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Inicio Enfermedades Infecciosas y Microbiología Clínica Infecciones de piel y partes blandas por grampositivos multirresistentes
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Vol. 26. Núm. S2.
Infecciones por grampositivos: perspectivas terapéuticas actuales
Páginas 21-30 (enero 2008)
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Vol. 26. Núm. S2.
Infecciones por grampositivos: perspectivas terapéuticas actuales
Páginas 21-30 (enero 2008)
Infecciones por grampositivos: perspectivas terapéuticas actuales
Acceso a texto completo
Infecciones de piel y partes blandas por grampositivos multirresistentes
Skin and soft tissue infections due to multiresistant Gram-positive microorganisms
Visitas
4268
Carlos Pigraua,
Autor para correspondencia
cpigrau@vhebron.net

Correspondencia: Dr. C. Pigrau. Servicio de Enfermedades Infecciosas. Hospital Universitario Vall d’Hebron. Pg. Vall d’Hebron, 119-129. 08035 Barcelona. España.
, José Barberánb
a Servicio de Enfermedades Infecciosas. Hospital Universitario Vall d’Hebron. Barcelona. España
b Servicio de Enfermedades Infecciosas. Hospital Gómez Ulla. Madrid. España
Este artículo ha recibido
Información del artículo

Staphylococcus aureus resistente a meticilina (SARM) es el microorganismo grampositivo multirresistente de mayor prevalencia en las infecciones de la piel y los tejidos blandos. En este capítulo se comentan las alteraciones genéticas, los factores de virulencia y la epidemiología del SARM adquirido en la comunidad, que en la actualidad es la etiología más frecuente de las infecciones cutáneas supuradas en Estados Unidos y que ha hecho que en este país se proceda a replantear el tratamiento empírico idóneo de estas infecciones. Asimismo, se comentan la epidemiología y las manifestaciones cutáneas del SARM adquirido en el hospital. Se discute el papel de fármacos clásicos como la vancomicina, la teicoplanina y también el cotrimoxazol o la clindamicina en el tratamiento de las infecciones de la piel y los tejidos blandos, tanto comunitarias como las adquiridas en el hospital, y la aportación de los nuevos antibióticos: linezolid, daptomicina, tigeciclina, ceftobiprole y los nuevos glucopéptidos: telavancina y dalbavancina. Por último se realiza un breve comentario sobre otras medidas adyuvantes en el tratamiento de las formas graves de las infecciones de la piel y los tejidos blandos.

Palabras clave:
Infecciones cutáneas
Infecciones de piel y partes blandas
SARM
Infecciones grampositivas

Methicillin-resistant Staphylococcus aureus (MRSA) is the most highly prevalent multiresistant Gram-positive microorganism in skin and soft tissue infections. The present article discusses the genetic alterations, virulence factors, and epidemiology of community-acquired MRSA, which is currently the most frequent cause of suppurative cutaneous lesions in the United States and has led to reconsideration of the most suitable empirical treatment of these infections. The epidemiology and cutaneous manifestations of hospital-acquired MRSA are also discussed. The role of classical drugs such as vancomycin and teicoplanin, as well as cotrimoxazole and clindamycin, in the treatment of both community- and hospital-acquired cutaneous and soft tissue infections and the contribution of the new antibiotics (linezolid, daptomycin, tigecycline, ceftobiprole) and the new glycopeptides (telavancin, dalbavancin) are discussed. Lastly, a brief commentary is provided on other adjuvant measures in the treatment of severe cutaneous and soft tissue infections.

Key words:
Cutaneous infections
Skin and soft tissue infections
MRSA
Gram-positive infections
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