing).

[19], [20], [21]

Pathogenesis

At the heart of the pathogenesis of eczema, including microbial, is an inadequate response to antigens that enter the body from outside or are formed inside it. Antigens that cause various allergic reactions in the form of rash, itching, swelling and redness of the tissues, which we see in eczema, are commonly called allergens. However, not all antigens (and not always) can cause an allergic inflammatory reaction.

In the case of microbial eczema, an allergic reaction develops with respect to microbes and bacteria that parasitize the skin or within the body for some time. If the immune system functions normally, it is able to cope with the infection without the development of inflammatory reactions. Against the background of the weakness of the immune system, an allergic reaction occurs to the protein component of the bacterial molecule (antigen), which has had a long negative effect on the body, resulting in sensitization (sensitivity) to this microorganism.

Most often, the development of microbial eczema is observed against a background of streptococcal or staphylococcal infection, as well as skin lesions by fungi. However, the influence of other pathogens of various inflammatory pathologies is also possible.

The mechanism of development of inflammatory reaction is based on increased secretion of prostaglandins, produced from fatty acids and are mediators of inflammation, increasing the production of histamine and serotonin and suppressing the reactions of cellular immunity. In the tissues of the body, as a result, an inflammatory process develops, in which the permeability of the vessel walls increases, intercellular edema is formed (in this case, the dermis and epidermis).

It aggravates and fixes the wrong reaction of the central nervous system, in the work of which patients with microbial eczema also noticed certain malfunctions that affect the processes of cellular nutrition (trophic tissue).

It is rather difficult to name the definite cause of the development of endogenous eczema, as well as explain why the allergic reaction to internal pathogens has external manifestations. However, scientists can with great confidence answer the question of concern to many: is microbial eczema contagious? No, it is not contagious, since it is allergic in nature, and therefore can not be transmitted by contact. You can only transfer bacteria to others, but not the reaction of the body to them. Further, it all depends on the state of human immunity that comes into contact with the patient.

[22], [23], [24], [25], [26], [27]

Symptoms of the microbial eczema

Microbial eczema is one of the varieties of eczematous skin lesions, which means that it is characterized by the symptoms observed in the development of this pathology: rash, itching, flaking, swelling of the skin. But these symptoms are typical for many skin diseases, including allergic nature. How to recognize the microbial. Eczema by its external manifestations.

The first signs of microbial eczema are erythema (severe reddening of the skin due to excess blood flow to the capillaries) in clearly delineated boundaries, swelling of the tissues of the affected area and the appearance of papular rashes on them. After some time the skin on the spot of redness begins to crack, in place of the papules appear bubbles with serous contents. A few days later, crusts of a yellowish-green color form on the site of the lesion.

All this resembles the development of dermatitis, which is inherently microbial eczema.

A characteristic feature of most types of microbial eczema is the asymmetry of the lesions. And they themselves often have the wrong shape. Around the focus of inflammation, you can observe a kind of curb, formed by the exfoliated areas of the upper layer of the skin. On the edge of the affected area are pustules with purulent contents, which, after opening, form yellowish dense crusts.

After removing the crusts, some pus is found beneath them. If you remove pus, you can see the glossy surface of a bluish-red or burgundy color, on which noticeable moknutie with foci of microscopic hemorrhages.

Another important feature of microbial eczema, which distinguishes it from the true form of the disease, is polymorphism of the rash with predominance of purulent elements.

Most often, microbial eczema affects the upper and lower extremities, which are most prone to injury, its foci can be seen also on the face or in the nipple region of women.

Microbe eczema on the hands is most often formed in the area of the hand and fingers. There are eczema of brushes, fingers and interdigital space with localization of foci in the places of skin folds in the corresponding part of the arm.

Rarely eczematous eruptions can be seen in the area of wrists, forearms and elbows.

Microbial eczema on the legs in its manifestations is similar to infectious dermatitis on the hands. The favorite places of the disease are the feet, shins and knees - the places most prone to injury with damage to the integrity of the skin.

Microbial eczema on the face is most often localized on the cheeks and in the chin area. The disease in the vast majority of cases is endogenous, because it is believed to exacerbate chronic infections within the body.

