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학술저널
저자정보
Wadha Alfouzan (Department of Microbiology Faculty of Medicine Kuwait University Kuwait City Kuwait) Zainab Al-Balushi (Department of Pediatric Surgery Sultan Qaboos University Hospital Seeb Oman) Muna Al-Maslamani (Infectious Diseases Division Department of Medicine Hamad Medical Corporation Doha Qatar) Asmaa Al-Rashed (Department of General Surgery Al-Amiri Hospital Kuwait City Kuwait) Salman Al-Sabah (Department of Surgery Jaber Al-Ahmad Al-Sabah Hospital Kuwait City Kuwait) Jameela Al-Salman (Department of Infectious Diseases Salmaniya Medical Complex Manama Bahrain) Mohamed Baguneid (Consultant Vascular Surgeon Tawam Hospital Al Ain Abu Dhabi) Faryal Khamis (Infectious Diseases Department Royal Hospital Muscat Oman) Nervana Habashy (Pfizer Gulf FZ LLC Dubai Media City Dubai UAE) Ayman Kurdi (Pfizer Gulf FZ LLC Dubai Media City Dubai UAE) Christian Eckmann (Department of General Visceral and Thoracic Surgery Hannoversch-Muenden Clinic Academic Hospital)
저널정보
대한외상중환자외과학회 Journal of Acute Care Surgery Journal of Acute Care Surgery Vol.11 No.3
발행연도
2021.11
수록면
89 - 101 (13page)
DOI
10.17479/jacs.2021.11.3.89

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The number of complicated skin and soft tissue infections (cSSTIs) in the Arabian Gulf region has risen in recent years, particularly those caused by multi-drug resistant (MDR) pathogens. The high prevalence of diabetes, obesity, and associated cardio-metabolic comorbidities in the region renders medical and surgical management of cSSTI patients with MDR infections challenging. An experienced panel of international and regional cSSTI experts (consensus group on cSSTIs) was convened to discuss clinical considerations for MDR infections from societal, antimicrobial stewardship, and cost perspectives, to develop best practice recommendations. This article discusses antibiotic therapies suitable for treating MDR cSSTIs in patients from the Gulf region and recommends that these should be tailored according to the local bacterial ecology by country and region. The article highlights the need for a comprehensive patient treatment pathway and defined roles of each of the multidisciplinary teams involved with managing patients with MDR cSSTIs. Aligned and inclusive definitions of cSSTIs for clinical and research purposes, thorough and updated epidemiological data on cSSTIs and methicillin-resistant Staphylococcus aureus in the region, clearcut indications of novel agents and comprehensive assessment of comparative data should be factored into decision-making are necessary.

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