皮肤和软组织感染的适当手术处理。

IF 3.6 3区 医学 Q2 INFECTIOUS DISEASES
Current Opinion in Infectious Diseases Pub Date : 2025-04-01 Epub Date: 2025-01-09 DOI:10.1097/QCO.0000000000001088
Viktor Frieders-Justin, Christian Eckmann, Benjamin Glaser
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引用次数: 0

摘要

综述目的:介绍皮肤和软组织感染(SSTI)外科治疗的标准和最新技术创新。最近的发现:SSTI是一个常见的原因,在急性护理设置。它们的范围从简单和不复杂到严重和坏死性感染。手术治疗在单纯SSTI的治疗中起着重要的作用。最近的证据表明,有一部分患者(如免疫功能低下患者)可从术后5-7天的抗生素治疗中获益。在糖尿病足感染(DFI)中,反复清创以清除坏死组织并控制感染可防止轻微和严重截肢。在坏死性软组织感染(NSTI),早期和积极的手术清创是至关重要的。最近的进展是在选择性病例中探索皮肤保留技术。摘要:性传播感染的管理需要根据感染的类型和严重程度结合手术和抗菌策略。进一步的临床研究是必要的,以便更准确地定义那些从微创手术中获益的严重SSTI群体。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Appropriate surgical management in skin and soft tissue infections.

Purpose of review: To present standards and recent technical innovations in the surgical management of skin and soft tissue infections (SSTI).

Recent findings: SSTI are a frequent cause of presentation in the acute care setting. They can range from simple and uncomplicated to severe and necrotizing infections. Surgical management plays an important role in the treatment of uncomplicated SSTI. Recent evidence indicates that a subgroup of patients (e.g. immunocompromised patients) profits from a postoperative course of antibiotic treatment of 5-7 days. In diabetic foot infections (DFI), repeated debridement to remove necrotic tissue and control infection can prevent minor and major amputation. In necrotizing soft tissue infections (NSTI), early and aggressive surgical debridement is paramount. Recent advancements have explored skin-sparing techniques in selective cases.

Summary: The management of SSTIs requires a combination of surgical and antimicrobial strategies tailored to the type and severity of the infection. Further clinical research is necessary in order to define more accurately those collectives in severe SSTI who profit from a less aggressive surgical approach.

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来源期刊
CiteScore
6.70
自引率
2.60%
发文量
121
审稿时长
6-12 weeks
期刊介绍: This reader-friendly, bimonthly resource provides a powerful, broad-based perspective on the most important advances from throughout the world literature. Featuring renowned guest editors and focusing exclusively on two topics, every issue of Current Opinion in Infectious Disease delivers unvarnished, expert assessments of developments from the previous year. Insightful editorials and on-the-mark invited reviews cover key subjects such as HIV infection and AIDS; skin and soft tissue infections; respiratory infections; paediatric and neonatal infections; gastrointestinal infections; tropical and travel-associated diseases; and antimicrobial agents.
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