May Addison K
Division of Trauma and Surgical Critical Care, Department of Surgery, Vanderbilt University Medical Center, Nashville, TN 37212, USA.
Surg Clin North Am. 2009 Apr;89(2):403-20, viii. doi: 10.1016/j.suc.2008.09.006.
Skin and soft tissue infections are a common cause of hospitalization and use of antibiotic therapy, and may result in significant disability. Infections managed by surgeons may vary from simple, noncomplicated cellulitis to severe necrotizing soft tissue infections. The differentiation of necrotizing infections from nonnecrotizing infections is critical to achieving adequate surgical therapy. An understanding of the changing epidemiology of all complicated skin and soft tissue infections is required for selection of appropriate empiric antibiotic therapy.
皮肤和软组织感染是住院治疗及使用抗生素疗法的常见原因,可能导致严重残疾。外科医生处理的感染范围从简单的非复杂性蜂窝织炎到严重的坏死性软组织感染不等。区分坏死性感染和非坏死性感染对于实现充分的手术治疗至关重要。选择合适的经验性抗生素疗法需要了解所有复杂性皮肤和软组织感染不断变化的流行病学情况。