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Tailor non-drug therapy to the specific type of soft tissue infection.  |
- Provide scrupulous local wound care and debridement, as needed.
- Utilize leg elevation, especially in patients with pedal edema.
- Use compression dressings for the treatment of cellulitis in patients with chronic venous insufficiency or pedal edema.
- Use negative pressure wound dressings for large wounds with considerable exudate.
- Consider hyperbaric oxygen for infected diabetic foot ulcers and chronic osteomyelitis that fail to heal with conventional therapy.
- Treat systemic illness as required by the clinical situation, including:
- Fluid resuscitation for hypotension, azotemia, and metabolic acidosis
- Pressors for those with severe hypotension who do not respond to fluids
- Critical care monitoring, including placement of arterial and central venous catheters
- Oxygen and mechanical ventilation, as needed
| Background
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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.
Steven E. Weinberger, MD, FACP, Acting Editor, PIER, has stock holdings in Glaxosmithkline and Abbott. |
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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) 2009 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
