Streptococcal cause of erysipelas and cellulitis in adults. A microbiologic study using a direct immunofluorescence technique

Bernard, Philippe

doi:10.1001/archderm.125.6.779

Cited by 48 publications

(60 citation statements)

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“…126 The most common causes of uncomplicated skin and soft tissue infections are group A bhemolytic Streptococcus and Staphylococcus aureus bacteria. [197][198][199][200][201][202] Data from the SENTRY Antimicrobial Surveillance Program monitoring skin and soft tissue infections indicated that S aureus was the most common pathogen among complicated and hospitalized patients, followed by Pseudomonas aeruginosa, Enterococcus, Escherichia coli, Enterobacter, Klebsiella, and Streptococcus.…”

Section: Identification Of Infection and Adverse Reactionsmentioning

confidence: 99%

“…Antibiotic treatment should be directed toward the most common pathogens or suspected cause of infection. [197][198][199][200][201][202] Systemic antibiotics rather than topical antibiotics are appropriate for cellulitis. For nonpurulent cellulitis, empiric treatment is aimed at b-hemolytic Streptococcus and methicillin-susceptible S aureus and increasing coverage for community-associated methicillinresistant S aureus (CA-MRSA) for those who worsen in 48 hours or develop an abscess.…”

Section: Identification Of Infection and Adverse Reactionsmentioning

confidence: 99%

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National Athletic Trainers' Association Position Statement: Management of Acute Skin Trauma

Beam

Buckley

Holcomb

et al. 2016

Journal of Athletic Training

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Objective: To present recommendations for the cleansing, debridement, dressing, and monitoring of acute skin trauma in patients.Background: Acute skin trauma is common during participation in athletic and recreational activities. Clinical decisions and intervention protocols after injury vary among athletic trainers and are often based on ritualistic practices. An understanding of cleansing, debridement, and dressing techniques; clinical features of infection and adverse reactions; and monitoring of acute skin trauma is critical for certified athletic trainers and other allied health and medical professionals to create a local wound environment that promotes healing and lessens the risk of complications.Recommendations: These guidelines are intended to provide the certified athletic trainer and others participating in athletic health care with specific knowledge about and recommendations for the management of acute skin trauma.Key Words: abrasions, avulsions, blisters, incisions, lacerations, punctures, cleansing, debridement, nonocclusive dressings, occlusive dressings, infection, adverse reactions T raumatic injury to the skin is common among athletes participating in all sports.1 The exact frequencies of abrasions, avulsions, blisters, incisions, lacerations, and punctures are difficult to calculate because many patients do not seek medical attention after injury; for others, their activity level is initially unaffected, and the injury is not recorded on surveillance reports. Unreported skin trauma and inappropriate wound management can result in delayed healing, cross-contamination, bacterial colonization, and infection, adversely affecting the overall health and playing status of the patient. Managing acute skin trauma through appropriate cleansing, debridement, and dressing techniques can create an environment conducive to healing and lessen the risk of complications. 2,3Wound-management techniques have undergone drastic changes over the last 50 years, and other allied health care professions, organizations, and facilities have developed guidelines that serve as standards of care. [4][5][6] However, guidelines for the management of acute skin trauma by athletic trainers (ATs) are limited in the literature.1,7 The development and implementation of cleansing, debridement, and dressing techniques for acute skin trauma are critical for ATs to successfully deliver health care services to patients. The following review and recommendations provide information on the management of acute skin trauma and guidelines for ATs and other allied health and medical professionals who care for patients. RECOMMENDATIONSThis position statement is based on current research and literature with regard to the cleansing, debridement, dressing, and monitoring of acute skin trauma. We independently categorized the studies and literature using the Strength of Recommendation Taxonomy (SORT) developed by the American Academy of Family Physicians. 8 The taxonomy grades the quality of the data from the literature (level of evidence) and p...

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Section: Identification Of Infection and Adverse Reactionsmentioning

confidence: 99%

Section: Identification Of Infection and Adverse Reactionsmentioning

confidence: 99%

National Athletic Trainers' Association Position Statement: Management of Acute Skin Trauma

Beam

Buckley

Holcomb

et al. 2016

Journal of Athletic Training

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“…El diagnóstico se establece de acuerdo al conjunto de manifestaciones clínicas ya que no se ha definido el valor predictor real de cada uno de los síntomas y signos asociados, en parte debido a la ausencia de un gold standard diagnóstico. La erisipela es una infección aguda asociada a estreptococos, especialmente S. pyogenes y en forma menos frecuente por estreptococos β-hemolíticos de los grupos B, C o G 2,3 . Debido a que los cuadros de erisipela no se asocian en general a estreptococos resistentes a diferentes antimicrobianos, esta afección puede ser universalmente tratada con penicilina o derivados.…”

Section: Definiciones Diagnóstico Clínico Y Causasunclassified

“…Puede presentarse con fiebre, compromiso del estado general, bacteriemia y/o abscesos locales. A pesar de que una gran parte de estos cuadros se asocia a S. pyogenes (y ocasionalmente a Streptococcus agalactiae) 3 , también participa como causa etiológica Staphylococcus aureus, lo que dificulta las opciones terapéuticas por la resistencia casi universal que esta especie presenta ante penicilina en la comunidad.…”

Section: Definiciones Diagnóstico Clínico Y Causasunclassified

Celulitis y erisipela: Manejo en atención primaria

2003

Rev. chil. infectol.

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Celulitis y erisipela:Manejo en atención primaria ALBERTO FICA C. 1 Cellulitis and erysipelas: Management in primary careCellulitis and erysipelas are important causes of morbidity and hospital admissions. Erysipelas has a characteristic clinical manifestation and is associated typically to Streptococcus pyogenes and less frequently to group B, C or G Streptococci. The most relevant risk factors for erysipelas are lymphoedema and local skin lesions. Raised anti-streptolysin O antibodies may support diagnosis of erysipelas but are present in no more than 40% of cases. Therapy of choice is penicillin or amoxicillin and the length and route of administration is dictated by clinical severity. Cellulitis is a spreading infection of skin and subcutaneous structures without palpable margins. It has a broader etiological spectrum than erysipelas including S. pyogenes and Staphylococcus aureus. Resistance of the latter microrganism to penicillin demands an antimicrobial scheme based either on cloxacillin, antistaphylococcal cefalosporins (i.e. cefazolin), clindamycin or beta lactam -beta-lactamase inhibitor combinations. Emergence of invasive S. pyogenes infections imposes a proper and early recognition of this condition. Clues for this suspicion are hypotension, a rapidly evolving condition, tisular necrosis and rush. These infections should be managed by parenteral antibiotics, supportive therapy and aggressive surgical debridement.

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“…4,5 Cellulitis of leg is a common medical emergency characterized by swelling, edema, fever. 6 The most frequent causative organisms for celllulitis is staphylococci and streptococci.…”

Section: Introductionmentioning

confidence: 99%

Current Treatment of Filarial Cellulitis with Antibiotic Therapy-A Clinical Study

Shankar¹,

Krupa²

2015

IJOPP

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Streptococcal cause of erysipelas and cellulitis in adults. A microbiologic study using a direct immunofluorescence technique

Cited by 48 publications

References 0 publications

National Athletic Trainers' Association Position Statement: Management of Acute Skin Trauma

National Athletic Trainers' Association Position Statement: Management of Acute Skin Trauma

Celulitis y erisipela: Manejo en atención primaria

Current Treatment of Filarial Cellulitis with Antibiotic Therapy-A Clinical Study

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