Current approach to skin and soft tissue infections. Thinking about continuity of care

Abstract

Skin and soft tissue infections are a common reason for patients seeking inpatient and outpatient medical care. Surgery is an essential part of managing in many episodes. Careful evaluation of antibiotic therapy could help clinicians in early identification to patients with treatment failure and to consider an alternative approach or a new surgical revision in “focus control”. With the arrival of new drugs, there is a need to refine the appropriate drug’s decision-making. Drugs with a long half-life (long-acting lipoglycopeptides such as dalbavancin or oritavancin), which allows weekly administration (or even greater), can reduce hospital admission and length of stay with fewer healthcare resources through outpatient management (home hospitalization or day hospitals). New anionic fluoroquinolones (e.g. delafloxacin), highly active in an acidic medium and with the possibility of switch from the intravenous to the oral route, will also make it possible to achieve these new healthcare goals and promote continuity of care. Therefore, management should rely on a collaborative multidisciplinary group with experience in this infectious syndrome.

Effects of continuing nursing intervention on high‐risk patients with diabetic foot ulcers: A meta‐analysis

“…45,46 Continuous nursing enriches the spectrum of DF care, includes ongoing medication self-management guidance, dietary adjustments tailored to individual needs ensuring nutritional balance, active emotional support and mindset adjustment to improve patient compliance, thereby achieving effective glycaemic control and substantially reducing DF incidence. 47,48 Limitations of this study should be addressed: Firstly, the literature search was limited to Chinese and English, with Chinese literature predominantly included after screening, raising concerns of publication bias and incomplete literature coverage. Secondly, the small number of included studies necessitates further support from high-quality research.…”

Application of continuing nursing intervention on wound infection and ulcers in patients with diabetic foot: A meta‐analysis

“…Thus, continuous nursing care significantly reduces the incidence of foot infection, foot ulcers, and complications in DF patients. 46 , 47 , 48 …”