Bacterial skin and soft tissue infections

Sukumaran, Vichitra; Senanayake, Sanjaya

doi:10.18773/austprescr.2016.058

Cited by 53 publications

(49 citation statements)

References 9 publications

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“…These infections often rapidly progress to multi‐loculated collections of walled‐off pus that are impenetrable to antibiotic therapy alone . The optimal treatment and conventional surgical teaching for these purulent infections is adequately sized incision and drainage; however, due to local anaesthetic having variable efficacy in the infection field, often patients are admitted to hospital and await an opportunity for this surgery to be facilitated under a general anaesthetic. More patients have been admitted to Australian hospitals with skin abscesses than ever before, creating a new wave of extra emergency operating cases that place a significant burden on theatre time allocation and inpatient beds …”

Section: Introductionmentioning

confidence: 99%

Fast‐track ambulatory abscess pathway: an Australian streamlined emergency surgery pathway

Gaszynski

Gray

Chan

et al. 2019

ANZ Journal of Surgery

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Background Superficial skin abscesses account for a significant burden of emergency surgical admissions. The aim of this study was to evaluate the effectiveness of an ambulatory care pathway for emergently treating abscesses of the body requiring operative drainage. Method A retrospective study of a prospective patient database was performed, using randomized patient selection. Patient demographics, length and cost of stay were compared between patients undergoing operative management for skin abscess before and after the implementation of the fast‐track ambulatory abscess pathway (FAAP). Results In total, 100 patients were analysed with 50 in the pre‐ambulatory care pathway group and 50 in the FAAP group. The pre‐ambulatory care pathway group had a mean age of 37.7 ± 15.8 years versus FAAP group of 35.3 ± 14.5 years. Total length of stay for the group was 85 versus 17 days with a mean comparison of 1.7 days versus 0.34 days (P < 0.001). This translated into a total cost saving of $74 100 in the FAAP group, with a mean comparison cost between the groups of $2884 versus $1402 (P < 0.001). Both reductions in length of stay and cost of stay were statistically significant after implementation of the pathway. Conclusion This is the first Australian study to report the findings from an ambulatory care pathway for an emergency surgical intervention. We have shown that skin abscesses presenting through emergency can be managed as a day‐case procedure, thereby decreasing these patients' overall length and cost of stay.

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Section: Introductionmentioning

confidence: 99%

Fast‐track ambulatory abscess pathway: an Australian streamlined emergency surgery pathway

Gaszynski

Gray

Chan

et al. 2019

ANZ Journal of Surgery

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“…Nonbullous impetigo can affects both children and adults. It clinically presents as vesicles or pustules which evolve to plaques covered by meliceric crusts most often located on the face (1,17). In the case we are presenting the patient's lesions were not characteristic for impetigo.…”

Section: Impetigo Is a Superficial Skin Infection Caused Bymentioning

confidence: 74%

Diagnostic challenges and treatment difficulties in a patient with excoriated acne conglobata

Georgescu¹,

Sârbu²,

Mitran³

et al. 2017

JMMS

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Sârbu, Maria I.; Mitran, Cristina I.; Mitran, Mădălina I.; Benea, Vasile; and Tampa, Mircea (2017) "Diagnostic challenges and treatment difficulties in a patient with excoriated acne conglobata," Journal of Mind and Medical Sciences: Vol. 4 AbstractAcne conglobata is a rare and severe form of acne vulgaris, characterized by the presence of comedones, papules, pustules, nodules and sometimes hematic or meliceric crusts. Acne excoriée is a form of self-inflicted skin condition in which the patient picks on imaginary or real acne lesions.We report the case of a 16 year old Caucasian female patient from the urban area who addressed our dermatology department for erythematous, edematous plaques covered by pustules and crusts, located on the face. The anamnesis revealed that during the last weeks she had had a depressive mood after ending a relationship with her boyfriend and started scratching and picking on the lesions. The patient's depressive mood prior to the worsening of the disease was probably aggravated by the condition. This might have determined the picking of the skin which could have impeded the response to standard treatment. The selfexcoriative behavior could also be regarded as an appeal for help. Georgescu SR et al. 75

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“…Se halló que la gentamicina era el antibiótico más comúnmente asociado al antibiótico de primera línea usado para el tratamiento de las infecciones de piel; la gentamicina no está recomendado en el manejo de estas infecciones en primera o segunda línea, como tampoco para uso empírico o guiado por cultivo o antibiograma (18)(19)(20).…”

Section: Cuadro 1 Características Sociodemográficas Y Clínicasunclassified

Prescripción de antibióticos en infecciones de piel y tejidos blandos en una institución de primer nivel

Machado‐Alba¹,

Castrillón-Spitia

Palacio³

et al. 2018

CES Med.

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Bacterial skin and soft tissue infections

Cited by 53 publications

References 9 publications

Fast‐track ambulatory abscess pathway: an Australian streamlined emergency surgery pathway

Fast‐track ambulatory abscess pathway: an Australian streamlined emergency surgery pathway

Diagnostic challenges and treatment difficulties in a patient with excoriated acne conglobata

Prescripción de antibióticos en infecciones de piel y tejidos blandos en una institución de primer nivel

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