Abstract
The aging skin and the concept of “skin failure” is discussed.
Diagnostic evaluations such as blood work and tissue cultures often have limited utility; microbial colonization is common in skin and open wounds.
Prevention and early recognition of risk factors for the development of pressure ulcers is the key to management.
There is an alarming increase of the methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant Enterococcus (VRE), vancomycin-intermediate resistant S. Aureus (VISA) strains causing skin infections in the elderly.
The choice of antibiotics should be based on microbiological data, severity of infection, and clinical status of the patient.
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Suggested Reading
Anaya, D.A., & Dellinger, E.P. (2007). Necrotizing soft-tissue infection: diagnosis and management. Clinical Infectious Diseases, 44, 705–710.
Reddy, M., Gill, S.S., & Rochon, P.A. (2006). Preventing pressure ulcers: a systematic review. Journal of the American Medical Association, 296, 974–984.
Swartz, M.N. (2004). Clinical practice. Cellulitis. New England Journal of Medicine, 350, 904–912.
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© 2009 Humana Press, a part of Springer Science+Business Media, LLC
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Cantrell, M., Sohn, L. (2009). Skin and Soft Tissues Infections. In: Norman, D., Yoshikawa, T. (eds) Infectious Disease in the Aging. Infectious Disease. Humana Press. https://doi.org/10.1007/978-1-60327-534-7_15
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DOI: https://doi.org/10.1007/978-1-60327-534-7_15
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