Microbial eczema in children

In childhood, microbial eczema is a fairly common disease. High motor activity against a background of minimal risk analysis leads to frequent episodes of injuries with skin damage. In addition, tender baby skin is very attractive for various types of bloodsucking insects, leaving itchy marks on the baby's body.

Because of the imperfection of the immune system, microbial eczema in a child develops much more often than in an adult. This is facilitated by insufficient hygiene of the hands and damaged areas. Kids tend to comb bites and healing itching scratches, while the hands and nails do not differ in sterile purity, which means they are the source of bacterial infection.

The immune system responds to an external infectious factor by developing an inflammatory reaction with the formation of hyperemia and edema of tissues, as well as purulent eruptions, which are subsequently covered with localized crusts with a clearly delineated border.

At a young age, the disease is rarely endogenous. Nevertheless, frequent infectious pathologies in childhood can cause a weakening of immunity and the development of endogenous or exogenous microbial eczema in adulthood.

Stages

Like any eczematous skin lesion, microbial eczema has several stages of development of the process:

• Stage 1 (onset of the disease or erythematous eczema) is characterized by reddening of a limited area of the skin and the appearance of itching on it.
• Stage 2 (development of the disease or papulovesicular stage) is marked by the appearance on the hyperemic areas of edema and eruptions (papules), which eventually fill with liquid.
• Stage 3 (the height of the disease or wet eczema): spontaneous opening of the vesicles with the release of serous contents, while in the place of the papules there are depressions in which pus accumulates.
• Stage 4 (attenuation of the disease or dry eczema) is observed after the inflamed area is covered with a yellow-green or grayish-yellow dry crust.

The development of the disease, especially of endogenous nature, at any stage may be accompanied by the appearance of new lesions.

There are also acute and chronic course of the disease.

Acute microbial eczema is a disease lasting no more than 3 months. The centers of an inflammation thus differ bright, sated or saturated by a cyanotic-red shade, constant allocation of a moisture and a strong itch.

If the pathology does not pass within half a year, talk about the subacute stage of the disease (from 4 to 6 months inclusive). In this case, the affected area has a less saturated color, a denser structure and is constantly flaky.

Chronic microbial eczema  is characterized by a longer course. Diseases are characterized by periods of remission and exacerbation. During remission, the damaged skin does not differ in color from healthy skin, but has a more dense structure due to pathological changes in the epidermis. With exacerbations, symptoms of acute eczema can be observed.

[28], [29], [30]

Forms

Microbial eczema is usually manifested in the form of individual rashes, but sometimes its foci occupy a sufficiently large area. This is characteristic of the endogenous form of the disease against a background of significantly reduced immunity and a predisposition to allergic reactions.

The common microbial eczema  is a chronic pathology, for which the time intervals between periods of exacerbations and the emergence of multiple inflammation foci covering a large area of the skin cover are typical. The treatment of this form of the disease is rather difficult.

Microbial eczema in relation to the pathogen causative agent can be divided into bacterial and  mycotic. The causative agent of mycotic eczema is fungal infection, most often bacteria from the genus Candida. The site of localization of mycotic eczema is usually the feet and toes in the region of the nail plate.

By the nature of the course of the bacterial-inflammatory process on the skin, microbial eczema can be:

• Numular (it is a plaque or coin-like form of pathology),
• posttraumatic,
• varicose,
• sicosiform,
• with localization in the nipple area (nipple eczema),
• and as a separate subspecies, dysgidrotic eczema (eczematous dermatitis).

Numular microbial eczema  is the formation of lesions of rounded shape on the skin. The foci have small dimensions (of the order of 3 mm), are distinguished by bright coloration and yellow purulent crusts. A favorite place of localization is hands.

Post-traumatic eczema is the development of a purulent-inflammatory process around the damaged parts of the skin around a wound (cut, scratch, wound, bite, burn). The process of tissue repair with this form of pathology is very slow.

Varicose eczema occurs due to a violation of blood flow in the capillaries of the skin. Stagnant phenomena in tissues cause the formation of deep small wounds (trophic ulcers) around which an eczematous lesion is formed if a bacterial infection enters the wound against a weakened immune system. Place of localization of foci of irregular shape - lower limbs.

Sycosiform eczema is a purulent-bacterial process that occurs against the background of inflammation of the hair follicles, which develops in the region of the scalp (mustache, beard, armpits, inguinal region), and then spreads to other areas. Strong wetness and intense color are characteristic for the affected areas.

