Aims and Objectives
The aim of the Bone and Skin and Soft Tissue Infections (SSTIs) Working Group is to improve the diagnostic and therapeutic standard procedures of bone and soft tissue infections by encouraging collaboration between the orthopaedist, surgeon and ID specialist and underlining their possible role as consultant.
- Organise educational meetings on management of bone and soft tissue infection with special concern given to the epidemiology of bacterial resistance, microbiological diagnostic procedures and use of conventional and newly available antibacterial agents.
- Promote a “network” to collect data from those ID centres with prevalent interest in these infections to evaluate the epidemiology, aetiology and therapeutic decisions.
- Develop practice guidelines or recommendations for a correct approach for diagnosis and treatment
Bone and joint infections have become of great concern because of the increasing number of trauma, prosthetic surgeries and invasive diagnostic procedures, especially in the elderly population, which are increasingly responsible for post-traumatic osteomyelitis, prosthetic joint infections and spondylodiskitis, respectively.
Bone infections are frequently associated with soft tissue infection and vice versa such as in diabetic foot infections, infected pressure ulcers and many other instances.
Both infections, localized at bone and joints and/or at soft tissue are becoming more difficult to treat because of the prevalence of resistance among causative pathogens, especially MRSA and MRCNS.
A closer collaboration should be established for the optimal treatment and most appropriate management of these infections between the surgeon, orthopedist and infectious diseases specialist, who can bridge the gap between the guidelines and the individual needs of the patient, thereby improving the “decision-making process”.
Projects / Publications
Diagnosis and management of skin and soft-tissue infections (SSTI): a literature review and consensus statement on behalf of the Italian Society of Infectious Diseases and International Society of Chemotherapy. Esposito S, Bassetti M, Borre S, Bouza E, Dryden M, Fantoni M, Gould IM, Leoncini F, Leone S, Milkovich G, Nathwani D, Segreti J, Sganga G, Unal S, Venditti M; Italian Society of Infectious Tropical Diseases; International Society of Chemotherapy.J Chemother. 2011 Oct;23(5):251-62.