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Clinical Guidelines for the Antibiotic Treatment for Community-Acquired Skin and Soft Tissue Infection

Yee Gyung Kwak1,2, Seong Ho Choi3,4, Tark Kim1,5

  • 1The Korean Society of Infectious Diseases, Seoul, Korea.

Infection & Chemotherapy
|January 5, 2018
PubMed

Insights

This updated guideline provides evidence-based recommendations for diagnosing and managing common adult skin and soft tissue infections (SSTIs). It covers various SSTI types, excluding diabetic foot, surgical, and immunocompromised cases.

Area of Science:

  • Infectious Diseases
  • Clinical Microbiology
  • Public Health

Background:

  • Skin and soft tissue infections (SSTIs) are prevalent and significant infectious diseases.
  • An update to the 2012 Korean guideline for SSTI was necessitated.
  • Existing guidelines required adaptation for current clinical practice.

Purpose of the Study:

  • To provide updated clinical recommendations for the diagnosis and management of SSTIs.
  • To establish a standardized approach for treating common SSTI presentations in adults.
  • To offer guidance on specific SSTI types, including impetigo, cellulitis, and bite infections.

Main Methods:

  • The guideline was developed using an adaptation method.
  • Evidence-based literature review informed the recommendations.
  • Expert consensus was utilized in formulating the guideline.

Main Results:

  • Recommendations cover the diagnosis and management of impetigo/ecthyma.
  • Guidance is provided for purulent skin and soft tissue infection, erysipelas, and cellulitis.
  • The guideline addresses necrotizing fasciitis, pyomyositis, clostridial myonecrosis, and human/animal bites.

Conclusions:

  • This guideline offers a comprehensive update for adult SSTI management.
  • It targets community-acquired SSTIs in patients aged 16 years and older.
  • Exclusions include diabetic foot, surgical, and immunocompromised infections.
Keywords:
CellulitisErysipelasFasciitisImpetigoPyomyositis

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