The eczema of the nipples affects mostly women during lactation. The cause of the development of microbial eczema in this case are the trauma of the breast when feeding the baby against the background of insufficient hygiene of this part of the body. It can also occur in patients with scabies. The lesions have a bright shade and a dense structure, are prone to cracking.

Dyshidrotic eczema with a microbial component  is the appearance on the lower part of the hands and feet (soles, palms, fingers) of bubble rashes, the main cause of which are malfunctions in the sweat glands, metabolic disorders in the body, decreased immunity, predisposition to allergies. It is against this background that exposure to bacterial infection leads to the development of eczematous skin lesions.

Strongly itchy elements of inflammation (both single and group) are born deep in the skin, gradually rising above its surface. When a mechanical effect on the elements of inflammation there is a strong pain syndrome. The disease is characterized by a chronic course.

[31], [32], [33], [34]

Complications and consequences

Despite the fact that microbial eczema is not considered a serious and contagious disease, its consequences and complications are not as harmless as one would imagine. In this case, the disease gives the disease both in the absence of treatment, and in the wrong approach to therapy, for example, in self-treatment. Still, a bacterial infection with the development of a purulent-inflammatory process carries the danger not only of spreading the infection with coverage of large areas (widespread microbial eczema), but also the possibility of developing a generalized infection that affects the deep layers of the skin.

The appearance of multiple foci of lesions is fraught with an increased likelihood of contracting viral pathologies. For example, the herpes virus, affecting the skin in different parts of the body depending on the type of virus, can cause serious health pathologies: chickenpox, which has a severe course in adulthood, shingles, infectious mononucleosis, cytomegalovirus infection, herpetiform eczema known high level mortality. Herpetic lesions of the skin can be localized in the face, neck, genitals and anus, which creates additional inconveniences due to the appearance of the patient and painful sensations during food intake and the dispatch of physiological needs.

And how many unpleasant moments the disease brings. Unattractive spots on the skin with painful itching during periods of exacerbation cause certain physical and emotional discomfort. A hostile attitude on the part of other people, caused by an erroneous opinion about the contagiousness of the disease, often causes nervous breakdowns and insomnia, provoking problems in professional and personal life.

Diseased forms of the disease and delayed treatment cause the formation of ugly scars and scars on the skin.

[35], [36], [37], [38], [39], [40]

Diagnostics of the microbial eczema

When skin rashes and itching appears on the skin, it is recommended to visit a dermatologist first before taking any measures to solve the problem. First you need to establish an accurate diagnosis and identify the cause of pathological changes in the skin, and only a specialist doctor can do this.

External examination of the patient's skin condition, lesions and their localization, examination of the patient's history and complaints allow the doctor to prescribe an eczematous skin lesion for such symptoms as swelling and hyperemia of the skin, an itchy skin rash, the appearance of crusts on the site of purulent ulceration, etc. However, only laboratory and instrumental studies can confirm the diagnosis of "microbial eczema".

Material for research is obtained by scraping the skin from the affected area. In the process, the doctor examines the surface of the tissues under the crust for the presence of a wet area and hemorrhages.

After that, instrumental diagnostics of the obtained material is carried out using a sensitive microscope. With the help of microscopy of scraping, fungal (mycotic) pathogens are identified. Bacterial infection is determined by immersing the material taken during scraping into the culture medium. It is very important not only to identify the disease itself, but also to pinpoint its causative agent for the appointment of effective antimicrobial or antifungal agents.

If deep layers of skin are affected, the doctor prescribes a histological examination. The biopsy is taken from the deepest layers of the affected area. Its study helps to establish the severity of the inflammatory process, the presence in the infiltrate of extraneous components, for example, plasmocytes, producing antibodies.

If microbial eczema is not treated, there is a high probability of its transition into the true. If there is a suspicion of a change in the nature of the pathology, the doctor prescribes tests (usually UAC) for eosinophils, immunoglobulin E, and T-lymphocyte level.

[41], [42], [43], [44], [45], [46]

Differential diagnosis

Differential diagnosis is carried out between the microbial and other types of eczema, as well as with other cutaneous pathologies with similar symptoms (various types of dermatitis, psoriasis, and allergies reminiscent of symptomatic onset of eczematous pathologies).

