期刊
EMERGENCY MEDICINE CLINICS OF NORTH AMERICA
卷 36, 期 4, 页码 723-+出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.emc.2018.06.005
关键词
Abscess; Cellulitis; Necrotizing fasciitis; MRSA
This article covers the diagnosis and treatment of skin and soft tissue infections commonly encountered in the emergency department: impetigo, cutaneous abscesses, purulent cellulitis, nonpurulent cellulitis, and necrotizing skin and soft tissue infections. Most purulent infections in the United States are caused by methicillin-resistant Staphylococcus aureus. For abscesses, the authors emphasize the importance of incision and drainage. Nonpurulent infections are usually caused by streptococcal species, and initial empiric antibiotics need not cover methicillin-resistant Staphylococcus aureus. For uncommon but potentially lethal necrotizing skin and soft tissue infections, the challenge is rapid diagnosis in the emergency department and prompt surgical exploration and debridement.
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