Please enable JavaScript.
Coggle requires JavaScript to display documents.
Skin and Soft tissue infections (Cellulitis treatment (Purulent (Yes (S.…
Skin and Soft tissue infections
Impetigo
Infection of superficial layers, often caused by Staph
Typical in children, w/purulent lesions, often on face/extremity, +-bullae, +-gold crust
Toxic shock syndrome
can occur with strep or staph
fever, headache, nausea, vomiting, diarrhea, myalgia, pharyngitis, diffuse rash w/desquamation, hypotension, shock, blood culture may be negative
Lymphangitis
Proximal red streaking +- regional lymphadenopathy
Cellulitis
Infection of dermis/subcut fat
erythema, edema,warmth, pain
Erysipelas
Infection of upper dermis (more superficial than cellulitis)
Often caused by streptococcus
raised erythematous lesion with clear demarcation from normal skin
Cellulitis treatment
Purulent
Yes
S. aureus > B-hemolytic strep
Moderate
TMP-SMX or Doxycycline, some data for Clindamycin
Severe
Vancomycin, Daptomycin, Linezolid, Ceftaroline or Telavancin
Mild
I&D
No
B-hemolytics Strep > S. aureus
Moderate: Systemic signs
Penicillin, Ceftriaxone, Cefazolin or Clindamycin
Severe: SIRS or Immunocompromised
Vanc + Zosyn (Pip-tazo)
Mild: No systemic signs
Penicillin, Dicloxacillin, Cephalosporin or Clindamycin
Limb elevation
Erythema may worsen after starting abs 2/2 bacterial killing --> inflammation
Obese patients --> Adequate drug dosing important to avoid treatment failure