Cellulitis secondary prevention: Difference between revisions
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[[ | ==Overview== | ||
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| | Support stockings for reducing [[peripheral edema]], [[antifungal agent]]s for eradicating [[dermatophyte]]s, and prophylactic [[penicillin G]] or [[erythromycin]] can be used to minimize the risk for recurrences. | ||
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| issue = | ==Secondary Prevention== | ||
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| | Compressive stockings can be used to reduce [[peripheral edema]], which is a predisposing factor for recurrence. Patients should also receive therapy for dermatophytic infection such as [[tinea pedis]], [[stasis dermatitis]], or [[trauma]].<ref name="Stevens-2005">{{Cite journal | last1 = Stevens | first1 = DL. | last2 = Bisno | first2 = AL. | last3 = Chambers | first3 = HF. | last4 = Everett | first4 = ED. | last5 = Dellinger | first5 = P. | last6 = Goldstein | first6 = EJ. | last7 = Gorbach | first7 = SL. | last8 = Hirschmann | first8 = JV. | last9 = Kaplan | first9 = EL. | title = Practice guidelines for the diagnosis and management of skin and soft-tissue infections. | journal = Clin Infect Dis | volume = 41 | issue = 10 | pages = 1373-406 | month = Nov | year = 2005 | doi = 10.1086/497143 | PMID = 16231249 }}</ref> In patients with recurrent cellulitis despite these measures, [[penicillin G]] (250–500 mg PO bid) or [[erythromycin]] (250 mg PO qd or bid) may be effective in preventing subsequent attacks during prophylaxis.<ref name="Thomas-2013">{{Cite journal | last1 = Thomas | first1 = KS. | last2 = Crook | first2 = AM. | last3 = Nunn | first3 = AJ. | last4 = Foster | first4 = KA. | last5 = Mason | first5 = JM. | last6 = Chalmers | first6 = JR. | last7 = Nasr | first7 = IS. | last8 = Brindle | first8 = RJ. | last9 = English | first9 = J. | title = Penicillin to prevent recurrent leg cellulitis. | journal = N Engl J Med | volume = 368 | issue = 18 | pages = 1695-703 | month = May | year = 2013 | doi = 10.1056/NEJMoa1206300 | PMID = 23635049 }}</ref> | ||
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==References== | ==References== | ||
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Revision as of 17:28, 20 May 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Support stockings for reducing peripheral edema, antifungal agents for eradicating dermatophytes, and prophylactic penicillin G or erythromycin can be used to minimize the risk for recurrences.
Secondary Prevention
Compressive stockings can be used to reduce peripheral edema, which is a predisposing factor for recurrence. Patients should also receive therapy for dermatophytic infection such as tinea pedis, stasis dermatitis, or trauma.[1] In patients with recurrent cellulitis despite these measures, penicillin G (250–500 mg PO bid) or erythromycin (250 mg PO qd or bid) may be effective in preventing subsequent attacks during prophylaxis.[2]
References
- ↑ Stevens, DL.; Bisno, AL.; Chambers, HF.; Everett, ED.; Dellinger, P.; Goldstein, EJ.; Gorbach, SL.; Hirschmann, JV.; Kaplan, EL. (2005). "Practice guidelines for the diagnosis and management of skin and soft-tissue infections". Clin Infect Dis. 41 (10): 1373–406. doi:10.1086/497143. PMID 16231249. Unknown parameter
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ignored (help) - ↑ Thomas, KS.; Crook, AM.; Nunn, AJ.; Foster, KA.; Mason, JM.; Chalmers, JR.; Nasr, IS.; Brindle, RJ.; English, J. (2013). "Penicillin to prevent recurrent leg cellulitis". N Engl J Med. 368 (18): 1695–703. doi:10.1056/NEJMoa1206300. PMID 23635049. Unknown parameter
|month=
ignored (help)