[Infections and treatment of chronic leg ulcers: the use of antibiotics is too excessive, restrictive prescription is recommended]. / Infektioner och behandling vid kroniska bensår: antibiotikaförbrukningen alltför hög, restriktivitet förordas.
Lakartidningen
; 96(1-2): 42-6, 1999 Jan 06.
Article
em Sv
| MEDLINE
| ID: mdl-9951248
ABSTRACT
Chronic venous leg ulcers are contaminated or colonised with bacteria that seldom affects ulcer healing. Signs of clinical infection appear in only a minority of chronic ulcers. In spite of this, data show a high consumption of antibiotics in this group of patients. Treatment with antibiotics is indicated only when clinical signs of infection or obvious risk factors are present or when Streptococcus pyogenes is isolated from the ulcer. In these cases an oral antistaphylococcal agent (semisynthetic penicillinase-resistant penicillin or first generation oral cephalosporin) is recommended as the first choice. Enterococci, anaerobic bacteria and gram-negative bacteria including pseudomonas spp. often colonise chronic ulcers, but do not usually cause antibiotic requiring infection.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Úlcera Varicosa
/
Infecção dos Ferimentos
/
Antibacterianos
Tipo de estudo:
Guideline
/
Risk_factors_studies
Limite:
Humans
Idioma:
Sv
Ano de publicação:
1999
Tipo de documento:
Article