Journal reading

Diagnosis and management of skin

and soft tissue infections in the
intensive care unit : a review
Preseptor
dr. Liliarawati Ananta Kahar, Sp.An KIC

Presentant
Fakhri Zuhdian Nasher 1110313088
Farisah Dini 1110313030
Redo Kurniawan 1210313094
Introduction

SSTI
(skin and soft Acute bacterial skin and skin
tissue structure infection
infection)

In US 14 million outpatient
visits a year
Epidemiology 900.000 in patient admission in
a year
Methods
guidelines
expert opinion
local institutional policies
Aim
to summarize the salient features
of diagnosis and treatment of SSTI
 Impetigo

Superfisial SSTI
Caused by S. aureus
and S. pyogenes
Honey crusted
lesions or bullous
most common in
child
 Ectyma

Dermis infection
Dominant in lower
extremities
Caused by S. aureus
and S. pyogenes

Pseudomonas aeruginosa
 Purulent SSTI
(abscess, furuncle,
carbuncle)

classical apereance
pustules surrounded
by erythema
Furuncle and
carbuncle centered
on hair follicles.
Caused by S. aureus
 Cellulitis

Diffuse superfisial
erythema
Caused by Beta
hemolytic
streptococcus or S.
Aureus
 pyomyositis

localized
pain in single
muscle group
caused by S.
aureus
 Surgical site
infection
occurring up to 9%
after operations
multifactor
various appereance
Depending on
surgical site
occur in 4 days
after surgery
(streptococcus)
higher risk for
bacteremia
 Toxic Shock syndrome

toxin mediated acute

life threatening illnes
caused by
Staphylococcus aureus
and Streptococcus
pyogenes
clinical : erytroderma
form trunk and spreads
to extremities, fever,
hypotension,
disorientation
 Myonecrosis / Gas
gangrene
caused by
clostridium spp, C.
perfingens
can be bullous and
crepitus
 Necrotizing fascitis

caused by
polymicroba anaerob
and aerob or
streptococcus group
A , S. aureus
erythema and
necrotic appereance
painfull