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Rationale:
- Infectious diseases subspecialists have expertise in antimicrobial treatment and are familiar with the patterns of antibiotic
resistance among bacteria causing soft tissue infections.
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Evidence:
- More appropriate treatment was ordered initially by a consulting infectious diseases specialist (78%) than without such consultation
(54%). Following the availability of culture results, appropriate treatment increased to 97% and 89% respectively (130).
- Involvement of an infectious diseases specialist in a hospital antimicrobial stewardship program resulted in more appropriate
and cost-effective use of antimicrobial agents (131).
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Comments:
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Dennis L. Stevens, PhD, MD has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations.
Lawrence J. Eron, MD, FACP has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations.
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The information included herein should never be used as a substitute
for clinical judgment and does not represent an official position of
ACP. Because all PIER modules are updated regularly, printed web pages
or PDFs may rapidly become obsolete. Therefore, PIER users should
compare the date of the last update on the website with any printout
to ensure that the information being referred to is the most current
available.
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PIER is copyrighted (c) 2008 by the American College of Physicians,
190 N. Independence Mall West, Philadelphia, PA 19106-1572, USA.
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Cellulitis and Soft Tissue Infections
> Consultation for Management
