Current international and national guidelines for managing skin and soft tissue infections

被引:19
作者
Bouza, Emilio [1 ,2 ,3 ,4 ,5 ]
Burillo, Almudena [1 ,2 ,3 ]
机构
[1] Hosp Gen Univ Gregorio Maranon, Dept Clin Microbiol & Infect Dis, Madrid, Spain
[2] Univ Complutense Madrid, Sch Med, Med Dept, Madrid, Spain
[3] Gregorio Maranon Hlth Res Inst, Madrid, Spain
[4] CIBER Resp Dis CIBERES CB06 06 0058, Madrid, Spain
[5] Clin Microbiol & Infect Dis Dept, Doctor Esquerdo 46, Madrid 28007, Spain
关键词
guideline; soft tissue infection; therapy; ACUTE BACTERIAL SKIN; VANCOMYCIN PLUS AZTREONAM; PSEUDOMONAS-AERUGINOSA SKIN; SINGLE-DOSE ORITAVANCIN; COMPLICATED SKIN; CEFTAROLINE FOSAMIL; DOUBLE-BLIND; DISEASES SOCIETY; PHASE-III; CEFTOBIPROLE MEDOCARIL;
D O I
10.1097/QCO.0000000000000814
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Purpose of reviewSkin and soft tissue infections account for a significant percentage of both community and nosocomial infections. Several nosological entities are included in this concept. However, there is a very scarce body of doctrine for their treatment based on randomised trials. Therefore, we considered it necessary to review current treatment guidelines to bring new recommendations and improvements to our colleagues. In this review of recent literature, we identified updated guidelines in this area by searching the databases PubMed, evidence-based medicine online, York University reviewers group, Cochrane, MBE-Trip and Sumsearch using the terms: soft tissue infection, therapy, guideline.Recent findingsDevelopments focus on using new antimicrobials and on the prescription of shorter antibiotic treatment courses.With the development of new drugs and the current evidence of their use, there is a need to refine the appropriate drug's decision-making. Drugs with a long half-life, which allows weekly administration, can reduce hospital admission and length of stay with fewer healthcare resources. Shorter courses of antibiotics are recommended. The role of stewardship programmes will continue to expand. The surgical indication and its value are evident in many patients. Therefore, management should rely on a collaborative group with experience in this disease.
引用
收藏
页码:61 / 71
页数:11
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