[Skin and soft tissue infections: current therapeutic options]

Infez Med. 2008 Jun;16(2):65-73.
[Article in Italian]

Abstract

In the present review, the authors focus on skin and soft tissue infections (SSTIs), a set of commonly observed pathologies which can present different features in terms of site and localization, clinical characteristics, and the aetiological agent responsible; their severity is related to the depth of the affected sites. After a brief introduction to the diverse classification criteria which are currently adopted by various authors, the aetiology and role of the most frequently occurring pathogen, Staphylococcus aureus, often methicillin-resistant is discussed, as well as the possible therapeutic options. We first present the internationally recommended guidelines, and stress that SSTI management has to conform to different criteria, in accordance with the different clinical settings: mild infections require simple and cost-saving treatments while severe infections make timely and aggressive treatments mandatory. The review then reports the recent data concerning the efficacy of new antimicrobials for treating SSTIs. In particular, results observed with linezolid, tigecycline, and daptomycin are discussed.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Acetamides / administration & dosage
  • Acetamides / therapeutic use
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / therapeutic use
  • Anti-Infective Agents / administration & dosage
  • Anti-Infective Agents / therapeutic use
  • Clinical Trials, Phase II as Topic
  • Clinical Trials, Phase III as Topic
  • Daptomycin / administration & dosage
  • Daptomycin / therapeutic use
  • Humans
  • Linezolid
  • Methicillin Resistance
  • Middle Aged
  • Minocycline / administration & dosage
  • Minocycline / analogs & derivatives
  • Minocycline / therapeutic use
  • Oxazolidinones / administration & dosage
  • Oxazolidinones / therapeutic use
  • Practice Guidelines as Topic
  • Randomized Controlled Trials as Topic
  • Skin Diseases, Infectious* / classification
  • Skin Diseases, Infectious* / diagnosis
  • Skin Diseases, Infectious* / drug therapy
  • Skin Diseases, Infectious* / etiology
  • Skin Diseases, Infectious* / microbiology
  • Soft Tissue Infections* / classification
  • Soft Tissue Infections* / diagnosis
  • Soft Tissue Infections* / drug therapy
  • Soft Tissue Infections* / etiology
  • Soft Tissue Infections* / microbiology
  • Staphylococcal Skin Infections / diagnosis
  • Staphylococcal Skin Infections / drug therapy
  • Staphylococcus aureus / drug effects
  • Tigecycline
  • Time Factors
  • Treatment Outcome

Substances

  • Acetamides
  • Anti-Bacterial Agents
  • Anti-Infective Agents
  • Oxazolidinones
  • Tigecycline
  • Minocycline
  • Linezolid
  • Daptomycin