Is it a spider bite or an
infection?
Brian M. Bourgeois, M.D., F.A.C.S.
Westbank Industrial Medicine
Cellulitis
Infection ofthe skin and its appendages
Progresses through the layers of skin
Involves transgression of epidermis by
external source
Introduction of native or foreign bacteria
Cellulitis
Recognition
Treatment
Antibiotics –first line vs. second line
Surgical drainage
Outpatient vs. inpatient
Pathogens
aka. offenders
Staph.
Strep.
Vibrio
Tetanus
MRSA
MRSA
Methicillin resistant Staph. Aureus
Appropriate treatment
Carrier state
Prevention
Damage control
Spider Bite
Brown recluse
Frequency
Recognition
Treatment
Prevention
Brown Recluse
What’s the Hubbub?
Necrosis
Secondary infection
Tissue loss
Outcome
Skin Care/Barrier Protection
Mechanical agent
Soaps
Chemicals
Surveillance
MYTHS and FACTS
All infectons are due to spider bites
All spider bites cause infections
These infections are resistant to
antibiotics
Infections are contagious
Patients require significant operations