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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/skin-soft-tissue-one-pager.pdf
September 01, 2022 - Skin and Soft Tissue Infections
Diagnosis1,2
• Relatively sudden onset of redness, warmth, tenderness … Use – Ambulatory Care Skin and Soft Tissue Infections 2
References
1. … Practice guidelines for the diagnosis
and management of skin and soft tissue
infections: 2014 update … Cellulitis and
soft tissue infections. Ann Intern Med.
2018 Feb 6;168(3):ITC17-32. … Sulfamethoxazole-trimethoprim
(cotrimoxazole) for skin and soft tissue
infections including impetigo
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/management-SSTI-8x10-pocket-cards.pdf
June 01, 2021 - Management of Skin and Soft Tissue Infections
• Cephalexin,
cefadroxil,
amoxicillin/
clavulanate … Elevate legs
• Physical
therapy
• Compression
stockings
• Lotion
Management of Skin and
Soft Tissue … if consistent with of goals of care;
otherwise treat for ~7 days
Management of Skin and
Soft Tissue
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/skin-soft-tissue-discussion-guide.docx
September 01, 2022 - Skin and Soft Tissue Infections – Discussion Guide
Skin and Soft Tissue Infections: Discussion Guidee … components of the AHRQ Toolkit To Improve Antibiotic Use in Ambulatory Care related to skin and soft tissue … to determine how the practice can collectively improve the diagnosis and management of skin and soft tissue
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/pocket-cards-4x6-skin-infections.pdf
June 01, 2021 - Skin and Soft Tissue Infections in Nursing Home Residents
Signs and Symptoms Associated
With … Skin and Soft Tissue
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/skin-soft-tissue-handout-english.docx
September 01, 2022 - Skin and Soft Tissue Infections – Patient and Family Member Handout (English)
Skin and Soft Tissue … 0030
September 2022
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
Skin and Soft Tissue … Infections
Patient Handout
Skin and Soft Tissue Infections 2
Patient Handout
AHRQ Safety
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www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/skin-soft-tissue.html
September 01, 2022 - Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Abscesses … Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Abscesses – Slides … (PPTX, 5.7 MB)
Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue … Skin and Soft Tissue Infections – Patient and Family Member Handout (English) (DOCX, 224 KB)
Skin … and Soft Tissue Infections – Patient and Family Member Handout (Spanish) (DOCX, 253 KB)
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www.ahrq.gov/antibiotic-use/long-term-care/best-practices/cellulitis.html
May 01, 2022 - Assessment and Management of the Resident With a Suspected Skin or Soft Tissue Infection
After … Discuss the diagnostic approach and empiric management of skin and soft tissue infections. … Discuss preventative and supportive measures for skin and soft tissue infections.
… Card – Skin and Soft Tissue Infections in Nursing Home Residents (PDF, 177 KB)
The materials … One-Page Document – Cellulitis (DOCX, 37 KB)
Card – Management of Skin and Soft Tissue Infections
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar6_pu_woundassesst.pdf
April 01, 2011 - injury (sDTI)
• Base staging on the type of tissue visualized or
palpated … or cooler than adjacent tissue … • Deep tissue injury may be difficult to
detect in individuals with dark skin tone. … – Damage is to deeper tissue and when you see
purplish area it is too late to prevent. … Cornified or dried out dead tissue.
• Slough. Liquefied or wet dead tissue.
• Undermining.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/skin-soft-tissue-handout-spanish.docx
September 01, 2022 - Skin and Soft Tissue Infections – Patient and Family Member Handout (Spanish)
Las infecciones de la
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-slides.pptx
November 01, 2019 - Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Infections
Best … Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Infections
Acute Care … 7–14 days after treatment: 85% versus 86%
25
Moment 4: Duration of Therapy for Skin
and Skin Soft Tissue … Cellulitis and soft tissue infections. Ann Intern Med. 2018 Feb 6;168(3):ITC17-32. PMID: 29404597. … Practice Guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-facilitator-guide.pdf
November 01, 2019 - Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Infections … November 2019
Best Practices in the Diagnosis and Treatment of Cellulitis
and Skin and Soft Tissue … Number and Slide
Best Practices in the Diagnosis and
Treatment of Cellulitis and Skin and Soft
Tissue … presentation will address best practices in the
diagnosis and treatment of cellulitis and skin and soft
tissue … Four Moments of Antibiotic Decision
Making
SAY:
As we discuss cellulitis and skin and soft tissue
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/assessment.html
December 01, 2017 - Use this guide:
None = Wound tissues dry.
