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For all lymphedema and chronic venous insufficiency patients, it is extremely important to avoid infection. The following information may be helpful in warding off potentially dangerous infections of the affected limb(s).
PREVENTION
Precautions are designed to reduce the risk of developing serious infections in the affected limb. Perform a daily "skin check", paying close attention to skin folds and areas with reduced sensation. This is best performed daily before bathing. Look for cuts, abrasions, insect bites or any other signs of damaged skin. Inspect nails for cracked or torn cuticles, hang nails or ingrown toenails. All of these skin openings are potential sources for infection. Preventative measures include cleaning the opening on the skin, applying an antibacterial cream to the area and covering it with a bandage.
SIGNS AND SYMPTOMS
The onset of early-infection may vary, but often patients first notice:
- A rash and itching on the affected limb
- Discoloration
- Increased swelling
- Increased temperature
- Heavy sensation in the limb
- Pain radiating in the arm pit or groin
- Chills and high fever
- Unusual color, amount or odor of drainage from the wound
N0TE: Consult your physician immediately, should any of the above symptoms occur.
TREATMENT
Immediately discontinue all lymphedema treatment (compression stocking/sleeve, compression pump therapy) immediately at onset of infection and contact your physician. The following instructions may be given:
- Antibiotics
- Rest
- Increase fluid intake
- Watch for changes in the limb
- Monitor body temperature
- Stay out of the direct sun
The physician may suggest having an antibiotic on hand at all times. Signs of infection, such as chills, fever, local tenderness, and/or ascending redness with streaks along the lymphatic limb, should be followed by immediate antibiotic administration.
OTHER IMPORTANT TIPS
- Patients who undergo surgery should take extra precautions and should inquire about the use of antibiotics prior to surgery.
- Patients who have the flu, a cold, allergies, or a high level of stress in their line are often more susceptible to developing infections as a result of the weakened lymphatic or circulatory system.
Please remember - you are responsible for your own health. Be alert to any changes that could worsen your condition. |
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