[Common skin and soft tissue infections-current recommendations].

Area of Science:

• Dermatology
• Infectious Diseases
• Microbiology

Context:

• Skin and soft tissue infections (SSTIs) are frequently managed by dermatologists.
• Accurate diagnosis and timely treatment are crucial for patient outcomes.
• Updated German-language guidelines provide a framework for managing these common conditions.

Purpose:

• To summarize the definition, diagnosis, and treatment of cutaneous abscesses, erysipelas, and uncomplicated/complicated soft tissue infections.
• To provide guidance on appropriate antibiotic therapy, targeting common pathogens like Staphylococcus aureus and streptococci.
• To reduce adverse effects and the development of antibiotic resistance.

Summary:

• Cutaneous abscesses require incision and drainage, with antibiotics for complicating factors. Erysipelas, caused by streptococci, is treated with penicillin.
• Uncomplicated soft tissue infections, often due to Staphylococcus aureus, are managed with oral or intravenous antibiotics like cefadroxil or cefazolin.
• Complicated infections involve comorbidities or extensive tissue damage, necessitating broader-spectrum antibiotic therapy based on causative pathogens.

Impact:

• Facilitates targeted and successful antibiotic therapy for common skin infections.
• Aims to minimize treatment-related adverse effects and curb the rise of antibiotic resistance.
• Supports dermatologists in effectively managing abscesses, erysipelas, and soft tissue infections based on current evidence.