kitedoc
Well-Known Member
- Messages
- 4,784
- Location
- Adelaide, South Australia
- Type of diabetes
- Type 1
- Treatment type
- Pump
- Dislikes
- black jelly beans
Apologies for being late to the party. From my reading: infections like this are often caused by the Staph. bug (Staphlycoccus Aureas or family but also other bugs can be involved (see omicsonline.com J. Diabetes and metabolism 'Skin Infections in Diabetes: A Review - Gangwane et al Jan 2016 ) and because of our regular visits to places of infection (GP surgeries and hospitals), lowered immunity to infection as diabetics plus our penchant for injecting ourselves there can be a risk of picking up nasty bugs from one's skin, bugs that may be resistant to the usual first choice antibiotic the doctor suggests.On the subject of pumps... I seem to have a little infection on an old (maybe a fortnight) site. Red lump, a little warm, that leaks pus when I stick a sterile needle in it. Trying to get hold of someone to give me advice and maybe antibiotics but as it’s lunchtime, I’ve got two hopes - Bob and no.
Any advice? Sugars are good.
One 'trick' my doctor has used is to swab the discharge/pus and send it to the lab. then provide me with 2 days of antibiotic as samples and give me the script for the antibiotics also and when the swab result is back ? 48 hours he/she can tell me what bug(s) it is and if the bug(s) is(are) likely to be sensitive to the given antibiotic. If that antibiotic is likely to work I get the script filled, if not I can tear up the script and my doctor can fax a script for a difference antibiotic to my chemist. My doc says this approach works well for skin infections and urinary tract infections. But economics and convenience often stymie these attempts to reduce inappropriate antibiotic use.
The other thing my doctor said was that a collection of pus under the skin (= abscess) will not easily be cured by an antibiotic because the abscess prevents antibiotics reaching all the way in.
So the continued drainage of the abscess whether if necessary by the doctor putting a piece of material in the opening to stop it closing, or by lancing or cutting into the abscess to start it draining, is important. ( ask for the numbing cold spray before any cut as this numbs the skin. Local anaesthetic shots (like used for suturing or at the dentist etc do not work well for infected tissue if my experience as a non-wuzz and tough (but not super-tough) Aussie is anything to go by.
The two needle abscesses I have suffered from did not need the 'full treatment' above as they were small and draining well ( and I did not use occlusive dressings, tapes etc over the spot or did not try to use extreme pressure around the spot). I have only had one finger abscess from finger-prick measuring - minimal swelling of it was agony and lancing was need there. (even that did not get me out of the washing up though)!!
As always hand washing after dressings etc. and I avoided the skin site for a one month at least.
I hope you respond quickly to treatment @Mel dCP and make the most of the 'infirmity' to leave the household chores to others!!
Last edited: