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Division SST-SKIN: Skin infection

United Kingdom

Original text. Later amendments are not shown.

Skin infections must meet at least one of the following criteria:

  • Patient has purulent drainage, pustules, vesicles, or boils

  • Patient has at least two of the following signs or symptoms with no other recognized cause: pain or tenderness, localized swelling, redness, or heat

    AND at least one of the following:

    • organisms cultured from aspirate or drainage from affected site; if organisms are normal skin flora (for example, diphtheroids (Corynebacterium spp.), Bacillus (not B. anthracis) spp., Propionibacterium spp., coagulase-negative staphylococci (including Staphylococcus epidermidis), viridans group streptococci, Aerococcus spp., Micrococcus spp.), they must be a pure culture

    • organisms cultured from blood

    • positive antigen test performed on infected tissue or blood

    • multinucleated giant cells seen on microscopic examination of affected tissue

    • diagnostic single antibody titre (IgM) or 4-fold increase in paired sera (IgG) for pathogen

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