Howarth Kyle, Thoppil Joby, Salazar Gilberto A
Department of Emergency Medicine, University of Texas Southwestern Medical Center, Dallas, TX.
Assistant Professor of Emergency Medicine, Department of Emergency Medicine, University of Texas Southwestern Medical Center, Dallas, TX.
Emerg Med Pract. 2022 May;24(5):1-24. Epub 2022 May 1.
Cellulitis and other skin and soft-tissue infections (SSTIs) are common presentations in the emergency department. This review describes the varied etiologies and patient presentations of the more common SSTIs: cellulitis, abscesses, and necrotizing soft-tissue infections. A discussion of the common diagnoses masquerading as SSTIs is presented, as well as a stepwise approach to avoiding misdiagnosis. Diagnostic studies are also evaluated, including discussions on ultrasound, computed tomography, and clinical decision rules. This review also provides an evidence-based analysis of the controversies in management of abscesses, including the commonly utilized techniques of incision and drainage, irrigation, packing, and concurrent antibiotic therapy.
蜂窝织炎及其他皮肤和软组织感染（SSTIs）是急诊科常见的病症。本综述描述了较常见的SSTIs的多种病因及患者表现：蜂窝织炎、脓肿和坏死性软组织感染。文中讨论了伪装成SSTIs的常见诊断，以及避免误诊的逐步方法。还对诊断性检查进行了评估，包括对超声、计算机断层扫描和临床决策规则的讨论。本综述还对脓肿治疗中的争议进行了循证分析，包括常用的切开引流、冲洗、填塞及联合抗生素治疗技术。
