Topical Tx for sup pyoderma

RE: Topical Tx for sup pyoderma

Lucy Fleming — Wed, 14 Nov 2018 08:56:37 GMT

For a) depending on how severe or how wide an area, daily or EOD until resolved.

for b) I tend to lean more towards a moisturising type product (oatmeal) and often a leave-in conditioning product rather than a shampoo. Find oral omega supplementation improves some as well (anecdote alert: according to owner feedback). Generally would advise once weekly for maintenance, varying by case.

RE: Topical Tx for sup pyoderma

David Mills — Tue, 13 Nov 2018 23:12:14 GMT

Unless there is a fungal infection, malaseb is an expensive form of hibiscrub.

Most of the other shampoos any better than a mild soapy one like baby shampoo??

RE: Topical Tx for sup pyoderma

Rob Loxley — Tue, 13 Nov 2018 21:45:18 GMT

[quote user="Anthony Todd"]As the cause was usually fleas or diet[/quote]

Then it's not atopy!

For superficial pyoderma I'd treat at least twice a week with chlorhexidine
For atopy cases where secondary pyoderma results I'd consider malaseb/chlorhexidine/coatex medicated every half to 4 weeks (depending on results), where microbial overgrowth isn't a massive feature I've used aloe/oatmeal or alleryml or duoxo calm shampoos, but be aware there is some body of evidence that says just rinsing the dog with water to rinse out reduce dermal exposure to allergens helps

[quote user="Anthony Todd"]Most, if not all, "washes" or baths just made the irritation worse[/quote]

Not sure I'd agree; I'd say occasionally the shampoo will cause more irritation but not mostly

RE: Topical Tx for sup pyoderma

Anthony Todd — Tue, 13 Nov 2018 17:39:56 GMT

As things you culture or find on any allergic skin are just along for the ride I used to treat the resultant "pathogens", which aren't, with intermittent steroids, with obvious temporary guaranteed patient relief in 12 hours.

As the cause was usually fleas or diet results were often very good eventually once clients were educated, and the cause was eliminated.

Most, if not all, "washes" or baths just made the irritation worse, IMHO and didn't achieve anything at all.

RE: Topical Tx for sup pyoderma

Bob Russell — Tue, 13 Nov 2018 15:16:09 GMT

I recommend chlorhexidine shampoo's (surgical scrubs), every two to three days, leave on for ten minutes then rinse well. Decrease the frequency as the condition improves.

Usually works a charm and clients don't feel ripped off by an £18 bottle of shampoo. Any left over can be used to wash hands!

RE: Topical Tx for sup pyoderma

Rebecca Sheppard — Tue, 13 Nov 2018 15:00:35 GMT

I advise twice a week as per the label, but I'm happy to be told otherwise! I can't imagine more frequent use would be a problem in cases of superficial pyoderma, but maybe no additional benefit either?