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2
Trends in emergency department management of skin abscesses.皮肤脓肿急诊科管理的趋势
Am J Infect Control. 2015 Apr 1;43(4):336-40. doi: 10.1016/j.ajic.2015.01.012. Epub 2015 Feb 25.
3
Factors associated with decision to hospitalize emergency department patients with skin and soft tissue infection.与急诊科皮肤和软组织感染患者住院决策相关的因素。
West J Emerg Med. 2015 Jan;16(1):89-97. doi: 10.5811/westjem.2014.11.24133. Epub 2014 Dec 10.
4
Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the infectious diseases society of America.美国传染病学会关于皮肤和软组织感染的诊断和管理实践指南：2014 年更新。
Clin Infect Dis. 2014 Jul 15;59(2):147-59. doi: 10.1093/cid/ciu296. Epub 2014 Jun 18.
5
Predictors of failure of empiric outpatient antibiotic therapy in emergency department patients with uncomplicated cellulitis.急诊门诊单纯性蜂窝织炎患者经验性门诊抗生素治疗失败的预测因素。
Acad Emerg Med. 2014 May;21(5):526-31. doi: 10.1111/acem.12371.
6
Skin and soft tissue infections.皮肤和软组织感染。
Pediatr Clin North Am. 2013 Oct;60(5):1063-82. doi: 10.1016/j.pcl.2013.06.011. Epub 2013 Jul 30.
7
Treatment failure and costs in patients with methicillin-resistant Staphylococcus aureus (MRSA) skin and soft tissue infections: a South Texas Ambulatory Research Network (STARNet) study.耐甲氧西林金黄色葡萄球菌（MRSA）皮肤和软组织感染患者的治疗失败和费用：南得克萨斯州门诊研究网络（STARNet）研究。
J Am Board Fam Med. 2013 Sep-Oct;26(5):508-17. doi: 10.3122/jabfm.2013.05.120247.
8
Identifying patients with cellulitis who are likely to require inpatient admission after a stay in an ED observation unit.确定在急诊科观察单元留观后需要住院治疗的蜂窝织炎患者。
Am J Emerg Med. 2013 Feb;31(2):360-4. doi: 10.1016/j.ajem.2012.09.005. Epub 2012 Nov 15.
9
Clinical and epidemiologic characteristics as predictors of treatment failures in uncomplicated skin abscesses within seven days after incision and drainage.切开引流术后七天内单纯性皮肤脓肿治疗失败的临床和流行病学特征作为预测因素
J Emerg Med. 2012 Oct;43(4):605-11. doi: 10.1016/j.jemermed.2011.09.037. Epub 2012 Jun 12.
10
Risk factors for clinical failure in patients hospitalized with cellulitis and cutaneous abscess.住院治疗蜂窝织炎和皮肤脓肿患者临床治疗失败的风险因素。
J Infect. 2012 Aug;65(2):128-34. doi: 10.1016/j.jinf.2012.03.013. Epub 2012 Mar 21.

急诊科患者皮肤及软组织感染结局与入院决策的评估

Evaluation of Skin and Soft Tissue Infection Outcomes and Admission Decisions in Emergency Department Patients.

作者信息

Black Nicholas, Schrock Jon W

机构信息

UCSF Fresno Medical Education Program, Emergency Medicine, Department of Emergency Medicine, 155 N. Fresno, Fresno, CA 93701-2302, USA.

MetroHealth Medical Center, The Department of Emergency Medicine, Case Western Reserve University School of Medicine, 2500 MetroHealth Drive, Cleveland, OH 44109, USA.

出版信息

Emerg Med Int. 2018 Jun 13;2018:7142825. doi: 10.1155/2018/7142825. eCollection 2018.

DOI:10.1155/2018/7142825
PMID:30009056
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6020460/
Abstract

BACKGROUND

Skin and soft tissue infections are common presenting complaints for Emergency Department (ED) patients. Although they are common, there remain no definitive guidelines on decisions of admission for these patients.

OBJECTIVES

To determine the influence of demographic and clinical information of those presenting with skin and soft tissue infection(s) (SSTI) on both disposition and treatment failure.

METHODS

We prospectively enrolled adults with SSTI seen at a large urban ED. Secondary outcome was treatment failure. Statistics utilized -tests and multivariate logistic regression.

RESULTS

We enrolled 125 subjects and 32 were admitted. 15.2% of patients failed treatment with both increasing age and infection area correlating with admission. IV drug use (IVDU) (OR: 10.2; 95% confidence interval [CI]: 1.9 to 50.0) and recent antibiotic use (OR: 2.9; 95% CI 1.003 to 8.333) independently predicted admission. Age and recent surgery in the area of infection (OR: 6.4; 95% CI 1.3 to 30.8) showed positive association with treatment failure. IV antibiotics (OR: 22.3; 95% CI 2.8 to 179.4) and admission (OR: 12.1; 95% CI 2.9 to 50.4) strongly predicted treatment failure.

CONCLUSIONS

Age, infection size, IVDU, and recent antibiotics predicted admission. Age, recent surgery at infection site, IV antibiotics, and admission correlated with treatment failure.

摘要

背景

皮肤和软组织感染是急诊科患者常见的就诊主诉。尽管它们很常见，但对于这些患者的住院决策仍没有明确的指南。

目的

确定皮肤和软组织感染（SSTI）患者的人口统计学和临床信息对处置和治疗失败的影响。

方法

我们前瞻性纳入了在一家大型城市急诊科就诊的成年SSTI患者。次要结局是治疗失败。采用t检验和多因素逻辑回归进行统计分析。

结果

我们纳入了125名受试者，其中32人被收治入院。15.2%的患者治疗失败，年龄增加和感染面积增大与入院相关。静脉吸毒（IVDU）（比值比[OR]：10.2；95%置信区间[CI]：1.9至50.0）和近期使用抗生素（OR：2.9；95%CI 1.003至8.333）独立预测入院。年龄和感染部位近期手术（OR：6.4；95%CI 1.3至30.8）与治疗失败呈正相关。静脉使用抗生素（OR：22.3；95%CI 2.8至179.4）和入院（OR：12.1；95%CI 2.9至50.4）强烈预测治疗失败。

结论

年龄、感染大小、IVDU和近期使用抗生素可预测入院。年龄、感染部位近期手术、静脉使用抗生素和入院与治疗失败相关。