Pharmacy Magazine recently hosted a webinar in partnership with Glenmark during which dermatologist Dr Hitesh Pitambar delved into the complexities of bacterial skin infections and highlighted practical approaches for pharmacists. The session aimed to equip pharmacists with essential knowledge to enhance patient care in treating these infections.
KEY PATHOGENS & INFECTIONS
Dr Pitambar provided a detailed exploration of two major bacterial culprits: Staphylococcus aureus and Group A Streptococci. These pathogens are known to breach the skin's defenses, leading to various infections. The webinar identified common conditions caused by these bacteria, including:
Impetigo: A highly contagious infection mainly affecting children. Mupirocin cream is recommended for treatment, with oral antibiotics as a secondary option if necessary.
Ecthyma and folliculitis: These involve deeper skin layers and hair follicles, respectively, requiring topical antibiotics for management.
Furunculosis (boils): These deeper infections may require both topical and oral antibiotics for effective resolution.
TREATMENT STRATEGIES & ANTIBIOTIC STEWARDSHIP
A focal point of the discussion was the use of mupirocin, a topical antibiotic notable for its efficacy against gram-positive bacteria, including methicillin-resistant Staphylococcus aureus (MRSA). Attendees were reminded of the importance of conducting susceptibility tests to guide treatment decisions and maintain antibiotic efficacy.
MUPIROCIN'S EFFICACY & PATIENT COMPLIANCE
Mupirocin was positively compared to other treatment options due to its formulation, which enhances patient compliance. Studies cited during the webinar confirmed its effectiveness and safety in managing skin infections, reinforcing its role as a first-line treatment. The session underscored the critical role of pharmacists in advising on and dispensing this medication, along with educating patients about adhering to prescribed treatments.
CONCLUSION & RECOMMENDATIONS
The webinar concluded by urging pharmacists to practice intelligent antibiotic stewardship. This includes advising on the sparing use of antibiotics and recognising when the body's natural healing processes can prevail without intervention. Emphasis was placed on continually monitoring resistance patterns and potentially adapting treatment protocols accordingly.
Overall, the webinar provided pharmacists with comprehensive insights into diagnosing and managing bacterial skin infections, ensuring they are well-prepared to assist patients effectively in combating these common yet challenging conditions.
