Common Community-acquired Bacterial Skin and Soft-tissue Infections in Children: an Intersociety Consensus on Impetigo, Abscess, and Cellulitis Treatment
Autor: | Galli, L, Venturini, E, Bassi, A, Gattinara, Gc, Chiappini, E, Defilippi, C, Diociaiuti, A, Esposito, S, Garazzino, S, Giannattasio, A, Krzysztofiak, A, Latorre, S, Lo Vecchio, A, Marchisio, P, Montagnani, C, Nicolini, G, Novelli, A, Rossolini, Gm, Tersigni, C, Villani, A, El Hachem, M, Neri, I, Italian Pediatric Infectious Diseases Society, Italian Pediatric Dermatology Society |
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Přispěvatelé: | Galli, L., Venturini, E., Bassi, A., Gattinara, G. C., Chiappini, E., Defilippi, C., Diociaiuti, A., Esposito, S., Garazzino, S., Giannattasio, A., Krzysztofiak, A., Latorre, S., Lo Vecchio, A., Marchisio, P., Montagnani, C., Nicolini, G., Novelli, A., Rossolini, G. M., Tersigni, C., Villani, A., El Hachem, M., Neri, I. |
Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
Impetigo Consensus abscess impetigo 02 engineering and technology 030204 cardiovascular system & hematology Cochrane Library celluliti Erysipelas Skin Diseases 03 medical and health sciences 020210 optoelectronics & photonics 0302 clinical medicine cellulitis children treatment Abscess Bacterial Infections Cellulitis Child Humans Soft Tissue Infections 0202 electrical engineering electronic engineering information engineering medicine absce Pharmacology (medical) Intensive care medicine Pharmacology business.industry medicine.disease Settore MED/38 Systematic review Observational study Orbital cellulitis business |
Popis: | Purpose The main objective of this article was to offer practical suggestions, given the existing evidence, for identifying and managing bacterial impetigo, abscess, and cellulitis in ambulatory and hospital settings. Methods Five Italian pediatric societies appointed a core working group. In selected conditions, specially trained personnel evaluated quality assessment of treatment strategies according to the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) methodology. Only randomized controlled trials (RCTs) and observational studies were included for quality assessment according to the GRADE methodology. MEDLINE, Ovid MEDLINE, EMBASE, and Cochrane Library databases were searched with a strategy combining MeSH and free text terms. Findings The literature review included 364 articles focusing on impetigo, skin abscess, and cellulitis/orbital cellulitis. The articles included for quality assessment according to the GRADE methodology for impetigo comprised 5 RCTs and 1 observational study; for skin abscess, 10 RCTs and 3 observational studies were included; for cellulitis and erysipelas, 5 RCTs and 5 observational studies were included; and for orbital cellulitis, 8 observational studies were included. Recommendations were formulated according to 4 grades of strength for each specific topic (impetigo, skin abscesses, cellulitis, and orbital cellulitis). Where controversies arose and expert opinion was considered fundamental due to lack of evidence, agreement according to Delphi consensus recommendations was included. Implications Based on a literature review and on local epidemiology, this article offers practical suggestions for use in both ambulatory and hospital settings for managing the most common bacterial SSTIs. |
Databáze: | OpenAIRE |
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