Department of Dermatology, Tulane University, New Orleans, LA, USA.
J Healthc Eng. 2018 Dec 24;2018:2382050. doi: 10.1155/2018/2382050. eCollection 2018.
The bacterium is responsible for significant morbidity, mortality, and financial burden in healthcare. It easily colonizes susceptible patients and can cause recurrent infections, especially in populations at risk. In addition to treating sequelae of infections, there is a growing body of literature aimed at decolonizing susceptible patients in order to prevent infection and also to prevent spread. Such strategies are widely employed in surgical, intensive care, and hospitalist fields. involvement has been implicated in the pathogenesis and persistence of many dermatologic diseases that are treated in the outpatient setting. This review serves to summarize current evidence for the management of colonized patients, as well as the evidence available for decolonization. We further characterize the role that colonization may play in atopic dermatitis, recurrent infections, hand eczema, cutaneous T-cell lymphoma, and also in surgical infections after Mohs surgery.
这种细菌可导致严重的发病率、死亡率和医疗保健方面的经济负担。它容易定植于易感患者,可引起反复感染,尤其是在高危人群中。除了治疗感染的后遗症外,越来越多的文献旨在对易感患者进行去定植,以预防感染和传播。这种策略在外科、重症监护和医院科室中广泛应用。 定植已被牵连到许多皮肤科疾病的发病机制和持续存在中,这些疾病在门诊环境中得到治疗。本综述旨在总结目前关于定植患者管理的证据,以及去定植的可用证据。我们进一步描述了定植在特应性皮炎、反复感染、手部湿疹、皮肤 T 细胞淋巴瘤以及Mohs 手术后的手术感染中的可能作用。