Scant = Wound tissues moist; no measurable exudate. … Peripheral Tissue Edema and Induration: Assess tissues within 4 cm of wound edge. … Induration is abnormal firmness of tissues with margins. Assess by gently pinching the tissues. … Induration results in an inability to pinch the tissues. … Granulation Tissue: Granulation tissue is the growth of small blood vessels and connective tissue to
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-assessment.docx
April 08, 2016 - Use this guide:
None = Wound tissues dry.
Scant = Wound tissues moist; no measurable exudate. … Peripheral Tissue Edema and Induration: Assess tissues within 4 cm of wound edge. … Induration is abnormal firmness of tissues with margins. Assess by gently pinching the tissues. … Induration results in an inability to pinch the tissues. … Granulation Tissue: Granulation tissue is the growth of small blood vessels and connective tissue to
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-assessment.pdf
December 15, 2016 - Use this
guide:
None = Wound tissues dry. … Scant = Wound tissues moist; no measurable exudate. … Peripheral Tissue Edema and Induration: Assess tissues within 4 cm of wound edge. … Induration is abnormal firmness of tissues with margins. Assess by gently
pinching the tissues. … Induration results in an inability to pinch the tissues.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/skin-soft-tissue-guide.docx
September 01, 2022 - Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Abscesses – Slides … Improving Antibiotic Use
1
Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue … Slide Number and Slide
Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue … presentation titled, “Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue … Patients with bacteremia, severe sepsis, and deep soft-tissue infections were excluded.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/skin-soft-tissue-slides.pptx
September 01, 2022 - Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Abscesses – Slides … Best Practices in the Diagnosis and
Treatment of Cellulitis and Skin and
Soft Tissue Abscesses
Ambulatory … Cellulitis and soft tissue infections. Ann Intern Med. 2018 Feb 6;168(3):ITC17-32. PMID: 29404597. … Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update … Sulfamethoxazole-trimethoprim (cotrimoxazole) for skin and soft tissue infections including impetigo,
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Pressure_Ulcer_Dashboard_Data_2024.xlsx
January 01, 2024 - Category IV Documented within 24 hours of admission 0.9% 35
Stage/Category IV Unknown * *
Suspected Deep Tissue … Injury Documented within 24 hours of admission 71.0% 2,897
Suspected Deep Tissue Injury No risk assessment … documented * *
Suspected Deep Tissue Injury Not on admission, but documented after discovery or advancement … of pressure ulcer 78.6% 11
Suspected Deep Tissue Injury Not on admission, but documented before discovery … or advancement of pressure ulcer * *
Suspected Deep Tissue Injury Unknown 69.4% 1,111
Unstageable
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Pressure_Ulcer_Dashboard_Data_2021.xlsx
January 01, 2021 - of admission Stage/Category IV 1.3% 25 3,026
Documented within 24 hours of admission Suspected Deep Tissue … assessment documented Stage/Category IV 0.0% 0 3,026
No risk assessment documented Suspected Deep Tissue … 3,026
Not on admission, but documented after discovery or advancement of pressure ulcer Suspected Deep Tissue … Not on admission, but documented before discovery or advancement of pressure ulcer Suspected Deep Tissue … Unknown Stage/Category III 9.2% 91 3,026
Unknown Stage/Category IV 2.6% 26 3,026
Unknown Suspected Deep Tissue
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Pressure_Ulcer_Dashboard_Data_2022.xlsx
January 01, 2022 - of admission Stage/Category IV 1.0% 32 4,585
Documented within 24 hours of admission Suspected Deep Tissue … assessment documented Stage/Category IV 0.0% 0 4,585
No risk assessment documented Suspected Deep Tissue … 4,585
Not on admission, but documented after discovery or advancement of pressure ulcer Suspected Deep Tissue … Not on admission, but documented before discovery or advancement of pressure ulcer Suspected Deep Tissue … Stage/Category III 9.7% 133 4,585
Unknown Stage/Category IV 2.3% 31 4,585
Unknown Suspected Deep Tissue
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Pressure_Ulcer_Dashboard_Data_2023.xlsx
January 01, 2023 - of admission Stage/Category IV 1.0% 33 4,835
Documented within 24 hours of admission Suspected Deep Tissue … assessment documented Stage/Category IV 0.0% 0 4,835
No risk assessment documented Suspected Deep Tissue … 4,835
Not on admission, but documented after discovery or advancement of pressure ulcer Suspected Deep Tissue … Not on admission, but documented before discovery or advancement of pressure ulcer Suspected Deep Tissue … Stage/Category III 9.7% 134 4,835
Unknown Stage/Category IV 2.3% 32 4,835
Unknown Suspected Deep Tissue