Transcription of SOFT TISSUE INFECTIONS - Practical Plastic Surgery
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SOFT TISSUE INFECTIONS - Practical Plastic Surgery
SSOOFFTT TTIISSSSUUEE IINNFFEECCTTIIOONNSSSoft TISSUE INFECTIONS can be difficult to treat. All health care providers,especially those practicing in rural settings, must be able to differenti-ate between INFECTIONS that need treatment with antibiotics alone andinfections that require incision and drainage or more radical debride-ment. Serious consequences can result when a severe infection requir-ing operative management is misdiagnosed as a minor infection. CCeelllluulliittiiss AAbbsscceessssCellulitisis a diffuse infection of the soft tissues with no localized areaof pus amenable to drainage. The affected area is described as in-durated ( , warm, red, and swollen). It is also painful. A componentof lymphangitis (infection involving the lymphatics) is indicated byred streaking, progressing proximally from the affected abscessis a localized collection of pus, often with a component ofsurrounding cellulitis (with the above signs).
Soft Tissue Infections 187 1. Remind the patient that more than one dose of an antibiotic is needed to see any significant difference. 2. Follow the patient closely because changes in antibiotic therapy
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