[Prevention and treatment of infections in phlebology and lymphology]

Fanny Rodríguez Santos1,2,3, Oscar Bottini2,3,4, Yanina Nuccetelli5,6,7

  • 1Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

Medicina
|August 12, 2025
PubMed

Insights

Skin and soft tissue infections in patients with venous and lymphatic diseases require a multidisciplinary approach. These recommendations aim to prevent and treat infections, promoting rational antimicrobial use, especially in Latin America.

Area of Science:

  • Infectious Diseases
  • Vascular Medicine
  • Public Health

Background:

  • Skin and soft tissue infections (SSTIs) are common in patients with venous and lymphatic diseases, impacting quality of life and healthcare costs.
  • Diagnosing and managing these infections is challenging due to inflammatory conditions mimicking infection, leading to antimicrobial misuse and resistance.
  • Existing guidelines may not adequately address local needs in resource-limited regions like Latin America.

Purpose of the Study:

  • To provide recommendations for the prevention and effective treatment of infections associated with venous and lymphatic pathologies in adults.
  • To promote a multidisciplinary approach integrating non-pharmacological treatments and rational antimicrobial use.
  • To incorporate patient perspectives for a comprehensive and contextualized approach, particularly for Latin America.

Main Methods:

  • Development of recommendations through collaboration with the Argentine Society of Infectology and national/regional Phlebology and Lymphology Societies.
  • Integration of evidence-based practices for infection prevention and management.
  • Inclusion of patient society perspectives to ensure relevance and applicability.

Main Results:

  • The document presents a comprehensive set of recommendations tailored for adult patients with venous and lymphatic diseases.
  • Emphasis on a multidisciplinary strategy for managing SSTIs in this population.
  • Guidelines are contextualized for Latin America, addressing specific regional needs and resource limitations.

Conclusions:

  • Effective management of SSTIs in venous and lymphatic diseases necessitates a multidisciplinary approach.
  • Rational antimicrobial use and non-pharmacological interventions are crucial for controlling infections and antimicrobial resistance.
  • These recommendations offer a valuable framework for healthcare providers in Latin America and similar settings.

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