special subjects
Skin Care of the Residual Limb
Skin infection
In normal, dry, intact skin, bacteria and fungi are kept in balance. However, the interface (some form of a gel layer or plastic) that is against the residual limb's skin creates a warm, moist environment that encourages growth of bacteria and fungi and development of infection. Damp skin also tends to breakdown, giving bacteria easy entry into the body. As a result, infection may spread. Signs of infection include tenderness, redness, ulcers, and a pus discharge. A bad odor may indicate infection or poor hygiene. If a minor bacterial infection progresses to Cellulitis or produces an Any sign of infection needs to be evaluated by a doctor. The following symptoms require immediate evaluation to prevent infection from becoming life threatening: The residual limb feels cold (indicating decreased circulation). The affected area is red and tender. The affected area gives off a bad odor. Lymph nodes in the groin or armpits swell. Pus or a thick discharge is present. The skin becomes gray and soft or black (either may indicate Gas Gangrene ). Treatment of bacterial infection typically involves local cleaning and topical antibiotics. Sometimes dead skin removal, oral antibiotics, or both are needed. Typically, the prosthesis should not be worn until the skin infection is resolved. Overview of Fungal Skin Infections should be treated with an over-the-counter antifungal cream. Measures to prevent Skin breakdown also help prevent infections. 