Current guidelines and recommendations for the management of skin and soft tissue infections

Current Opinion in Infectious Diseases
Philippe MontraversCamille Welsch

Abstract

The incidence of severe skin and soft tissue infections (SSTIs) has significantly increased over the last years. In addition, major ecological changes have been reported with the emergence of community-acquired methicillin-resistant Staphylococcus aureus (MRSA), involved in a large proportion of these cases. A large number of expert opinions, guidelines, and recommendations for the management of SSTIs have been published over the last decade. The purpose of this review is to compare these guidelines. A total of six official publications have presented recommendations for the management of SSTIs. During the same period, other guidelines for the management of MRSA infections have also been published, including some recommendations for SSTIs. The applicability of the guidelines is questionable in many ways. The distinction between necrotizing/nonnecrotizing infections is valuable but difficult to apply prior to surgical management. The prescribers should choose a pragmatic approach to empirical antibiotic therapy, taking into account the patient's initial severity, the extent of infection and risk factors for resistant microorganisms essentially related to healthcare-associated circumstances.

References

Apr 5, 2008·Intensive Care Medicine·Régis BronchardPhilippe Montravers
Mar 14, 2009·The Journal of Antimicrobial Chemotherapy·F Kate GouldUNKNOWN MRSA Working Party of the British Society for Antimicrobial Chemotherapy
Oct 29, 2009·Surgical Infections·Addison K MayUNKNOWN Surgical Infection Society
Sep 21, 2010·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Angelo PanUNKNOWN GISIG (Gruppo Italiano di Studio sulle Infezioni Gravi) Working Group on Complicated Skin and Skin-Structure Infections
Oct 12, 2010·The Journal of Antimicrobial Chemotherapy·Charis MarwickPeter Davey
Jan 7, 2011·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Catherine LiuUNKNOWN Infectious Diseases Society of America
Jan 11, 2011·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Catherine LiuHenry F Chambers
Jun 21, 2014·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Dennis L StevensJames C Wade
Nov 26, 2014·World Journal of Emergency Surgery : WJES·Massimo SartelliKuo-Ching Yuan

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Citations

Aug 6, 2016·The Journal of Antimicrobial Chemotherapy·Nehal Gamal HashemVeena Venugopalan
Apr 6, 2017·Journal of Chemotherapy·Silvano EspositoUNKNOWN Italian Society of Infectious and Tropical Diseases
Jan 31, 2017·Current Opinion in Infectious Diseases·Garyphallia PoulakouSotirios Tsiodras
Jan 17, 2019·Current Opinion in Infectious Diseases·Paola Del GiacomoMario Tumbarello
Mar 21, 2019·Aesthetic Surgery Journal·Christodoulos KaoutzanisK Kye Higdon
Jan 23, 2018·Open Forum Infectious Diseases·Rahul S KamathDaniel M Musher
Jun 8, 2018·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·Tom StargardtPaolo Antonio Grossi
Feb 15, 2019·Frontiers in Medicine·Fatma JendoubiJörg Christoph Prinz
Jan 28, 2017·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·D Seidel, J Bunse
May 21, 2019·Expert Opinion on Drug Safety·Matteo BassettiDaniele Roberto Giacobbe
Jul 25, 2019·Allergy, Asthma & Immunology Research·Jihyun KimDonald Y M Leung
Feb 10, 2021·Current Opinion in Infectious Diseases·Almudena Burillo, Emilio Bouza
Oct 10, 2021·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·Sébastien TanakaPhilippe Montravers

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Methods Mentioned

BETA
imaging techniques
biopsy
biopsies

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