WSES/GAIS/WSIS/SIS-E/AAST global clinical pathways for patients with skin and soft tissue infections

Abstract

Skin and soft-tissue infections (SSTIs) encompass a variety of pathological conditions that involve the skin and underlying subcutaneous tissue, fascia, or muscle, ranging from simple superficial infections to severe necrotizing infections.Together, the World Society of Emergency Surgery, the Global Alliance for Infections in Surgery, the Surgical Infection Society-Europe, The World Surgical Infection Society, and the American Association for the Surgery of Trauma have jointly completed an international multi-society document to promote global standards of care in SSTIs guiding clinicians by describing reasonable approaches to the management of SSTIs.An extensive non-systematic review was conducted using the PubMed and MEDLINE databases, limited to the English language. The resulting evidence was shared by an international task force with different clinical backgrounds.

Vibrio vulnificus necrotizing fasciitis with sepsis presenting with pain in the lower legs in winter: a case report

“…Typical skin lesions include local or flaky erythema and ecchymosis, blood blisters with exudation, necrosis and cellulitis, necrotising fasciitis, and muscle inflammation [ 13 ]. The wound infections due to V. vulnificus can progress to necrotizing soft-tissue infections [ 14 ]. The contact history of patients with a rapid onset of cellulitis can alert clinicians to a differential diagnosis of soft-tissue infection with V. vulnificus (contact with seawater or raw seafood) or Aeromonas species (contact with fresh or brackish water, soil, or wood) [ 15 ].…”

Management of mammalian bites

“…Little evidence quantifies the impact of irrigation on infection of bite wounds; however, most guidelines recommend its use, as bite wounds are considered grossly contaminated 24252627. Cleansing with soap reduces the risk of rabies transmission 28.…”

Prevention and treatment of recurrent cellulitis

“…It causes local signs of inflammation, such as warmth, erythema, pain, lymphangitis, and frequently systemic upset impact with fever. In some cases, cellulitis is characterized by the presence of vesicles, bullae, pustules, necrosis, ascending lymphangitis and regional lymphadenopathy [12 ▪▪ ].…”