title: Status Report from the Scientific Panel on Antibiotic Use in Dermatology of the American Acne and Rosacea Society: Part 3: Current Perspectives on Skin and Soft Tissue Infections with Emphasis on Methicillin-resistant Staphylococcus aureus, Commonly Encountered Scenarios when Antibiotic Use May Not Be Needed, and Concluding Remarks on Rational Use of Antibiotics in Dermatology.
abstract: In this third article of the three-part series, management of skin and soft tissue infections is reviewed with emphasis on new information on methicillin-resistant Staphylococcus aureus. Due to changes in the evolution of methicillin-resistant Staphylococcus aureus clones, previous distinctions between healthcare-acquired methicillin-resistant Staphylococcus aureus and community-acquired methicillin-resistant Staphylococcus aureus are currently much less clinically relevant. Many nosocomial cases of methicillin-resistant Staphylococcus aureus infection are now caused by community-acquired methicillin-resistant Staphylococcus aureus, with changing patterns of antibiotic susceptibility and resistance. Also reviewed are clinical scenarios where antibiotics may not be needed and suggestions for optimal use of antibiotic therapy for dermatologie conditions, including recommendations on perioperative antibiotic use.
authors.affiliation: Dermatology Adjunct Faculty, Touro University Nevada, Henderson, Nevada.
authors.forename: James Q
authors.initials: JQ
authors.lastname: Del Rosso
authors.affiliation: Department of Dermatology, Baylor College of Medicine, Houston, Texas.
authors.forename: Ted
authors.initials: T
authors.lastname: Rosen
authors.affiliation: Department of Dermatology, Penn State University, Hershey, Pennsylvania.
authors.forename: Diane
authors.initials: D
authors.lastname: Thiboutot
authors.affiliation: Department of Dermatology, Jefferson Medical College, Philadelphia, Pennsylvania.
authors.forename: Guy F
authors.initials: GF
authors.lastname: Webster
authors.affiliation: Department of Dermatology, University of California San Diego, San Diego, California.
authors.forename: Richard L
authors.initials: RL
authors.lastname: Gallo
authors.affiliation: Department of Dermatology, University of Pennsylvania, Philadelphia, Pennsylvania.
authors.forename: James J
authors.initials: JJ
authors.lastname: Leyden
authors.affiliation: University of Florida College of Dentistry, Gainesville, Florida.
authors.forename: Clay
authors.initials: C
authors.lastname: Walker
authors.affiliation: Department of Medical Microbiology and Infectious Diseases, University of Manitoba, Winnipeg, Canada.
authors.forename: George
authors.initials: G
authors.lastname: Zhanel
authors.affiliation: Department of Dermatology (Pediatrics), University of California San Diego, San Diego, California.
authors.forename: Lawrence
authors.initials: L
authors.lastname: Eichenfield