Protocolo terapéutico de las infecciones primarias de piel y partes blandas

Skin and soft tissue infections constitute a wide assortment of clinical conditions that affect the skin, subcutaneous cell tissue and muscle, with a spectrum that extends from banal processes to life-threatening conditions. These infections are commonly bacterial, with Staphylococcus aureus, Streptococcus sp. and anaerobic bacteria the most frequently involved microorganisms. Two fundamental categories have been assigned in terms of the anatomical location: superficial and deep. The infections are also classified according to whether they affect the fascia and the muscle compartments and according to severity in simple (cellulitis, erysipelas, impetigo and pyomyositis) and complicated or necrotizing infections (cellulitis and necrotizing fasciitis and myonecrosis). The objective of the following protocol is to describe each of these entities and review the recommendations for their diagnosis and management.