马尔济斯犬，眼周红肿流脓，睑板腺炎
患宠信息：马尔济斯/妹妹/1岁9个月
咨询描述：马尔济斯犬，雌性，1岁10个月，5.7公斤，已绝育。7月30日发现眼周红肿流脓，宠物医院诊断为睑板腺炎，已经吃了两周****滴眼药水。周六农大动物医院就诊，继续给了口服激素（辽宁生产的优？舒？）一天一片；另外一种庆大和激素混合的滴眼液，。今天在第一个医院做的真菌培养结果出来了，显示镰刀菌感染。想知道是否需要马上去医院调整治疗方案，因为之前看的医生周六才有号。
问题大致一样，细节不同？
陈奕达 执业兽医师 您好，综合狗狗现在的信息来看，我的建议是去第一个宠物医院就诊，判断是否需要更换或者调整治疗方案。 然后狗狗疾病期间，建议佩戴伊丽莎白圈，防止抓挠刮蹭眼睛，不然可能会越来越严重。
是因为口服激素和激素眼药不一定对真菌管用，我在某个地方读到过有些激素会引起更严重的真菌感染？实话说我们本来是更信任中国农大的动物医院的，今天农大没有眼科医生上班，所以想看明天后天能不能加号。又怕耽误她的病情。等个两三天可以吗？还是需要马上治疗真菌呢？
陈奕达 执业兽医师 您好， 1.长时间使用激素，会引发局部抵抗力下降问题，但是一般按照疗程服用，出现这种情况概率并不是很高。 2.激素主要作用是抗炎，免疫抑制，对真菌问题没有太大的治疗效果。需要配合其它药物共同使用。 3.1-3天的时间，不至于耽误狗狗疾病问题。如果更加信任现在的主治医生，那么可以稍微等待一下。只要狗狗症状没有进一步发展，还是可以稍微等一等的。
好的，谢谢。真菌也会传染人的吧？酒精，肥皂就能消毒吗？家里怎么消毒您有建议吗？谢谢
陈奕达 执业兽医师 您好， 1.有一定概率传染给人，注意接触卫生，勤洗手，一般概率并不是很大。 2.可以使用紫外线灯照射消毒，缺点是不能照射活物。
她屁股皮肤上有一点点红破，两次剪毛后都发现了，之前以为是剪毛弄破了，现在看是不是有可能也是真菌感染，有什么药膏可以用吗
陈奕达 执业兽医师 您好，确实有可能是皮肤问题，不过进一步进行局部分泌物显微镜检查之前，还需要考虑是否还有细菌或者蠕形螨感染之类的因素。 进一步诊断之前，可以考虑给予使用一些宠物专用广谱消炎杀菌喷剂，来观察效果如何。 然后这边根据宝贝的皮肤情况，我给宝贝开个外用药物处方。供您采纳一下，以备您不时之需。 药物具体用法用量已经帮您计算妥当，您可以点击查看详情按钮，进入处方页面查看。 处方里面的 1. ****，宠物专用广谱消炎杀菌皮肤病喷剂均匀涂抹（喷涂）皮肤患处即可，禁止舔舐，口服。 您可以根据需求自行选择购买。
陈奕达 执业兽医师 非常感谢您对蘑菇宠医的信任，如果您对我的解答满意，请您给我点亮五星哦！祝您的爱宠早日康复！ 后续宝贝有其它问题，您可以到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问 希望我的建议可以帮到您，如果爱宠平时有什么养护小问题也可以通过蘑菇宠医小程序搜索了解哦~“
为保护用户隐私不显示图片/视频
医生建议及处方根据当前病情给出，仅适用于本次问诊
蘑菇宠医处方笺
用法用量需根据患宠的年龄、体重等信息开具，此处方暂不展示
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