Sudden Rash Under PICC Dressing -- Antifungal Creams? What else?

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JustPiccd
Regular Member


Date Joined Dec 2017
Total Posts : 84
   Posted 2/24/2018 9:39 PM (GMT -6)   
Suddenly I have this puffy, super itchy, sort of prickly rash under my PICC dressing that came out of nowhere. Nothing has changed in the routine in terms of the actual dressing I use, dressing change process, etc. I don't think it got wet but I have noticed some increase in night sweats as part of herx from adding babesia herb, so maybe some moisture got in there. I think from what I've read it's most likely a fungal infection. I do have Diflucan I started orally but doesn't seem to be doing much.

My question is this: I've read one can use antifungal cream and/or hydrocortisone cream on PICC rashes. But nobody has really specified if they're talking about using these creams *under* a sterile dressing, and if so, how to pull that off since the creams would not be sterile. I do my own dressing changes, so would I smear some on and just let it air out a few minutes after removing the old dressing, before using the dressing change kit and putting on gloves and switching to full aseptic conditions? And then just clean it off again as I go through the steps of the kit?

I'm just really confused how to do this, and also would like recommendations on which creams to actually use (brands or active ingredients). I also started taking oral antihistemines (hydroxyzine) but it doesn't seem to make a huge difference: however additional recommendations for antihistemine foods might be helpful if anyone has any ideas (or supplements -- I'm taking turmeric tincture as an anti-inflammatory, along with fish oil).

Also has anyone tried a silver-infused dressing for this and had success? Apparently silver is pretty good for fungal infections, and I was told I could do wound dressings like that (as long as sterile) temporarily under regular dressing. I'm trying a sterile manuka honey one now but, again it doesn't seem to be working. I was told by a nurse from the infusion company this would be okay.

Thanks! I'm doing other measures, like ice packs, but they're not helping at all, and it's really driving me nuts. From everything I read, it does not show indications of being MRSA, thankfully (which wouldn't be so itchy, apparently).

Girlie
Forum Moderator


Date Joined May 2014
Total Posts : 32622
   Posted 2/24/2018 10:20 PM (GMT -6)   
JustPiccd - I can’t help with that - but I have emailed someone who may have the answer.

I don’t know if she will reply in the next couple of days though. I will be sure to post if she does
Moderator, Lyme Forum
Symp started April/2013; Buhner's Lyme May 15-July24/14; Igenex pos. July 3/14
Doxy: July 4-Aug.24/14;Zithro July26-Aug24/14; Amox + Proben. Aug. 29/14;
added biaxin Sept. 26/14
Disc. amox,added Ceftin Nov. 20th.;
Disc. biaxin added Buhner bart herbs Dec/14;Jan/15 pulsing Tinda (w/ Ceftin);
Abx/herb break Apr-July/15; July-mino; Aug. added Rif;
Nov./15 mino - to biaxi

Lapis_29
Veteran Member


Date Joined Sep 2017
Total Posts : 844
   Posted 2/24/2018 10:32 PM (GMT -6)   
get some high ppm colloidal silver and apply topically, should really help. I like to combine high ppm silver with a good silver gel. both can be found on amazon.

this is likely a type of pressure sore, so google 'pressure sore remedy' for more ideas.

JustPiccd
Regular Member


Date Joined Dec 2017
Total Posts : 84
   Posted 2/25/2018 7:35 AM (GMT -6)   
Lapis, I did order some sterile (collodial) silver dressings, but am concerned about using anything that isn't specifically sterile. Do you know of a topical collodial silver that I could use under aseptic (sterile) conditions other than the dressings? All I have on hand right now is a collodial silver nasal spray, but I have one of two that has never been opened, do you think I should just spray that on the area?

I know you're not answering as a nurse/doctor (or assume so) so won't take it as specific medical advice, I just haven't used silver much beyond the nasal form. Thanks!

Girlie
Forum Moderator


Date Joined May 2014
Total Posts : 32622
   Posted 2/26/2018 11:21 AM (GMT -6)   
JustPiccd - I just got a reply from Pirouette - who did IV abx for many months.

Here's what she said:


"I would NOT use or put ANYTHING under an IV bandage/dressing. The creams are NOT sterile and that is a good way to invite infection, plus, the bandage won't stick if there is something applied to the skin.

If she has a breakout - she'll need to just let it heal and then she can have the needle re-inserted with dressing applied over it. I had to take a few breaks from tx for this reason... just a few days.

If she's having trouble with sensitivity to the bandage - she could try the 3000 bandage - I could not tolerate any other bandage:
https://www.amazon.com/Smith-Nephew-IV3000-Transparent-Dressings/dp/B007D43RIS

Also, the antiseptic used to clean/sterilize the area around the needle can also cause sensitivity so she might want to avoid the fancy stuff and use only alcohol swabsticks and/or try the Aplicare Providone-Iodine swabsticks.

Of course, she'll also need to be sure to implement a serious anti-fungal protocol."


She also said you could email her. If you want to do this - email me and I will give you her email.
Moderator, Lyme Forum
Symp started April/2013; Buhner's Lyme May 15-July24/14; Igenex pos. July 3/14
Doxy: July 4-Aug.24/14;Zithro July26-Aug24/14; Amox + Proben. Aug. 29/14;
added biaxin Sept. 26/14
Disc. amox,added Ceftin Nov. 20th.;
Disc. biaxin added Buhner bart herbs Dec/14;Jan/15 pulsing Tinda (w/ Ceftin);
Abx/herb break Apr-July/15; July-mino; Aug. added Rif;
Nov./15 mino - to biaxi

tickbite666
Veteran Member


Date Joined Mar 2014
Total Posts : 1604
   Posted 2/26/2018 11:58 AM (GMT -6)   
When I developed a similar rash I changed over to a Alcohol/Betadine dressing and it cleared up in no time.
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