What is the best medicine for dog skin infection

Skin Infections in Dogs

What Are Skin Infections in Dogs?

Skin infections are conditions that are caused by infectious organisms such as bacteria, fungi, or parasites. All areas of skin can be affected, including inside the ears and nose, as well as the hair and nails.

The severity of the disease depends on the type of infection and can vary from very mild to painful and itchy. Some organisms that cause skin infections are transmissible (or contagious), which means the infection can be passed to another mammal through direct contact or the environment. There are also infections that are caused by organisms that normally live on the skin and are not considered contagious.

Types of Skin Infections in Dogs

• Bacterial

• Fungal

• Parasitic

• Viral

Symptoms of Skin Infections in Dogs

• Redness

• Bumps or raised areas of the skin

• Itchiness (you may see your dog scratching, licking, and/or chewing the skin)

• Scales or flakes

• Crusts or scabs

• Hair loss (alopecia)

• Oozing or discharge (blood, pus, clear)

• Skin color changes (darker or lighter)

Causes of Skin Infections in Dogs

There are many causes of skin infections in dogs. Some infections are primary infectionsan infection directly caused by an infectious organism. Other infections are secondary infections and occur because of an underlying disease process that triggers an infection.

Primary Infection

Scabies is an example of a primary parasitic skin infection. Dogs acquire scabies by direct contact with an infected animal. The scabies mite then causes the clinical signs associated with the disease. Ringworm is an example of a primary fungal infection and is acquired due to contact with infected individuals or an infected environment, including soil.

Secondary Infection

A common example of a secondary skin infection is one due to skin allergies. The allergies cause inflammation of the skin, which then provides an environment favorable to organism growth. Bacteria or fungi that normally live on the skin are then able to multiply, leading to a bacterial or fungal skin infection.

How Veterinarians Diagnose Skin Infections in Dogs

There are several basic skin tests that are useful in diagnosing a majority of skin infections. The most common ones are:

• Skin scrapes: A dull scalpel blade is used to scrape the top layer of the skin; effective for finding skin parasites like demodex.

• Skin cytology: A sample is collected by pressing a microscope slide directly to the skin lesion or via a needle and syringe and then looked at under the microscope for bacteria, fungi, or abnormal skin cells.

• Tape preps: Clear tape is used to collect a sample of hair or skin to find bacteria, fungi, or parasites when viewed under the microscope.

• Cotton swabs: A cotton swab is used to collect a sample, most often from inside the ear, to diagnose bacterial, fungal, or parasitic infections.

• Cultures: A sample of skin, hair, or discharge is collected onto a growth plate to look for bacterial or fungal growth over time. This test can also be used to learn which antimicrobial medication is best to treat the infection.

Treatment of Skin Infections in Dogs

The treatment of a skin infection depends on the type of infection, the location of the infection, and the condition of the dog. Bacterial skin infections are treated with oral (by mouth) antibiotics, and/or topical products such as medicated shampoos, conditioners, sprays, and ointments. Common products include:

Fungal infections are treated similarly, with antifungal medications, and parasites are treated with antiparasitic medications.

To help the skin heal and to prevent future infections, other treatments are used to support healthy skin. For example, when treating an ear infection, special ear cleaners are used in addition to the antimicrobial medication. Omega-3 fatty acid supplementation is another treatment used to help resolve and prevent infections. Prevention is often the best medicine and regular bathing and grooming can be helpful for not only treating skin infections but also preventing them from occurring in the first place.

For secondary skin infections, it is important to treat the primary cause of the secondary infection. Skin allergies, for example, frequently require medications to reduce inflammation and allergic reactions. Treating a skin infection without treating the allergy will likely lead to another infection. Food allergies require special diets to reduce skin inflammation. If a food allergy is suspected, your vet will work with you to determine an appropriate food trial,to slowly remove certain ingredients and introduce possible allergies to determine the culprit.

Recovery and Management of Skin Infections in Dogs

The time it takes to treat a skin infection depends on the type of infection, the ability to treat primary causes of the infection, and the severity of disease. Sometimes the most difficult part of the treatment is sticking with treatments for as long as needed.

