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17: Skin and Soft-Tissue Infections
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Published:May 2023
Hannah C. Neubauer, MD, FAAP, Michelle A. Lopez, MD, MPH, FAAP, "Skin and Soft-Tissue Infections", Caring for the Hospitalized Child: A Handbook of Inpatient Pediatrics, American Academy of Pediatrics Section on Hospital Medicine, Jeffrey C. Gershel, MD, FAAP, Daniel A. Rauch, MD, FAAP, SFHM
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Skin and soft-tissue infections (SSTIs) encompass a variety of disease processes that affect the dermis and subcutaneous layer of the skin. Most cases are caused by either Staphylococcus aureus or Streptococcus pyogenes (group A Streptococcus), and most patients admitted to the hospital present with cellulitis or abscess. Recently, there has been an increase in admissions attributable to SSTIs, particularly those caused by methicillin-resistant S aureus (MRSA). As a result, knowledge of local antibiotic susceptibilities is critical for proper evaluation and management of SSTIs.
Usually, an SSTI can be managed on an outpatient basis. Admitted patients generally have an atypical...