Top 10 Myths Regarding the Diagnosis and Treatment of Cellulitis.
Identifieur interne : 000116 ( PubMed/Curation ); précédent : 000115; suivant : 000117Top 10 Myths Regarding the Diagnosis and Treatment of Cellulitis.
Auteurs : Erin K. Mccreary [États-Unis] ; Melissa E. Heim [États-Unis] ; Lucas T. Schulz [États-Unis] ; Robert Hoffman [États-Unis] ; Jeffrey Pothof [États-Unis] ; Barry Fox [États-Unis]Source :
- The Journal of emergency medicine [ 0736-4679 ] ; 2017.
Abstract
Cellulitis is commonly treated in the emergency department (ED). Patients who present with cellulitis incur significant health care costs and may be overtreated with antibiotics. The accurate diagnosis and treatment of cellulitis plays an important role in cost-effective, high-quality medical care, as well as appropriate antibiotic utilization.
DOI: 10.1016/j.jemermed.2017.05.007
PubMed: 28684060
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Middleton Memorial Veterans Hospital, Madison, Wisconsin.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Wisconsin</region></placeName><wicri:cityArea>Critical Care Pharmacy, William S. Middleton Memorial Veterans Hospital, Madison</wicri:cityArea></affiliation></author><author><name sortKey="Schulz, Lucas T" sort="Schulz, Lucas T" uniqKey="Schulz L" first="Lucas T" last="Schulz">Lucas T. Schulz</name><affiliation wicri:level="2"><nlm:affiliation>Infectious Diseases Pharmacy, University of Wisconsin Health, Madison, Wisconsin.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Wisconsin</region></placeName><wicri:cityArea>Infectious Diseases Pharmacy, University of Wisconsin Health, Madison</wicri:cityArea></affiliation></author><author><name sortKey="Hoffman, Robert" sort="Hoffman, Robert" uniqKey="Hoffman R" first="Robert" last="Hoffman">Robert Hoffman</name><affiliation wicri:level="2"><nlm:affiliation>Hospital Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Wisconsin</region></placeName><wicri:cityArea>Hospital Medicine, University of Wisconsin School of Medicine and Public Health, Madison</wicri:cityArea></affiliation></author><author><name sortKey="Pothof, Jeffrey" sort="Pothof, Jeffrey" uniqKey="Pothof J" first="Jeffrey" last="Pothof">Jeffrey Pothof</name><affiliation wicri:level="2"><nlm:affiliation>Department of Emergency Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Wisconsin</region></placeName><wicri:cityArea>Department of Emergency Medicine, University of Wisconsin School of Medicine and Public Health, Madison</wicri:cityArea></affiliation></author><author><name sortKey="Fox, Barry" sort="Fox, Barry" uniqKey="Fox B" first="Barry" last="Fox">Barry Fox</name><affiliation wicri:level="2"><nlm:affiliation>Infectious Diseases, University of Wisconsin School of Medicine and Public Health, Clinical Science Center, Madison, Wisconsin.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Wisconsin</region></placeName><wicri:cityArea>Infectious Diseases, University of Wisconsin School of Medicine and Public Health, Clinical Science Center, Madison</wicri:cityArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28684060</idno><idno type="pmid">28684060</idno><idno type="doi">10.1016/j.jemermed.2017.05.007</idno><idno type="wicri:Area/PubMed/Corpus">000116</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000116</idno><idno type="wicri:Area/PubMed/Curation">000116</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000116</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Top 10 Myths Regarding the Diagnosis and Treatment of Cellulitis.</title><author><name sortKey="Mccreary, Erin K" sort="Mccreary, Erin K" uniqKey="Mccreary E" first="Erin K" last="Mccreary">Erin K. Mccreary</name><affiliation wicri:level="2"><nlm:affiliation>Infectious Diseases Pharmacy, University of Wisconsin Health, Madison, Wisconsin.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Wisconsin</region></placeName><wicri:cityArea>Infectious Diseases Pharmacy, University of Wisconsin Health, Madison</wicri:cityArea></affiliation></author><author><name sortKey="Heim, Melissa E" sort="Heim, Melissa E" uniqKey="Heim M" first="Melissa E" last="Heim">Melissa E. Heim</name><affiliation wicri:level="2"><nlm:affiliation>Critical Care Pharmacy, William S. Middleton Memorial Veterans Hospital, Madison, Wisconsin.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Wisconsin</region></placeName><wicri:cityArea>Critical Care Pharmacy, William S. Middleton Memorial Veterans Hospital, Madison</wicri:cityArea></affiliation></author><author><name sortKey="Schulz, Lucas T" sort="Schulz, Lucas T" uniqKey="Schulz L" first="Lucas T" last="Schulz">Lucas T. Schulz</name><affiliation wicri:level="2"><nlm:affiliation>Infectious Diseases Pharmacy, University of Wisconsin Health, Madison, Wisconsin.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Wisconsin</region></placeName><wicri:cityArea>Infectious Diseases Pharmacy, University of Wisconsin Health, Madison</wicri:cityArea></affiliation></author><author><name sortKey="Hoffman, Robert" sort="Hoffman, Robert" uniqKey="Hoffman R" first="Robert" last="Hoffman">Robert Hoffman</name><affiliation wicri:level="2"><nlm:affiliation>Hospital Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Wisconsin</region></placeName><wicri:cityArea>Hospital Medicine, University of Wisconsin School of Medicine and Public Health, Madison</wicri:cityArea></affiliation></author><author><name sortKey="Pothof, Jeffrey" sort="Pothof, Jeffrey" uniqKey="Pothof J" first="Jeffrey" last="Pothof">Jeffrey Pothof</name><affiliation wicri:level="2"><nlm:affiliation>Department of Emergency Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Wisconsin</region></placeName><wicri:cityArea>Department of Emergency Medicine, University of Wisconsin School of Medicine and Public Health, Madison</wicri:cityArea></affiliation></author><author><name sortKey="Fox, Barry" sort="Fox, Barry" uniqKey="Fox B" first="Barry" last="Fox">Barry Fox</name><affiliation wicri:level="2"><nlm:affiliation>Infectious Diseases, University of Wisconsin School of Medicine and Public Health, Clinical Science Center, Madison, Wisconsin.