Some skin infections can be difficult to treat because of antimicrobial resistance. Antimicrobial resistance occurs over time, when microbes develop defenses against our medications, making those medications ineffective. In those cases, treatment can take longer and may require further testing.

Infections can resurface, especially if the primary cause of the infection has not been treated or resolved. Dogs with chronic conditions such as allergies or other diseases are more likely to have repeat infections.

Managing skin infections successfully can be complicated, time consuming, and expensive. Following your veterinarians recommendations closely and being patient during the treatment period is important for resolving the infection and preventing recurrence in your pup.

Featured Image: iStock.com/Sergeeva

WRITTEN BY

Dr. Rania Gollakner

Veterinarian

Rania Gollakner received her Doctor of Veterinary Medicine degree in 2010 and a Master of Public Health in 2017. She practiced companion...

Yeast Dermatitis (Malassezia) in Dogs: Signs, Symptoms, Treatments

Humans and dogs both uncomfortable when the weather gets hot and humid. That combination creates the perfect environment for yeast to grow and multiply on your dogs skin. An overgrowth of yeast can lead to a condition called yeast dermatitis in dogs or Malassezia dermatitis.

Dogs with yeast dermatitis tend to have itchy and inflamed skin, and they may be very uncomfortable. Heres what you need to know about Malassezia in dogs, including causes, symptoms, prevention, and treatment.

What Causes Yeast Dermatitis in Dogs?

Malassezia pachydermatis is a yeast (which is also a fungus). Its a normal inhabitant of a dogs skin, ears, and mucous membranes. A problem only occurs when theres too theres too much of this yeast, leading to secondary issues like a yeast infection, says Dr. Amy Attas, VMD of New York-based practice City Pets. Yeast dermatitis isnt a contagious disease, so a dog cant get Malassezia from another dog.

There are two main reasons why dogs develop yeast dermatitis: factors in the environment and factors in the patient. Being in hot and humid weather, as well as going for a walk on a rainy day, can increase the likelihood of a dog developing a yeast infection. In these circumstances, dirt and moisture can get trapped between their toes or skin folds, creating an ideal breeding ground for yeast. In addition to environmental factors, dogs may have some kind of issue that helps the yeast go from colonizing i.e., normal numbers to becoming infected, she says.

The most common cause of yeast dermatitis in dogs is allergies, including food sensitivities. Dogs with allergies tend to get a lot of yeast infections on their feet, their skin, and in their ears, she says. Another cause of yeast dermatitis in dogs may be problems with a dogs immune system. For example, if a dog has been on long-term antibiotics, their immune systems may be weaker, making the dog more prone to contracting an illness. In addition to treating harmful bacteria, antibiotics can also kill some of the ones that are keeping the Malassezia in check, Dr. Attas says. Yeast are opportunistic organisms that are going to take over if the patient has issues.

Symptoms Yeast Dermatitis in Dogs

Too much yeast in a particular area can cause the skin or tissue inside the ear to become inflamed. When this happens, dogs get uncomfortable and may seek relief by rubbing or scratching the affected area. Once a dog starts to get itchy, they can create an environment for a secondary infection in the ears or on the skin, Dr. Attas explains. Here are symptoms to look for in a dog with Malassezia:

• Itchy or inflamed skin
• Smelling like sour milk
• Coat that feels greasy to the touch
• Hair loss
• Scaly skin
• Skin turning black or become thickened if left untreated
• Dark brown, greasy discharge with a foul smell

Diagnosing Yeast Dermatitis in Dogs

Sometimes, because of the sour milk odor, a veterinarian can tell that your dog has Malassezia dermatitis just by smelling them. But before administering treatment, theyll confirm the diagnosis by collecting a sample of the dermatitis. There are several ways they can obtain a sample for testing.

If theres abundant discharge in the ears or on the skin, you can use a Q-tip and make a very thin preparation on a slide, Dr. Attas says. Then you can look at it under the microscope with special staining. Another painless option is doing an acetate tape preparation, which involves taking a piece of tape, pressing it against the area that looks infected, and peeling off the tape. The vet will then place the tape on a microscopic slide for further inspection.

