Lec 14- Skin and Soft Tissue Infections (SSTIs)

What does the acronym SSTI stand for?

Which of the following is a key objective when dealing with SSTIs?

What is the estimate of how many people are affected by SSTIs each year?

SSTIs involve infections located:

What usually causes most SSTIs?

What is the function of intact skin in the context of infections?

What is a common sign of Impetigo?

How is Impetigo typically diagnosed?

A typical treatment for Impetigo involves:

What is the recommended duration for using topical mupirocin to treat impetigo?

What is a key characteristic of a purulent SSTI?

How are mild purulent SSTIs typically managed?

When are systemic antibiotics considered in the treatment of purulent SSTIs?

What is the first-line management for cutaneous abscesses?

What organism most commonly causes cutaneous abscesses?

What is a furuncle?

Why are systemic antibiotics often unnecessary for furuncles?

Where do carbuncles commonly occur on the body?

Typical management of carbuncles involves:

If a patient has recurrent skin abscesses, what might be considered after initial treatment?

What does decolonization typically involve?

Which of the following organisms is the primary concern in purulent SSTIs?

What is the first-line management of purulent SSTIs?

Which of the following antibiotics is an option for MSSA infections?

What is a key difference between cellulitis and erysipelas?

What kind of breaks do you typically see in the skin in cases of cellulitis?

A common symptom in cellulitis includes:

What is the most common cause of cellulitis?

The treatment of cellulitis typically involves:

Adjunct systemic corticosteroids may be considered with:

What is often implicated in recurrent cellulitis?

What is a common antibiotic for cellulitis related to Strep?

Necrotizing fasciitis is often described as a:

What is a key initial sign of necrotizing fascitis?

What is a critical step to take with a patient with necrotizing fascitis?

When clinically assessing necrotizing fascitis, what can CT's show?

Typical bacteria include for causative organisms for Necrotizing Fasciitis?

What is the most common cause of skin and soft tissue infections?

The skin's primary role in preventing infections is to act as a:

Impetigo is typically characterized by which of the following skin findings?

In typical cases, how is impetigo diagnosed?

What is a common topical antibiotic used to treat impetigo?

A key feature of a purulent skin and soft tissue infection is the presence of:

For mild purulent SSTIs, the primary management strategy is:

What is the term for a collection of pus within the skin?

The most common bacterial cause of cutaneous abscesses is:

What is a furuncle commonly known as?

Carbuncles are best described as:

For recurrent skin abscesses, decolonization strategies typically include:

In purulent SSTIs, the primary bacterial pathogen of concern is generally:

What is a key clinical difference between cellulitis and erysipelas?

Cellulitis is most commonly caused by which bacteria?

Which type of skin and soft tissue infection (SSTI) typically involves deeper layers, potentially including fascia and muscle?

In purulent SSTIs, when is it most appropriate to perform a culture and susceptibility test?

What is the primary reason clindamycin may be used as an adjunct treatment in necrotizing fasciitis?

Which of the following empiric antibiotic regimens would be most appropriate for a severe purulent SSTI, assuming MRSA coverage is necessary?

Which of the following is a key characteristic that differentiates a carbuncle from a furuncle?

What is the primary goal of decolonization strategies in patients with recurrent skin abscesses?

What is a typical first-line intervention for managing cutaneous abscesses?

Why are systemic antibiotics often deemed unnecessary in the management of furuncles unless specific conditions are met?

Which of the following underlying conditions would raise suspicion for considering MRSA coverage in a patient presenting with cellulitis?

What is a key early sign or symptom that should raise suspicion for necrotizing fasciitis rather than simple cellulitis?

What is the recommended duration of topical mupirocin treatment for impetigo?

For cellulitis, which scenario would most warrant consideration of adjunct systemic corticosteroids?

A patient with a history of intravenous drug use presents with cellulitis, and MRSA colonization is suspected. Which antibiotic is most appropriate?

What is the most critical first step in managing a patient suspected of having necrotizing fasciitis?

In managing recurrent cellulitis, what prophylactic antibiotic is commonly considered, assuming no allergies or contraindications?

Which of the following best describes the typical presentation of a patient with Fournier gangrene?

Which imaging modality can be used to assess the extent of tissue involvement and confirm the presence of gas in the soft tissues in Necrotizing fasciitis?

Besides Streptococcus pyogenes and Staphylococcus aureus, which organism is increasingly recognized as a potential cause of necrotizing fasciitis, especially in aquatic environments?

Which of the following treatment strategies is essential for patients with necrotizing fasciitis to prevent systemic toxicity caused by bacterial toxins?

Why is the assessment of crepitus important in the evaluation of a patient with a suspected soft tissue infection?

