Skin and soft tissue infections
- Likely organisms: Streptococcus pyogenes and Staphylococcus aureus
- Assess severity of infection. Document in patient's notes presence of:
- Heat / erythema / induration / swelling (indicates severe infection if any 2 of these signs present).
- Evidence of organ hypoperfusion, refer to Infection Management Guideline: Empirical Antibiotic Therapy which can be found in clinical areas or on NHSGGC StaffNet / Clinical Info / Clinical Guidelines Directory and then search in the 'Infection - Secondary Care Adult Treatment' section.
- Microbiological sampling essential, send blood cultures, pus samples when present. Swab if wound is clinically infected or erythema, heat, induration observed. Do not swab wounds unless signs of infection or for MRSA screening.
- Drain abscesses and debride necrotic tissue to achieve adequate source control.
- Localised abscesses do not require antibiotics following incision and drainage.
Content last updated December 2018