Treatment of skin and soft-tissue infections

Am J Surg. 1995 May;169(5A Suppl):27S-33S.

Abstract

Bacterial infections of the skin range from mild pyodermas to life-threatening necrotizing infections. Pyodermas are most often due to Staphylococcus aureus or beta-hemolytic Streptococcus sp, whereas infections associated with skin ulcers of the extremities, infections following trauma or surgery, and histotoxic necrotizing infections may involve a large number of additional pathogens, including Enterobacteriaceae, Pseudomonas sp, enterococci, and anaerobes. Management of bacterial skin and soft-tissue infections includes appropriate surgical drainage or excision of infected tissue and antimicrobial therapy. The combination of piperacillin and the beta-lactamase inhibitor tazobactam is a newly released antimicrobial, which has excellent in vitro activity against the vast majority of pathogens involved in skin infections. Two multicenter studies recently evaluated the efficacy and safety of piperacillin/tazobactam in the therapy of skin and soft-tissue infections in hospitalized patients. Piperacillin/tazobactam was well tolerated and demonstrated high clinical efficacy for the treatment of these infections.

Publication types

  • Review

MeSH terms

  • Bacterial Infections / complications
  • Bacterial Infections / drug therapy
  • Bacterial Infections / surgery
  • Bacterial Infections / therapy*
  • Drug Combinations
  • Fasciitis / therapy
  • Humans
  • Necrosis
  • Penicillanic Acid / analogs & derivatives
  • Penicillanic Acid / therapeutic use
  • Piperacillin / therapeutic use
  • Skin Diseases / complications
  • Skin Diseases / drug therapy
  • Skin Diseases / surgery
  • Skin Diseases / therapy*
  • Soft Tissue Infections / complications
  • Soft Tissue Infections / drug therapy
  • Soft Tissue Infections / surgery
  • Soft Tissue Infections / therapy*
  • Surgical Wound Infection / microbiology
  • Tazobactam
  • beta-Lactamase Inhibitors

Substances

  • Drug Combinations
  • beta-Lactamase Inhibitors
  • Penicillanic Acid
  • Tazobactam
  • Piperacillin