World Society of Emergency Surgery (WSES) guidelines for management of skin and soft tissue infections

Massimo Sartelli¹, Mark A Malangoni², Addison K May³, Pierluigi Viale⁴, Lillian S Kao⁵, Fausto Catena⁶, Luca Ansaloni⁷, Ernest E Moore⁸, Fred A Moore⁹, Andrew B Peitzman¹⁰, Raul Coimbra¹¹, Ari Leppaniemi¹², Yoram Kluger¹³, Walter Biffl⁹, Kaoru Koike¹⁴, Massimo Girardis¹⁵, Carlos A Ordonez¹⁶, Mario Tavola¹⁷, Miguel Cainzos¹⁸, Salomone Di Saverio¹⁹, Gustavo P Fraga²⁰, Igor Gerych²¹, Michael D Kelly²², Korhan Taviloglu²³, Imtiaz Wani²⁴, Sanjay Marwah²⁵, Miklosh Bala²⁶, Wagih Ghnnam²⁷, Nissar Shaikh²⁸, Osvaldo Chiara²⁹, Mario Paulo Faro Jr³⁰, Gerson Alves Pereira Jr³¹, Carlos Augusto Gomes³², Federico Coccolini⁷, Cristian Tranà¹, Davide Corbella³³, Pietro Brambillasca³³, Yunfeng Cui³⁴, Helmut A Segovia Lohse³⁵, Vladimir Khokha³⁶, Kenneth Yy Kok³⁷, Suk-Kyung Hong³⁸, Kuo-Ching Yuan³⁹

Affiliations

¹ Department of Surgery, Macerata Hospital, Via Santa Lucia 2, Macerata, 62019 Italy.
² American Board of Surgery, Philadelphia, USA.
³ Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, Tennessee USA.
⁴ Clinic of Infectious Diseases, St Orsola-Malpighi University Hospital, Bologna, Italy.
⁵ Department of Surgery, The University of Texas Medical School, Houston, USA.
⁶ Emergency Surgery Department, Maggiore Parma Hospital, Parma, Italy.
⁷ General Surgery I, Papa Giovanni XXIII Hospital, Bergamo, Italy.
⁸ Department of Surgery, Denver Health Medical Center, Denver, USA.
⁹ Department of Surgery, University of Florida, Gainesville, Florida USA.
¹⁰ Department of Surgery, University of Pittsburgh, Medical Center, Pittsburgh, USA.
¹¹ Department of Surgery, UC San Diego Health System, San Diego, USA.
¹² Department of Abdominal Surgery, University Hospital Meilahti, Helsinki, Finland.
¹³ Department of General Surgery, Rambam Health Care Campus, Haifa, Israel.
¹⁴ Department of Primary Care & Emergency Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan.
¹⁵ Intensive Care Unit, University of Modena, Modena, Italy.
¹⁶ Department of Surgery, Fundación Valle del Lilí, Universidad del Valle, Cali, Colombia.
¹⁷ Department of Anesthesia and ICU, Villa Scazzi Hospital, Genoa, Italy.
¹⁸ Department of Surgery, University of Santiago de Compostela, Santiago de Compostela, Spain.
¹⁹ Trauma Surgery Unit, Maggiore Hospital, Bologna, Italy.
²⁰ Division of Trauma Surgery, Hospital de Clinicas, School of Medical Sciences, University of Campinas, Campinas, Brazil.
²¹ Department of Surgery 1, Lviv Regional Hospital, DanyloHalytskyLviv National Medical University, Lviv, Ukraine.
²² Griffith Base Hospital, Griffith, NSW Australia.
²³ Department of General Surgery, Istanbul Doctor's Center, Istanbul, Turkey.
²⁴ Department of Surgery, Sheri-Kashmir Institute of Medical Sciences, Srinagar, India.
²⁵ Department of Surgery, Pt BDS Post-graduate Institute of Medical Sciences, Rohtak, India.
²⁶ General Surgery and Trauma Unit, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
²⁷ Department of Surgery Mansoura, Faculty of medicine, Mansoura University, Mansoura, Egypt.
²⁸ Department of Anesthesia and ICU, Hamad Medical Corporation, Doha, Qatar.
²⁹ Emergency Department, Niguarda Ca'Granda Hospital, Milan, Italy.
³⁰ Department of General and Gastrointestinal Surgery, Trauma and Emergency Surgery Division, ABC Medical School, Santo André, SP Brazil.
³¹ Emergency Surgery and trauma Unit, Department of Surgery, Ribeirão, Preto Brazil.
³² Hospital Universitário Therezinha de Jesus, Faculdade de Ciências Médicas e da Saúde de Juiz de Fora (SUPREMA), Universidade Federal de Juiz de Fora (UFJF), Minas Gerais, Brasil.
³³ Department of Anestesiology, Papa Giovanni XXIII Hospital, Bergamo, Italy.
³⁴ Department of Surgery, Tianjin Nankai Hospital, Nankai Clinical School of Medicine, Tianjin Medical University, Tianjin, China.
³⁵ II Cátedra de Clínica Quirúrgica, Hospital de Clínicas, Universidad Nacional de Asunción, San Lorenzo, Paraguay.
³⁶ Department of Surgery, Mozyr City Hospital, Mozyr, Belarus.
³⁷ Department of Surgery, Ripas Hospital, Bandar Seri Begawan, Brunei.
³⁸ Division of Trauma and Surgical Critical Care, Department of Surgery, University of Ulsan, Seoul, Republic of Korea.
³⁹ Department of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan.