According to the FDA, what is the minimum lesion size area to define ABSSSI (Acute Bacterial Skin and Skin Structure Infection)?

In a non-purulent SSTI such as cellulitis, what clinical finding would suggest the infection is severe?

Which of the following predisposing factors is associated with recurrent cellulitis?

In patients with cellulitis, why are blood cultures generally not recommended?

An immunocompromised patient is diagnosed with a severe case of purulent SSTI that failed initial incision and drainage. Which of the following systemic signs would indicate the infection's severity?

A patient presents with a painful, tender, red nodule encircled by erythematous swelling, which contains a collection of pus. Which condition is most likely indicated by these symptoms?

What is a common causative organism for cutaneous abscesses?

Which microorganism is commonly associated with cellulitis infections, especially in cases not related to open wounds or MRSA?

What clinical characteristic is most indicative of severe impetigo requiring oral antibiotics rather than topical treatment?

Which of the following is a typical symptom associated with cellulitis?

What type of SSTI is often described as a 'flesh-eating infection'?

What is the primary management for mild purulent SSTIs?

What initial interventions are MOST critical for necrotizing fasciitis?

What is the most common cause of SSTI's?

Which best describes the function of intact skin in the context of preventing infections?

What are the typical skin findings for Impetigo?

What systemic antibiotic is usually unnecessary for furuncles?

What is the primary factor that differentiates moderate from severe purulent skin and soft tissue infections (SSTIs)?

In the management of a furuncle, what condition necessitates the use of systemic antibiotics?

Why might an oral agent active against _S. aureus_ be preferred over topical mupirocin in the treatment of impetigo?

What is the MOST important factor when deciding between antibiotics for cellulitis?

What clinical finding would be MOST concerning for necrotizing fasciitis?

What makes managing Fournier gangrene uniquely challenging compared to other causes of necrotizing fasciitis?

What clinical characteristic is most helpful in differentiating between non-purulent cellulitis and erysipelas?

A patient diagnosed with cellulitis who is allergic to penicillin requires an alternative antibiotic. Which of these would also effectively target _Streptococcus _ species?

A patient with multiple recurrent cutaneous abscesses is undergoing decolonization. Which measure is MOST important to emphasize for preventing future infections?

For a patient with cellulitis being treated with IV antibiotics, what finding would suggest need for adjunct systemic corticosteroids?

What is the rationale for using clindamycin as an adjunct treatment in necrotizing fasciitis, beyond its direct antibacterial effects?

What is the MOST appropriate initial step when a patient exhibits signs of necrotizing fasciitis?

A patient with a moderate, non-purulent cellulitis is being discharged on oral antibiotics. Which would be MOST appropriate?

For a patient with recurrent cellulitis despite addressing all predisposing factors, which prophylactic measure is advised?

Abscesses commonly involve which pathogen?

In the context of SSTIs, which of the following scenarios would most likely lead to a polymicrobial infection?

A patient presents with a suspected SSTI. Initial assessment reveals an area of redness and swelling with no purulent drainage. What is the MOST important next step in determining the appropriate antibiotic therapy?

A patient is diagnosed with cellulitis of the lower extremity. Despite 48 hours of IV nafcillin, the patient remains febrile. The area of erythema and swelling has not decreased and patient is complaining of increased pain. Which of the following would be MOST appropriate?

Which of the following factors MOST strongly suggests that an SSTI is necrotizing fasciitis rather than severe cellulitis?

In a patient with necrotizing fasciitis, which of the following is the MOST important determinant of survival?

A patient with a history of injection drug use presents with a carbuncle. After incision and drainage, cultures grow MRSA. Which oral antibiotic would be MOST appropriate for outpatient treatment?

A young child presents with honey-colored crusted lesions around the nose and mouth. Topical mupirocin is prescribed. What is the MOST important instruction to give the parents regarding the application of the medication?

A patient is being treated for recurrent furuncles. After incision and drainage of a recent lesion, decolonization strategies are being considered. Which regimen is the MOST comprehensive approach for decolonization?

In managing cellulitis, which of the following patient characteristics would MOST warrant empiric coverage for MRSA in addition to typical streptococcal coverage?

A patient with cellulitis is being discharged on oral cephalexin. Which sign or symptom should the patient be instructed to monitor closely and return immediately if it develops, suggesting the antibiotic is not effective or the infection is worsening?

Which of the following clinical findings would definitively indicate that a patient's skin and soft tissue infection (SSTI) should be classified as severe?

A patient with recurrent cellulitis, despite addressing predisposing factors, is being considered for prophylactic antibiotics. Which of the following is the MOST important consideration before initiating long-term antibiotic prophylaxis?

