Shriner Andrew, Wilkie Laurie
Pediatr Ann. 2017 Jul 1;46(7):e265-e269. doi: 10.3928/19382359-20170620-01.
Cellulitis and other skin and soft tissue infections are a common reason for children to seek care, both in the primary care setting and the emergency department. Cellulitis is a common skin and soft-tissue infection that is usually caused by streptococci bacteria or, less commonly, Staphylococcus aureus. Most children recover quickly from cellulitis, but a small subset will require hospitalization. Practitioners need to be skilled in the diagnosis and treatment of cellulitis, including recognition of the need for inpatient treatment. However, diagnosis of cellulitis, and exclusion of complicated or other more serious infections, can be challenging. Management of these infections has also been highly variable, resulting in some difficulty identifying the ideal treatment regimen. The goal is to use the antibiotic with the narrowest spectrum for the shortest duration necessary to provide clinical improvement. Research to identify the best treatment for pediatric cellulitis will be important moving forward. [Pediatr Ann. 2017;46(7):e265-e269.].
蜂窝织炎及其他皮肤和软组织感染是儿童在初级保健机构和急诊科就诊的常见原因。蜂窝织炎是一种常见的皮肤和软组织感染,通常由链球菌引起,较少情况下由金黄色葡萄球菌引起。大多数儿童能很快从蜂窝织炎中康复,但一小部分儿童需要住院治疗。从业者需要熟练掌握蜂窝织炎的诊断和治疗,包括认识到住院治疗的必要性。然而,蜂窝织炎的诊断以及排除复杂或其他更严重的感染可能具有挑战性。这些感染的管理也存在很大差异,导致在确定理想的治疗方案方面存在一些困难。目标是使用光谱最窄的抗生素,在最短的必要时间内实现临床改善。确定小儿蜂窝织炎最佳治疗方法的研究在未来将很重要。[《儿科年鉴》。2017年;46(7):e265 - e269。]