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The New England journal of medicine, 2013-05, Vol.368 (18), p.1695-1703
Ort / Verlag
Waltham, MA: Massachusetts Medical Society
Erscheinungsjahr
2013
Quelle
Free E-Journal (出版社公開部分のみ)
Beschreibungen/Notizen
Recurrence of leg cellulitis is common. In this pragmatic community study involving 274 patients in the United Kingdom and Ireland, daily low-dose penicillin prophylaxis decreased recurrent cellulitis during the active-treatment stage but not subsequently.
Cellulitis of the leg is a common infection of the skin and subcutaneous tissue.
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,
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Most infections that affect intact skin are thought to be due to streptococci,
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,
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although other organisms may be responsible if the integrity of the skin is compromised. Each recurrent episode of cellulitis results in further damage to the lymphatic system
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,
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and is associated with additional morbidity and health care costs.
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Current guidelines for the prevention of cellulitis are consensus-based and recommend prophylactic antibiotic therapy for recurrent disease.
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,
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Three small, randomized, controlled trials have suggested a possible benefit of prophylactic antibiotics in patients . . .