Patients with Fournier gangrene typically require broad-spectrum antibiotics. What is the MOST critical initial intervention alongside antibiotic therapy?

When managing necrotizing fasciitis, which of the following is the MOST important rationale for using clindamycin in addition to other broad-spectrum antibiotics?

What is the primary reason Gram stain and culture are typically deemed unnecessary in uncomplicated cases of impetigo?

A patient has a large carbuncle on their neck with signs of systemic infection. After incision and drainage, cultures are sent. Empirically, what is the MOST appropriate initial antibiotic regimen while awaiting culture results?

A patient presents with an SSTI characterized by a painful, rapidly spreading area of redness and swelling on their lower leg. They also report a fever and chills. Which of the following findings would be MOST concerning for necrotizing fasciitis?

An immunocompromised patient develops a severe purulent SSTI that does not respond to initial incision and drainage. Systemic signs of infection include a temperature above 38°C, a heart rate above 90 bpm, a respiratory rate above 24, and an abnormal WBC. Which antibiotic would be the MOST adequate choice to combat the infection?

In cases of recurrent skin abscesses, what is the MOST crucial aspect of decolonization strategies to preventing future infections?

What clinical finding would MOST likely warrant initiation of systemic antibiotics in a patient presenting with a furuncle?

In a patient diagnosed with cellulitis who is allergic to penicillin, which agent effectively targets Streptococcus species while considering potential allergies?

For a patient with multiple recurrent cutaneous abscesses undergoing decolonization, what is the MOST crucial measure to emphasize for the prevention of future infections?

For a patient with cellulitis being treated with IV antibiotics, what finding would MOST strongly indicate the need for adjunct systemic corticosteroids?

What action should the healthcare provider need to take when a patient exhibits signs of necrotizing fasciitis?

A patient with a moderate, non-purulent cellulitis exhibits is being discharged. What antibiotic should they discharge with?

What clinical feature is MOST helpful in differentiating between non-purulent cellulitis and erysipelas upon initial examination?

Which of the following factors is MOST critical for determining the need for systemic antibiotics in the management of a furuncle?

Which of the organism is MOST suggestive for Necrotizing Fasciitis?

What is the purpose when administering clindamycin as an adjunct in treating Necrotizing Fasciitis?

What is the significance level of a skin lesion to define ABSSSI (Acute Bacterial Skin and Skin Structure Infection)?

In Cellulitis. what clinical finding would suggest this would represent a severe infection?

In dealing with Recurrent Cellulitis, what would be a re-occuring predisposing factor?

Why are blood cultures not recommended in Celullitis?

Why is the evaluation critical for assessing a patient when it comes to soft tissue infection?

A patient displays the following sypmtoms on his skin: painful, tender, red nodule. What condition would likely fall under this?

In the terms of severity for Non-Purulent SSTI's, define what characterizies severe?

When evaluating patients for Necrotizing faciitis, what can be expected from signs and findings?

If the signs are similar to cellulitis, what is key symptoms that are common with Necrotizing Fasciitis?

What key factor distinguishes severe non-purulent SSTIs from moderate cases?

In managing a patient with necrotizing fasciitis, why is prompt surgical intervention considered a critical step?

For a patient with recurrent furuncles, what is the MOST effective strategy for decolonization to prevent future infections, considering both the patient and their environment?

A patient is diagnosed with cellulitis and is allergic to penicillin. Considering the need to effectively target Streptococcus species while minimizing the risk of adverse reactions, which of the following would be MOST appropriate?

What is the underlying rationale for using clindamycin as an adjunct treatment in necrotizing fasciitis, beyond its direct antibacterial effects?

A 62-year-old male with a history of diabetes presents with a painful, rapidly spreading soft tissue infection in his groin area. Physical exam reveals crepitus and a foul odor. What is the MOST likely diagnosis and the FIRST critical step in management?

Which clinical indicator is MOST suggestive of necrotizing fasciitis, requiring immediate and aggressive intervention, rather than severe cellulitis?

According to the FDA, what would be the criteria to define ABSSSI in SSTI’s?

Patients with Fournier gangrene often require broad-spectrum antibiotics and may have underlying medical conditions. What is the MOST critical initial intervention?

For a patient without systemic illness who is diagnosed with cellulitis and is to be treated as an outpatient, what oral antibiotic would be MOST appropriate?

Which of the following factors MOST strongly suggests that a skin and soft tissue infection is necrotizing fasciitis rather than severe cellulitis?

Why are Gram stain and culture typically deemed unnecessary in uncomplicated cases of impetigo?

In cases of recurrent skin abscesses, what is the MOST crucial aspect of prevention?