Skin and Soft Tissue Infection Management, Outcomes, and Follow-Up in the Emergency Department of an Urban Academic Hospital
| Autor: | Kanokwan Seeleang, Yvette Winstead, Mary Lou Manning, Mark Saks |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.drug_class medicine.medical_treatment Antibiotics Emergency Nursing Hospitals Urban Anti-Infective Agents Incision and drainage medicine Humans Abscess Aged Retrospective Studies Aged 80 and over business.industry Soft Tissue Infections Soft tissue Cellulitis Retrospective cohort study Emergency department Middle Aged medicine.disease Treatment Outcome Infectious disease (medical specialty) Emergency medicine Emergency Medicine Female Guideline Adherence Emergency Service Hospital business Follow-Up Studies |
| Zdroj: | Advanced Emergency Nursing Journal. 36:348-359 |
| ISSN: | 1931-4485 |
| DOI: | 10.1097/tme.0000000000000039 |
| Popis: | Skin and soft tissue infections (SSTIs) are among the most common infections treated by emergency department clinicians. The emergence of community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) as the cause of these infections prompted the Centers for Disease Control and Prevention and the Infectious Disease Society of America to publish guidelines for the outpatient management of SSTIs. This study describes the management and outcomes of emergency department patients treated for uncomplicated SSTIs who returned within 30 days of the initial visit. The study found that of 857 eligible patients, only 17.6% returned and of these, 80% had their wound checked or packing removed. The clinicians prescribed antibiotics for the majority of patients, and the selection of antibiotics typically was active against CA-MRSA. Of 91 lesions drained, 24 specimens were obtained for culture and sensitivity. The majority of the initial treatment of patients consisted of incision and drainage with antibiotic prescription. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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