A third way to get a sample is with a skin scraping. The vet will take a scalpel blade and gently take off the top layer of cells, which doesnt hurt the dog. It doesnt bleed and that gives an abundant supply of organisms to check under the microscope, she says.

If necessary, your vet may conduct a diagnostic test called a punch biopsy to see if theres a lot of yeast in an area, she explains. The vet might need to examine a full layer of skin to make a proper diagnosis and come up with a treatment plan. A punch biopsy involves using a sharp cutting tool to remove a small, tube-shaped piece of skin for microscopic examination. In most cases, this test isnt necessary.

Treatments for Yeast Dermatitis in Dogs

Typically, the treatment for yeast dermatitis in dogs involves topical agents (meaning you apply them directly to the body), like medicated dog shampoo, leave-in conditioner, and mousse. If your dog has a skin infection and Malassezia is the only yeast present, your vet may recommend using an antiseptic cleanser with an ingredient like chlorhexidine or a topical cream or spray with ingredient like ketoconazole. Yeast dermatitis may take a bit longer to treat than a bacterial infection.

Depending on how bad the infection is, you may need to bathe your dog one to three times a week, Dr. Attas says. If a dog is really greasy, Dr. Attas suggests using a degreasing cleanser for dogs (with an ingredient to cut through the grease like benzoyl peroxide) in combination with an anti-yeast shampoo for dogs. Using a degreasing cleanser helps ensure that the anti-yeast shampoo is making good contact with the skin.

The decision to use topicals is made based on how much of the body is affected and where on the body it is, Dr. Attas explains. For example, you wouldnt want to use shampoo for a yeast infection around your dogs eyes. In such cases, the vet might recommend treating the infection with oral medication.

Your vet might also prescribe oral medications if your dogs infection isnt improving or if its making them very uncomfortable. These oral antifungals for dogs include ketoconazole, itraconazole, fluconazole, and terbinafine. Theyre given orally and are metabolized through the liver, she says. If a dog needs to be on them for a prolonged period of time, well need to monitor their blood work.

Yeast Dermatitis: Prognosis and Prevention

To avoid chronic Malassezia infections, your vet may recommend early treatment. They may also recommend taking steps to keep yeast in check.

Breeds Predisposed to Yeast Dermatitis

Some dog breeds, like the West Highland White Terrier, Cocker Spaniel, Poodle, and Dachshund, are predisposed to developing yeast dermatitis. Other dogs that are prone to allergies and yeast infections are those with long, floppy ears or skin folds, great places for fungus to hide. They tend to be the same breeds that are overrepresented for allergies, Dr. Attas says. Thats the key thing here, if we dont address allergies, were not going to get these dogs better.

These dogs may also recover from yeast dermatitis, then contract another infection if the cause of the underlying allergy isnt addressed. So if your dog has allergies and recurrent yeast infections, be sure to talk to your vet.

Keep Your Dog Clean and Dry

Water can get into the ear canal when your dog goes for a swim. Then, if they have a floppy ear, weve just created a warm and moist environment thats very inviting to these organisms, Dr. Attas says. After your dog has a bath or goes swimming, make sure to dry their ears. You can use a cotton ball or sprinkle on an ear-drying agent that you put in the ear, rub around, and wipe clean.

Overweight dogs may be prone to allergies and yeast infections, as will dogs with long, floppy ears and dogs with lots of skin folds. Those folds tend to get moist and warm, so keeping them clean and dry will help prevent yeast from coming back, Dr. Attas says.

Bulldogs may be at higher risk of yeast on their feet because there isnt much space between their toes. If they go for a walk in the rain or mud, be sure to clean and dry their feet afterward.

Dr. Attas reminds owners that yeast is an organism that loves humidity. So once youve dealt with allergies, yeast dermatitis and infections will tend to be less of a problem. Cleaning skin folds and drying your dogs ears will make a less welcoming environment for yeast organisms and relieve some of your dogs discomfort.