2018 WSES/SIS-E consensus conference: recommendations for the management of skin and soft-tissue infections

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作者
Massimo Sartelli
Xavier Guirao
Timothy C. Hardcastle
Yoram Kluger
Marja. A. Boermeester
Kemal Raşa
Luca Ansaloni
Federico Coccolini
Philippe Montravers
Fikri M. Abu-Zidan
Michele Bartoletti
Matteo Bassetti
Offir Ben-Ishay
Walter L. Biffl
Osvaldo Chiara
Massimo Chiarugi
Raul Coimbra
Francesco Giuseppe De Rosa
Belinda De Simone
Salomone Di Saverio
Maddalena Giannella
George Gkiokas
Vladimir Khokha
Francesco M. Labricciosa
Ari Leppäniemi
Andrey Litvin
Ernest E. Moore
Ionut Negoi
Leonardo Pagani
Maddalena Peghin
Edoardo Picetti
Tadeja Pintar
Guntars Pupelis
Ines Rubio-Perez
Boris Sakakushev
Helmut Segovia-Lohse
Gabriele Sganga
Vishal Shelat
Michael Sugrue
Antonio Tarasconi
Cristian Tranà
Jan Ulrych
Pierluigi Viale
Fausto Catena
机构
[1] Macerata Hospital,Department of Surgery
[2] Parc Taulí Hospital Universitari,Unit of Endocrine, Head, and Neck Surgery and Unit of Surgical Infections Support, Department of General Surgery
[3] Trauma Service,Department of General Surgery, Division of Surgery
[4] Inkosi Albert Luthuli Central Hospital and Department of Surgery,Department of Surgery
[5] Nelson R Mandela School of Clinical Medicine,Department of Surgery
[6] Rambam Health Care Campus,General Surgery Department
[7] Academic Medical Centre,Department of Surgery, College of Medicine and Health Sciences
[8] Anadolu Medical Center,Infectious Diseases Unit, Department of Medical and Surgical Sciences
[9] Bufalini Hospital,Department of Medical Sciences, Infectious Diseases
[10] Anesthesiology and Critical Care Medicine,Department of Surgery, Addenbrooke’s Hospital
[11] Paris Diderot Sorbonne Cite University,Department of Emergency Surgery
[12] Bichat-Claude Bernard University Hospital,Abdominal Center
[13] HUPNSV,Department of Surgical Disciplines
[14] UAE University,Department of Surgery
[15] Alma Mater Studiorum University of Bologna,Department of Surgery
[16] Infectious Diseases Division,Infectious Diseases Unit
[17] Department of Medicine University of Udine and Azienda Sanitaria Universitaria Intergrata di Udine,Department of Anesthesia and Intensive Care
[18] Trauma and Acute Care Surgery,Department of Surgery
[19] Scripps Memorial Hospital La Jolla,Department of General and Emergency Surgery
[20] General Surgery-Trauma Team,General Surgery Department, Colorectal Surgery Unit
[21] State University of Milano,General Surgery Department
[22] Niguarda Hospital Milano,Second Department of Surgery, Hospital de Clínicas
[23] Emergency Surgery Unit,Emergency Surgery (or Division of Emergency Surgery)
[24] State University of Pisa,General Surgery
[25] Cisanello Hospital,Department of Surgery
[26] Riverside University Health System Medical Center and Loma Linda University School of Medicine,Department of Emergency Surgery
[27] University of Turin,First Department of Surgery, Department of Abdominal, Thoracic Surgery and Traumatology, First Faculty of Medicine
[28] Unit of General,undefined
[29] Emergency and Trauma Surgery,undefined
[30] Regional Hospital of Perpignan,undefined
[31] Cambridge University Hospitals NHS Foundation Trust,undefined
[32] Second Department of Surgery,undefined
[33] Aretaieion University Hospital,undefined
[34] National and Kapodistrian University of Athens,undefined
[35] City Hospital,undefined
[36] Global Alliance for Infections in Surgery,undefined
[37] University Hospital Meilahti,undefined
[38] Immanuel Kant Baltic Federal University,undefined
[39] Regional Clinical Hospital,undefined
[40] University of Colorado,undefined
[41] Denver Health Medical Center,undefined
[42] Emergency Hospital of Bucharest,undefined
[43] Bolzano Central Hospital,undefined
[44] Azienda Ospedaliero-Universitaria Parma,undefined
[45] UMC Ljubljana,undefined
[46] Riga East University Hospital ‘Gailezers’,undefined
[47] La Paz University Hospital,undefined
[48] Medical University,undefined
[49] University Hospital St George,undefined
[50] Universidad Nacional de Asuncion,undefined
关键词
Soft-tissue infections; Necrotizing infection; Surgical site infection;
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摘要
Skin and soft-tissue infections (SSTIs) encompass a variety of pathological conditions that involve the skin and underlying subcutaneous tissue, fascia, or muscle, ranging from simple superficial infections to severe necrotizing infections. SSTIs are a frequent clinical problem in surgical departments. In order to clarify key issues in the management of SSTIs, a task force of experts met in Bertinoro, Italy, on June 28, 2018, for a specialist multidisciplinary consensus conference under the auspices of the World Society of Emergency Surgery (WSES) and the Surgical Infection Society Europe (SIS-E). The multifaceted nature of these infections has led to a collaboration among general and emergency surgeons, intensivists, and infectious disease specialists, who have shared these clinical practice recommendations.
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