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Wisconsin</region></placeName><wicri:cityArea>Infectious Diseases, University of Wisconsin School of Medicine and Public Health, Clinical Science Center, Madison</wicri:cityArea></affiliation></author></analytic><series><title level="j">The Journal of emergency medicine</title><idno type="ISSN">0736-4679</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Cellulitis is commonly treated in the emergency department (ED). Patients who present with cellulitis incur significant health care costs and may be overtreated with antibiotics. The accurate diagnosis and treatment of cellulitis plays an important role in cost-effective, high-quality medical care, as well as appropriate antibiotic utilization.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">28684060</PMID><DateCreated><Year>2017</Year><Month>07</Month><Day>07</Day></DateCreated><DateRevised><Year>2017</Year><Month>07</Month><Day>07</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0736-4679</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year><Month>Jul</Month><Day>03</Day></PubDate></JournalIssue><Title>The Journal of emergency medicine</Title><ISOAbbreviation>J Emerg Med</ISOAbbreviation></Journal><ArticleTitle>Top 10 Myths Regarding the Diagnosis and Treatment of Cellulitis.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">S0736-4679(17)30436-5</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jemermed.2017.05.007</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Cellulitis is commonly treated in the emergency department (ED). Patients who present with cellulitis incur significant health care costs and may be overtreated with antibiotics. The accurate diagnosis and treatment of cellulitis plays an important role in cost-effective, high-quality medical care, as well as appropriate antibiotic utilization.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">We aim to describe common fallacies regarding cellulitis. We present 10 myths that result in misdiagnosis, overtreatment, or inappropriate empiric management of cellulitis. Clinical presentation, including swelling and redness, is explored in depth, along with incidence of community-acquired methicillin-resistance Staphylococcus aureus, management of tick bites, and effective antibiotic therapy for cellulitis.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">Patients are often treated for cellulitis unnecessarily or inappropriately. Awareness of these myths will help guide providers in clinical decision making in order to effectively tailor treatment for these infections.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Cellulitis is not as simple as it might seem, and is commonly misdiagnosed in the ED. Noninfectious causes of local symptoms, including lymphedema, venous stasis, and deep vein thrombosis need to be considered. Cellulitis should be treated with empiric antimicrobial therapy based on patient risk factors and regional susceptibility patterns. This review will assist providers in managing cellulitis and avoiding treatment errors that lead to high costs, unwanted side effects for patients, and overuse of antibiotics.</AbstractText><CopyrightInformation>Copyright © 2017 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>McCreary</LastName><ForeName>Erin K</ForeName><Initials>EK</Initials><AffiliationInfo><Affiliation>Infectious Diseases Pharmacy, University of Wisconsin Health, Madison, Wisconsin.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Heim</LastName><ForeName>Melissa E</ForeName><Initials>ME</Initials><AffiliationInfo><Affiliation>Critical Care Pharmacy, William S. Middleton Memorial Veterans Hospital, Madison, Wisconsin.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schulz</LastName><ForeName>Lucas T</ForeName><Initials>LT</Initials><AffiliationInfo><Affiliation>Infectious Diseases Pharmacy, University of Wisconsin Health, Madison, Wisconsin.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hoffman</LastName><ForeName>Robert</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Hospital Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pothof</LastName><ForeName>Jeffrey</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Emergency Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fox</LastName><ForeName>Barry</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Infectious Diseases, University of Wisconsin School of Medicine and Public Health, Clinical Science Center, Madison, Wisconsin.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>07</Month><Day>03</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Emerg Med</MedlineTA><NlmUniqueID>8412174</NlmUniqueID><ISSNLinking>0736-4679</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">CA-MRSA</Keyword><Keyword MajorTopicYN="N">acute bacterial skin and skin structure infections</Keyword><Keyword MajorTopicYN="N">antimicrobial</Keyword><Keyword MajorTopicYN="N">cellulitis</Keyword><Keyword MajorTopicYN="N">diagnosis</Keyword><Keyword MajorTopicYN="N">stewardship</Keyword><Keyword MajorTopicYN="N">treatment</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>12</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2017</Year><Month>05</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>05</Month><Day>07</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>7</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>7</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>7</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28684060</ArticleId><ArticleId IdType="pii">S0736-4679(17)30436-5</ArticleId><ArticleId IdType="doi">10.1016/j.jemermed.2017.05.007</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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