Samenvatting van de standaard 'Bacteriële huidinfecties' (eerste herziening) van het Nederlands Huisartsen Genootschap

- The revised practice guideline ‘Bacterial skin infections’ developed by the Dutch College of General Practitioners replaces the previous practice guideline from 1998.

- Most bacterial skin infections can be diagnosed based on the patient history and clinical findings. Skin cultures and serologic analysis (in the case of erythema migrans) are not necessary. Exceptions are made for patients with bacterial skin infection and a high risk of MRSA involvement, or if nasal treatment is indicated for patients with recurring furunculosis.

- A superficial skin infection can be treated with local therapy. In case of a deep skin infection, oral antibiotics or surgical intervention is recommended.

- Antibiotic prophylaxis after a tick bite is not recommended.

- Erysipelas is considered a specific type of cellulitis and is treated as such.

Ned Tijdschr Geneeskd. 2008;152:1619-25