Treatment of the microbial eczema

Since neglected microbial eczema tends to easily turn into the true, and also has other unpleasant consequences, its treatment should be started immediately after the appearance of the first signs of the disease. Since the allergic factor comes to the fore in the disease, it is no longer possible to get rid of it, the treatment of microbial eczema is to alleviate the patient's condition and stop the recurrence of the inflammatory process on the skin.

In order for the treatment to be successful, it is necessary to treat not only the external foci of the disease, but also pathologies that have caused microbial eczema.

An integrated approach to the therapy of a bacterial-inflammatory disease includes local treatment, systemic and physiotherapy, proper nutrition.

Medication Therapy

Preparations for the treatment of microbial eczema can be divided into 2 groups:

• external means for the removal of external manifestations of the disease,
• means for internal use as part of systemic therapy.

External means for local treatment of skin diseases:

• solutions of antiseptics for the treatment of damaged surfaces and compresses (boric acid 2% rr, resorcinium 1% rr, rr of brilliant green, lead water),
• ointments with drying effect (zinc, ichthyol, naphthalan ointment),
• ointments with antibiotics ("Bactroban" - ointment with antibiotic, "Drapolen" and "Dettol" - antiseptic creams with antibacterial effect, erythromycin, tetracycline and other ointments),
• external means for the treatment of fungal skin lesions (ointments "Exoderil", "Loceril", etc.) in the case of a mycotic form of the disease,
• non-hormonal anti-inflammatory drugs (Radevit, Eplan, Fenistil, Gystan, etc.)
• anti-inflammatory ointments and sprays containing corticosteroids are used in the case of a common eczema that affects a large area of the body (Advantan, Lokoid, Celestodarm, etc.)
• with extensive pathologies during remission - drugs that inhibit the synthesis of calcineurin ("Pimecrolimus", "Tacrolimus").

Medicines for systemic therapy:

• anti-allergic (antihistamines) (Diazolin, Zirtek, Suprastin, Lomilan, Loratodin) to relieve the painful symptoms of allergies such as skin rash, itching, inflammation. Intravenously drip doctors can prescribe solutions of calcium chloride and sodium thiosulfate.
• drugs-immunomodulators for reducing the activity of the immune system,
• antimicrobial oral agents (broad-spectrum antibiotics for microbial eczema fight against possible bacterial pathogens): Ampicillin, Ofloxacin, Doxycycline, Ciprofloxacin, and Cefazolin in the form of IM injections
• antifungal drugs ("Fluconazole", "Fucis" and others.
• sedatives (sedatives) that relieve psychoemotional stress and allow you to calmly rest at night (preparations of valerian and motherwort, light sleeping pills),
• vitamin complexes containing in a sufficient amount vitamins of group B, E and retinoids,
• corticosteroids (Prednisolone, Dexamethasone, Triamcinolone, etc.) with extensive severe skin lesions,
• cytostatics ("Cyclosporine", "Methotrexate") are also prescribed only in case of generalized infection.

Physiotherapeutic treatment  includes many methods of physical impact, improving the condition of patients with microbial eczema. The most effective methods are: irradiation of the skin with ultraviolet rays (as an option  PUVA-therapy ), UHF-irradiation, laser and magnetic therapy, drug electrophoresis, ozone therapy.

Surgical treatment is prescribed primarily with varicose eczema or to prevent it.

Ointments and oral means for fighting bacterial infection

Since the disease has multiple external manifestations, the ointments with microbial eczema are the main therapeutic agents that help to significantly alleviate the patient's condition, removing inflammation and unpleasant allergy symptoms. And since the disease is still associated with a bacterial infection, it can not do without external agents with an antimicrobial effect.

Ointment "Bactroban"  is an effective antimicrobial agent for topical application on the basis of antibiotic mupirocin, which does not have cross-resistance with other antibiotics, which makes it possible to use it as part of complex therapy of microbial eczema. The drug is intended for the treatment of staphylococcal and streptococcal infections. It is used in case of development of secondary bacterial pathologies.

A thin layer of ointment is covered with lesions 3 times a day. For application use a tampon made of cotton wool or bandage. The course of treatment is 10 days.

Contraindication to the use of ointment is only hypersensitivity to the components of the drug.

Side effects are expressed mainly in hypersensitivity reactions with rashes, burning and itching on the skin. Less commonly, ointment can cause nausea, gastralgia, headaches, systemic allergic reactions.

