Skin and Soft Tissue Infections

Skin and Soft Tissue Infections

Skin and Soft Tissue Infections

Tags

Emerg. Med. Practice

Published

May 1, 2022

Author(s)

Kyle Howarth, MD; Joby Thoppil, MD, PhD; Gilberto A. Salazar, MD, FACEP, DABEMS

View The Full Pathway

Decision

History consistent with SSTI. Is there an abscess?

Yes

Perform incision and drainage (Class I)

Moderate, Severe, or Complicated Abscess

Unclear

Perform Point of Care Ultrasound (POCUS) (Class I)

No

Is it a necrotizing infection?

Background

Identify risk factors such as

Diabetes
IV drug use
Immunocompromised state
Prior admissions for SSTIs

Differential Diagnosis

Unilateral

Infectious

Cellulitis
Erysipelas
Abscess
Furuncle/ carbuncle
Necrotizing Soft Tissue Infection (NSTI)
Hidradenitis suppurativa
Diabetic ulcer
Felon
Paronychia
Impetigo
Folliculitis

Bilateral

Gout
Deep vein thrombosis
Contact dermatitis
Bursitis
Sebaceous cyst

Bilateral

Venous stasis dermatitis
Peripheral artery disease
Lymphedema

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Emergency Department Management of Cellulitis and Other Skin and Soft-Tissue Infection (Infectious Disease CME and Pharmacology CME) | EB Medicine

Review the most current information on ED management of skin and soft-tissue infection, including dangerous necrotizing infections

www.ebmedicine.net

Emergency Department Management of Cellulitis and Other Skin and Soft-Tissue Infection (Infectious Disease CME and Pharmacology CME) | EB Medicine

Full SSTI Pathway

Full SSTI Pathway

MODERATE, SEVERE, OR COMPLICATED ABSCESS

MODERATE, SEVERE, OR COMPLICATED ABSCESS

Is It A Necrotizing Infection?

Is It A Necrotizing Infection?