Overview
Staphylococcal intertrigo is a superficial skin infection caused by Staphylococcus aureus, commonly affecting intertriginous areas such as the groin, underarms, and inframammary regions due to friction and moisture. [Not directly covered in provided abstracts]Diagnosis
Clinical presentation includes erythematous, macerated, and often painful skin with satellite lesions.
Microbiological confirmation via skin swab culture for Staphylococcus aureus.
No specific grading system universally accepted; severity often assessed clinically based on extent and symptoms. [Not directly covered in provided abstracts]Management
First-line treatment: Topical antibiotics such as mupirocin or fusidic acid.
Adjunctive treatments: Maintain skin dryness and hygiene; use absorbent powders to reduce moisture.
Systemic therapy: Consider for extensive or refractory cases, typically with oral flucloxacillin or clindamycin. [Not directly covered in provided abstracts]Special Populations
Pregnancy: Topical treatments are generally safe; systemic antibiotics should be used cautiously, preferring those with established safety profiles like clindamycin. [Not directly covered in provided abstracts]
Pediatrics: Similar topical treatments as adults; systemic therapy reserved for severe cases, with careful antibiotic selection to avoid resistance. [Not directly covered in provided abstracts]
Elderly: Increased susceptibility to complications; close monitoring and adherence to treatment regimens are crucial. [Not directly covered in provided abstracts]
Comorbidities: Patients with diabetes or immunodeficiency may require more aggressive management, including systemic antibiotics and close wound care. [Not directly covered in provided abstracts]Key Recommendations
Initiate treatment with topical antibiotics for localized staphylococcal intertrigo. (Evidence: Expert opinion) [Not directly covered in provided abstracts]
Transition to systemic antibiotics if there is no improvement within 1-2 weeks or for extensive involvement. (Evidence: Expert opinion) [Not directly covered in provided abstracts]
Emphasize skin hygiene and moisture control as adjunctive measures in all patients. (Evidence: Expert opinion) [Not directly covered in provided abstracts]References
1 Janotha BL, Tamari K, Evangelidis-Sakellson V. Dental and Nurse Practitioner Student Attitudes About Collaboration Before and After Interprofessional Clinical Experiences. Journal of dental education 2019. link
2 Djukic M, Fulmer T, Adams JG, Lee S, Triola MM. NYU3T: teaching, technology, teamwork: a model for interprofessional education scalability and sustainability. The Nursing clinics of North America 2012. link