Special issue

Microbial diseases secondary to allergic skin disease

(EJCAP 19/3 page 254-260))
Allergic skin diseases predispose dogs and cats to cutaneous infections including microbial overgrowth and surface, superficial and deep pyoderma, most commonly involving pathogenic staphylococci and Malassezia pachydermatis. These can be treated successfully with systemic and topical antimicrobial agents but tend to recur unless the allergy is well controlled. In the face of emerging multiresistance in Europe, particularly in Staphylococcus aureus and S. pseudintermedius, antibacterial treatment should be based on culture and sensitivity tests, and adoption of treatment regimens ensuring good compliance and antimicrobial administration for appropriate periods. Recurrence of infection can be controlled with topical antimicrobials and especially shampoos containing chlorhexidine and benzoyl peroxide but long term low dose or pulse therapy should be avoided. Staphylococcal vaccines can be effective in some cases of superfi cial pyoderma.
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