"Tetracycline"  is a 3% ointment with antibiotic of bacteriostatic action, used for infectious purulent pathologies, including microbial eczema. It eliminates the inflammatory process, significantly reduces the activity of pathogenic microflora, stimulates the regeneration of the skin.

To the affected area, the ointment can be applied several times a day (as directed by the doctor). The course of treatment is also determined by the attending physician.

Ointment is not prescribed for hypersensitivity to its components, severe violations of the liver, low level of leukocytes, the presence of fungal infection. In pediatrics use since 8 years. When pregnancy is used only in 1 and 2 trimester.

With external use, the antibiotic is well tolerated. Occasionally, local reactions may occur in the form of burning or itching, flushing of the skin. Systemic reactions can be observed only with prolonged use of the drug.

"Erythromycin"  in the form of an ointment is a bacteriostatic agent for topical application, which has a broader spectrum of antibacterial activity.

Ointment can be used to treat the skin since the period of newborn. You can apply it 2-3 times a day. The therapeutic course is usually 6-9 weeks.

Assign it to patients in the absence of hypersensitivity to the components of the drug. As side effects can be identified local allergic reactions and manifestations of irritant action of the drug.

In the case of a mycotic and mixed form of microbial eczema, the "Triderm" ointment , which contains the corticosteroid betamethasone, the antibiotic from the aminoglycoside group gentamicin and the antifungal agent clotrimazole, will be effective  .

Apply the drug to the lesions in a thin layer in the morning and evening, without covering the bandage. The course of treatment is set by the doctor.

The drug is not prescribed for hypersensitivity to its components, for skin and syphilis tuberculosis, viral skin infections, varicose veins, acne, herpetic skin lesions. Do not use in pediatrics.

Side effects rarely occur in the form of skin irritation at the site of application (itching, burning, dry skin). Systemic disorders are observed when using ointments under bandages, with long-term treatment and with a common form of pathology.

Antibiotics for microbial eczema  can be prescribed for both external and systemic applications in order to completely eliminate the bacterial factor that supports inflammation in the lesions. Antihistamines and anti-inflammatory drugs in this case will not be able to solve the problem on their own.

Depending on the bacterial pathogen and the severity of the pathology, antibiotics of a wide spectrum of action of different groups can be prescribed: penicillins (ampicillin), tetracyclines (doxycycline), macrolides (azithromycin, erythromycin), cephalosporins (cefazolin) and in severe cases of purulent skin lesions of fluoroquinolones (ciprofloxacin, ofloxacin ).

The use of broad-spectrum antibiotics makes it possible to fight not only the causative agent of the disease, but also to prevent the attachment of other infections during periods of exacerbation, when the lesions are most sensitive to the influence of pathogenic microorganisms.

Treatment of microbial eczema at home

Since microbial eczema is characterized by a chronic course of the inflammatory process, its treatment is not always justified in a hospital. Inpatient treatment can be prescribed during periods of exacerbation with common and other severe forms of pathology.

Usually, the treatment of microbial eczema is carried out at home. After conducting the diagnosis and diagnosis, the doctor prescribes appropriate treatment (usually external drugs and drugs for oral administration), which will need to take place mainly during periods of exacerbation.

In addition to the above preparations for the treatment of microbial eczema, as pathologies of an allergic nature, enterosorbents can be used. You can buy them at any pharmacy. They cost drugs inexpensively and will not bring harm, but they will help fight the symptoms caused by intoxication of the body due to allergies. A good effect is given by the reception of activated carbon or Polysorb preparation.

During the treatment of eczema, certain precautions must be followed. During the exacerbation of the disease, exposure to foci of moisture and sunlight is undesirable. Sunbathing in the acute period of the disease can not. Do not overheat at all.

It is necessary to avoid the use of household chemicals because of their negative (allergenic) effects on the body. To wash dishes and wash with eczema on hands it is possible only in protective gloves.

Means of hygiene should be sparing, if possible natural, including medicinal plants with soothing and anti-inflammatory properties.

You need to pay attention to the diet. Diet with microbial eczema means excluding from the diet of products that can cause allergic reactions, for example, chocolate and tropical fruits (citrus fruits), berries, chicken eggs, seafood. In dishes there should be no chemical flavors and coloring agents. Also excluded are alcoholic beverages, sweet soda, marinades and pickles, spices and seasonings, coffee.

