SSTIs

Question 1

SSTI Clinical Presentation

Answer 1

SWIPED

S: Swelling
W: Warmth
I: Induration
P: Pain
E: Erythema
D: Draining Wound

Question 2

Signs of Systemic illness (SIRS Criteria)

Answer 2

1. Temp >38 or <36
2. HR >90
3. RR > 24
4. WBC >12 or <4

Question 3

Etiological Agent of Purulent SSTI

Answer 3

Staphylococcus Aurues

Question 4

Mild SSTI

Answer 4

No systemic symptoms

Question 5

Moderate SSTI

Answer 5

Systemic Signs of Infection but hemodynamically stable

Question 6

Severe SSTI

Answer 6

Systemic Signs of Infection +:

1. Immunocompromised
2. Hemodynamically Instable
3. Failed I&D and PO antibiotics

Question 7

Mild Purulent SSTI Treatment

Answer 7

I &D –> No antibiotics

Question 8

Moderate Purulent SSTI Empiric treatment

Answer 8

Bactrim or Doxycycline

Question 9

Moderate Purulent SSTI De-escalation

Answer 9

Oral: [DACC]
D: Dicloxacillin
A: Augmentin
C: Cephalexin
C: Clindamycin

Question 10

Severe Purulent SSTI Empiric Therapy

Answer 10

IV: –> Cover MRSA

Vancomycin –> DOC
Linezolid –> Second Choice
Daptomycin
Telavancin
Ceftaroline

Question 11

Severe Purulent SSTI De-escalation

Answer 11

IV:–>NACC

Naficillin
Ampicillin/Sulbactam
Cefazolin
Clindamycin

Question 12

Purulent SSTIs

Answer 12

Furuncle
Carbuncle
Cutaneous Abcess

Question 13

Nonpurulent SSTIs

Answer 13

Cellulitis
Erysipelas

Question 14

Mild nonpurulent SSTI Therapy

Answer 14

Oral:
Penicillin K
Amoxicillin
Augmentin
Cephalexin
Clindamycin (B-lactam-allergy)

Question 15

Moderate nonpurulent SSTI Therapy

Answer 15

IV:
Penicillin G
Cefazolin
Ceftriaxone
Clindamycin (B-lactam allergy)

Question 16

Severe nonpurulent SSTI Therapy

Answer 16

IV:
1. Rule out necrotizing fasciitis
2. Vancomycin + Piperacillin/Tazobactam
Empiric Therapy

Question 17

nonpurulent SSTI Etiological Agent

Answer 17

Streptococcus

Question 18

T or F: I & D is required for all SSTIs

Answer 18

False: I & D is not needed for nonpurulent SSTIs.