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SSTI

Signs and symptoms of a possible skin and soft tissue infection (SSTI) include erythema, swelling, increased temperature, pain, and tenderness on palpation. If consistent with an SSTI, further evaluation is needed to determine if it is a severe infection requiring hospital admission or if it is localized cellulitis, impetigo, or an abscess. Treatment options include incision and drainage for abscesses, topical or oral antibiotics depending on the infection type and severity.

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Tan Shen
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26 views1 page

SSTI

Signs and symptoms of a possible skin and soft tissue infection (SSTI) include erythema, swelling, increased temperature, pain, and tenderness on palpation. If consistent with an SSTI, further evaluation is needed to determine if it is a severe infection requiring hospital admission or if it is localized cellulitis, impetigo, or an abscess. Treatment options include incision and drainage for abscesses, topical or oral antibiotics depending on the infection type and severity.

Uploaded by

Tan Shen
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Signs and symptoms of possible skin and soft tissue infection (SSTI):

Erythema, swelling, increased temperature, pain, tender on palpation, fever

No
Consistent with SSTI Consider alternative cause

Yes
Yes Severe infection or systemic
Admit to hospital
illness

No

Fluctuancy

Abscess Not abscess

Incision & Drainage Impetigo Cellulitis

Antibiotic therapy indicated? Localised: Generalised:


- extensive surrounding Topical 2% fusidic acid T. Cephalexin 250-500mg
cellulitis q8-12h 7 days qid 5-7 days
- inadequate drainage OR
- diabetes mellitus T. Augmentin 625mg tds 5-7
- valvular heart disease days
OR
Yes T. EES 800mg bd 5-7 days
No
Antibiotic therapy not Before starting antibiotics, take pus T. Cephalexin 500mg qid 5-7
indicated for C&S and grams stain days
OR
C. Cloxacillin 500mg qid for 5-7 days T. Amoxycillin 500mg tds 5-7
OR
days
T. Augmentin 625mg tds 5-7 days
OR
T. Cephalexin 500mg qid 5-7 days

1. Effects of clinical pathways for common outpatient infections on antibiotic prescribing. The American Journal of Medicine (2013) 126,
327-335.
2. Practice guidelines for the diagnosis and management of skin and soft tissue Infections: 2014. Update by the Infectious Diseases Society
of America.
3. Management and treatment of common infection. Antibiotics guidance for primary care: For consultation and local adaptation. Public
Health England 2017.

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