Nutrition with microbial eczema should be balanced. The lack of eggs can be compensated for with low-fat meat, instead of sweets, use more fruit.

To avoid exacerbations in the diet should only be products that are allowed with microbial eczema. These are sour-milk and low-fat dairy products, fresh, boiled or stewed vegetables, local fruits, light dietary meats, porridges. Vegetable soups and broths, casseroles from vegetables and cottage cheese are also useful.

Alternative treatment

Microbial eczema, like other skin diseases, can be treated with effective alternative recipes. However, alternative treatment of the disease should be carried out in conjunction with traditional medicament and physiotherapy treatment.

Here are some useful recipes that can be successfully used to treat bacterial eczema at home.

1. As a drying agent with moknushchuyu eczema of any etiology it is useful to use mush and juice fresh potatoes. They are used for applications (exposure time of 20 minutes) and lotions that contribute to the elimination of edematous syndrome and stimulate the regenerative processes in the skin. In the gruel from potatoes can add honey, which will only enhance the therapeutic effect.
2. Recipes from garlic are very suitable for fighting bacterial infection. Garlic can be used both in fresh (you can get a burn!), And in boiled form. It is ground to a gruel-like condition and mixed with honey in equal proportions. Apply to the affected areas mixture is recommended three times a day. Time of exposure should be discussed with the doctor.

A lot of recipes for alternative medicine for the treatment of microbial eczema are based on the treatment of herbs. Decoctions for lotions and applications can be prepared from needles and pine cones (100 g of raw materials per 1 liter of boiling water), fresh walnut leaves (100 g of leaves per ½ liter of boiling water), herbal collections (in the composition can be calendula, turn, yarrow, St. John's Wort , nettle, birch buds, chamomile and other medicinal herbs).

It is useful to apply to the wounds also slightly wrinkled or knife-cut fresh elderberry leaves. The exposure time is 15 minutes.

As an internal remedy, you can use infusions of yarrow or dandelion roots.

[47], [48], [49]

Homeopathic treatment

It will help patients with microbial eczema and homeopathy, whose medicines are relatively safe and effective for various types of eczematous skin lesions.

Since microbial eczema is characterized by chronic course, and when exacerbation there is the appearance of wounds, the main preparation of homeopathic treatment will be considered Graphite in the form of granules and ointments.

As an antibacterial component, it is recommended to use Oleander, effective in the case of separation from the crusts of exudate and pus.

As an external agent, ointments prepared on the basis of homeopathic preparations Viola tricolor and Rus toxicodendron can be used.

With any eczema accompanied by itching, Gelzemium, Arsenicum Album, Sulfur, Hina and others, prescribed by the doctor as a homeopath according to the diagnosis, constitutional and psychophysical characteristics of the patient's body, are indicated.

Prevention

To prevent the development of such pathology, as microbial eczema, is rather difficult. Even if the wound is kept in sterile conditions (which is almost impossible with eczema on the hands and feet), it is simply impossible to exclude the development of pathology with a 100% guarantee. After all, bacteria can "doze" inside the body and activate under the influence of unfavorable factors.

But to reduce the likelihood and frequency of recurrence of the disease is quite possible, adhering to certain rules:

• compliance with a special diet that excludes food allergens,
• treatment of various chronic pathologies, especially of an infectious nature,
• increased immunity,
• rejection of bad habits,
• observance of personal hygiene with the help of natural means,
• wearing clothes and linen strictly from natural fabrics, synthetics, wool and flannel are prohibited,
• stabilization of the psychoemotional state, elimination of stressful situations,
• regular rest at sea during periods of remission,
• with varicose eczema wearing special stockings or bandaging feet in the area affected by medical bandages,
• regular preventive examinations at the dermatologist (4-6 times a year).

[50], [51], [52], [53], [54], [55], [56]

Forecast

The prognosis of the disease is generally favorable. Timely treatment and compliance with the doctor's recommendations regarding nutrition and leisure will help to significantly reduce the likelihood of recurrence of the disease.

Microbial eczema - non-contagious skin disease, treatable. It is not so difficult to treat as it seems at first glance. If you start treatment of the disease at an early stage, there is every chance to forget about it for a long time.