PMID: 25422671
PMCID: PMC4242587
DOI: 10.1186/1749-7922-9-57

Review

World Society of Emergency Surgery (WSES) guidelines for management of skin and soft tissue infections

Massimo Sartelli et al. World J Emerg Surg. 2014.

. 2014 Nov 18;9(1):57.

doi: 10.1186/1749-7922-9-57. eCollection 2014.

Authors

Affiliations

¹ Department of Surgery, Macerata Hospital, Via Santa Lucia 2, Macerata, 62019 Italy.
² American Board of Surgery, Philadelphia, USA.
³ Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, Tennessee USA.
⁴ Clinic of Infectious Diseases, St Orsola-Malpighi University Hospital, Bologna, Italy.
⁵ Department of Surgery, The University of Texas Medical School, Houston, USA.
⁶ Emergency Surgery Department, Maggiore Parma Hospital, Parma, Italy.
⁷ General Surgery I, Papa Giovanni XXIII Hospital, Bergamo, Italy.
⁸ Department of Surgery, Denver Health Medical Center, Denver, USA.
⁹ Department of Surgery, University of Florida, Gainesville, Florida USA.
¹⁰ Department of Surgery, University of Pittsburgh, Medical Center, Pittsburgh, USA.
¹¹ Department of Surgery, UC San Diego Health System, San Diego, USA.
¹² Department of Abdominal Surgery, University Hospital Meilahti, Helsinki, Finland.
¹³ Department of General Surgery, Rambam Health Care Campus, Haifa, Israel.
¹⁴ Department of Primary Care & Emergency Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan.
¹⁵ Intensive Care Unit, University of Modena, Modena, Italy.
¹⁶ Department of Surgery, Fundación Valle del Lilí, Universidad del Valle, Cali, Colombia.
¹⁷ Department of Anesthesia and ICU, Villa Scazzi Hospital, Genoa, Italy.
¹⁸ Department of Surgery, University of Santiago de Compostela, Santiago de Compostela, Spain.
¹⁹ Trauma Surgery Unit, Maggiore Hospital, Bologna, Italy.
²⁰ Division of Trauma Surgery, Hospital de Clinicas, School of Medical Sciences, University of Campinas, Campinas, Brazil.
²¹ Department of Surgery 1, Lviv Regional Hospital, DanyloHalytskyLviv National Medical University, Lviv, Ukraine.
²² Griffith Base Hospital, Griffith, NSW Australia.
²³ Department of General Surgery, Istanbul Doctor's Center, Istanbul, Turkey.
²⁴ Department of Surgery, Sheri-Kashmir Institute of Medical Sciences, Srinagar, India.
²⁵ Department of Surgery, Pt BDS Post-graduate Institute of Medical Sciences, Rohtak, India.
²⁶ General Surgery and Trauma Unit, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
²⁷ Department of Surgery Mansoura, Faculty of medicine, Mansoura University, Mansoura, Egypt.
²⁸ Department of Anesthesia and ICU, Hamad Medical Corporation, Doha, Qatar.
²⁹ Emergency Department, Niguarda Ca'Granda Hospital, Milan, Italy.
³⁰ Department of General and Gastrointestinal Surgery, Trauma and Emergency Surgery Division, ABC Medical School, Santo André, SP Brazil.
³¹ Emergency Surgery and trauma Unit, Department of Surgery, Ribeirão, Preto Brazil.
³² Hospital Universitário Therezinha de Jesus, Faculdade de Ciências Médicas e da Saúde de Juiz de Fora (SUPREMA), Universidade Federal de Juiz de Fora (UFJF), Minas Gerais, Brasil.
³³ Department of Anestesiology, Papa Giovanni XXIII Hospital, Bergamo, Italy.
³⁴ Department of Surgery, Tianjin Nankai Hospital, Nankai Clinical School of Medicine, Tianjin Medical University, Tianjin, China.
³⁵ II Cátedra de Clínica Quirúrgica, Hospital de Clínicas, Universidad Nacional de Asunción, San Lorenzo, Paraguay.
³⁶ Department of Surgery, Mozyr City Hospital, Mozyr, Belarus.
³⁷ Department of Surgery, Ripas Hospital, Bandar Seri Begawan, Brunei.
³⁸ Division of Trauma and Surgical Critical Care, Department of Surgery, University of Ulsan, Seoul, Republic of Korea.
³⁹ Department of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan.

PMID: 25422671
PMCID: PMC4242587
DOI: 10.1186/1749-7922-9-57

Abstract

Skin and soft tissue infections (SSTIs) encompass a variety of pathological conditions ranging from simple superficial infections to severe necrotizing soft tissue infections. Necrotizing soft tissue infections (NSTIs) are potentially life-threatening infections of any layer of the soft tissue compartment associated with widespread necrosis and systemic toxicity. Successful management of NSTIs involves prompt recognition, timely surgical debridement or drainage, resuscitation and appropriate antibiotic therapy. A worldwide international panel of experts developed evidence-based guidelines for management of soft tissue infections. The multifaceted nature of these infections has led to a collaboration among surgeons, intensive care and infectious diseases specialists, who have shared these guidelines, implementing clinical practice recommendations.

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References

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World Society of Emergency Surgery (WSES) guidelines for management of skin and soft tissue infections

Affiliations

World Society of Emergency Surgery (WSES) guidelines for management of skin and soft tissue infections

Authors

Affiliations

Abstract

References

Publication types

LinkOut - more resources

Full Text Sources

Other Literature Sources