[Summary of the practice guideline 'Bacterial skin infections' (first revision) from the Dutch College of General Practitioners].
The revised practice guideline 'Bacterial skin infections' developed by the Dutch College of General Practitioners replaces the previous practice guideline from 1998. Most bacterial skin infections can be diagnosed based on the patient history and clinical findings. Skin cultures and serologic analysis (in the case oferythema migrans) are not necessary. Exceptions are made for patients with bacterial skin infection and a high risk of MRSA involvement, or if nasal treatment is indicated for patients with recurring furunculosis. A superficial skin infection can be treated with local therapy. In case of a deep skin infection, oral antibiotics or surgical intervention is recommended. Antibiotic prophylaxis after a tick bite is not recommended. Erysipelas is considered a specific type of cellulitis and is treated as such.
Draijer
L W
LW
Nederlands Huisartsen Genootschap, afd. Richtlijnontwikkeling en Wetenschap, Postbus 3231, 3502 GE Utrecht. w.draijer@nhg.org
Koning
S
S
Wielink
G
G
Boukes
F S
FS
Goudswaard
A N
AN
D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D005194:Family Practice / Q000592:standards*; D006801:Humans; D009426:Netherlands; D010818:Practice Patterns, Physicians'; D017192:Skin Diseases, Bacterial / Q000175:diagnosis* / Q000188:drug therapy* / Q000453:epidemiology / Q000601:surgery; D012955:Societies, Medical; D013207:Staphylococcal Skin Infections / Q000175:diagnosis* / Q000188:drug therapy* / Q000453:epidemiology / Q000601:surgery
D000900:Anti-Bacterial Agents