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Skin Diseases and Disorders01:23

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Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
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Standard Precaution01:26

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Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
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A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
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[Common skin and soft tissue infections-current recommendations].

Cord Sunderkötter1,2, Helena Schieffers3, Karsten Becker4

  • 1Universitätsklinik und Poliklinik für Dermatologie und Venerologie, Universitätsmedizin Halle, Martin-Luther-Universität Halle-Wittenberg, Ernst-Grube-Str. 40, 06120, Halle (Saale), Deutschland. cord.sunderkoetter@uk-halle.de.

Dermatologie (Heidelberg, Germany)
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Summary

This review summarizes German guidelines for skin infections like abscesses, erysipelas, and soft tissue infections. It details diagnosis and treatment, emphasizing appropriate antibiotic selection for Staphylococcus aureus and streptococcal infections.

Keywords:
AbscessAntibioticsComplicated soft tissue infectionErysipelasUncomplicated soft tissue infection

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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.