clobetasol and Staphylococcal-Infections

Atopic dermatitis is commonly colonized with Staphylococcus aureus in high densities.. Our purpose was to study the effect of topical corticosteroids on the colonization of S. aureus in atopic dermatitis.. Sixty-six patients were treated with moderately potent, or very potent corticosteroids. Quantification of S. aureus and evaluation of the severity of the eczema was performed before, after 1 week, and after 2 weeks of treatment.. Fifty-three patients carried S. aureus in the most pronounced lesion before treatment. The colonization was significantly correlated with the severity of the eczema. The density of S. aureus was reduced by topical corticosteroids. The reduction increased with the potency of the corticosteroid and was most pronounced during the first week. S. aureus was eliminated after a successful 2-week treatment with a very potent corticosteroid. Propylene glycol 25% added to a moderately potent corticosteroid did not significantly increase the reduction of S. aureus.. Topical corticosteroids of sufficient potency reduce the density of S. aureus in atopic dermatitis.

Topics: Administration, Cutaneous; Adolescent; Adrenal Cortex Hormones; Adult; Child; Child, Preschool; Clobetasol; Dermatitis, Atopic; Drug Therapy, Combination; Female; Humans; Male; Methylprednisolone; Middle Aged; Neomycin; Staphylococcal Infections; Staphylococcus aureus

The 'soak and smear' regimen is a highly effective method for localised topical therapy employed by dermatologists for widespread inflammatory skin conditions. The regimen involves application of topical medication under occlusion after soaking in water. Complications from this treatment method are rare. We present a case of multiple, generalised methicillin-resistant Staphylococcus aureus (MRSA)-positive furuncles arising in a patient as an unexpected consequence of therapy. The case highlights an unanticipated risk of a commonly employed treatment amid an epidemic of MRSA in the community.

Topics: Aged; Anti-Bacterial Agents; Chlorhexidine; Clobetasol; Diagnosis, Differential; Doxycycline; Eczema; Furunculosis; Glucocorticoids; Humans; Male; Methicillin-Resistant Staphylococcus aureus; Mupirocin; Rifampin; Staphylococcal Infections; Staphylococcus aureus; Treatment Outcome; Water

Topics: Acrodermatitis; Clobetasol; Drug Therapy, Combination; Humans; Male; Mechlorethamine; Middle Aged; Neomycin; Nystatin; Staphylococcal Infections