Aktuelle Konzepte zur Behandlung von Haut- und Weichteilinfektionen in Orthopädie und Unfallchirurgie

Zusammenfassung

Haut- und Weichteilinfektionen reichen von leichten oberflächlichen Entzündungen bis hin zu tiefen nekrotisierenden Entzündungen mit schweren systemischen Komplikationen. Ziel dieser Arbeit ist, diese im klinischen Alltag rasch zu diagnostizieren und drohende fatale Krankheitsverläufe zu erkennen, die ursächlichen Krankheitserreger zu identifizieren und rechtzeitig eine adäquate antimikrobielle und ggf. chirurgische Therapie einzuleiten.

Abstract

Skin and soft tissue infections include the skin as well as fascia, muscles, ligaments, tendons, synovial membranes, fat, blood vessels, nerves, and fibrous tissues. They range from superficial infections to deep infections with a necrotizing clinical course. These infections can promptly progress with severe systemic complications, requiring rapid management, and proper surgical and medical treatment. This manuscript provides recommendations based on current practice guidelines for diagnosis and treatment of surgically relevant skin and soft tissue infections in adults. Furthermore, it deals with a clinical guide of immediate identification of life threatening necrotizing clinical courses, detection of pathogens and the use of appropriate surgical, antimicrobial, and adjuvant treatment options.

Schlüsselwörter

Dermatologie - Dermatose - Hautinfektion - nekrotisierende Fasziitis - Vakuumtherapie - Antibiotikatherapie

Key words

skin and soft tissue infection - necrotizing soft tissue infection - vacuum assisted closure - Antibiotic Stewardship - dermatology

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