Table 1.
Treatment and Prevention Measures Recommended by Scenario
| Measure | Primary SSTI | Recurrent SSTI | Athlete-Household SSTI | Multiple-Recurrent SSTI | Refractory SSTIa |
|---|---|---|---|---|---|
| Systemic antibiotic therapy | 196/306 (64) | 222/289 (77) | 252/276 (91) | 259/267 (97) | … |
| Antibiotic prescribed for acute infectionb | |||||
| Amoxicillin | 0/196 (0) | 0/222 (0) | 0/252 (0) | 1/259 (0.5) | … |
| Amoxicillin-clavulanate | 4/196 (2) | 2/222 (1) | 1/252 (0.5) | 0/259 (0) | … |
| Cephalexin | 61/196 (31) | 58/222 (26) | 12/252 (5) | 0/259 (0) | … |
| Clindamycin | 95/196 (48) | 112/222 (50) | 148/252 (59) | 182/259 (70) | … |
| Doxycycline | 2/196 (1) | 2/222 (1) | 18/252 (7) | 3/259 (1) | … |
| Linezolid | 3/196 (2) | 4/222 (2) | 3/252 (1) | 1/259 (0.5) | … |
| TMP-SMX | 58/196 (30) | 73/222 (33) | 106/252 (42) | 92/259 (35) | … |
| Duration of antibiotics for acute infection | |||||
| 3 days | 10/196 (5) | 5/222 (2) | 4/252 (2) | 2/259 (1) | … |
| 5 days | 67/196 (34) | 72/222 (32) | 70/252 (28) | 57/259 (22) | … |
| 7 days | 99/196 (51) | 108/222 (49) | 122/252 (48) | 126/259 (49) | … |
| 10 days | 19/196 (10) | 36/222 (16) | 50/252 (20) | 59/259 (23) | |
| 14 days | 1/196 (1) | 1/222 (1) | 5/252 (2) | 13/259 (5) | … |
| Recommend additional preventive measures | 120/306 (39) | 257/288 (89) | 231/276 (84) | 265/267 (99) | … |
| Hygiene measures | 115/120 (96) | 244/257 (95) | 224/231 (97) | 259/265 (98) | … |
| Topical antibiotic ointment | 34/119 (29) | 166/257 (65) | 130/231 (56) | 215/259 (83) | 111/155 (72) |
| Siteb | |||||
| Nose | 13/34 (38) | 146/166 (88) | 121/130 (93) | 208/215 (97) | 108/111 (97) |
| Axilla | 3/34 (9) | 8/166 (5) | 11/130 (8) | 20/215 (9) | 10/111 (9) |
| Fingernails | 3/34 (9) | 9/166 (4) | 7/130 (5) | 13/215 (6) | 10/111 (9) |
| Umbilicus | 1/34 (2) | 1/166 (1) | 1/130 (1) | 7/215 (3) | 7/111 (6) |
| Perineum/rectum | 8/34 (24) | 27/166 (16) | 13/130 (10) | 39/215 (18) | 20/111 (18) |
| Site of infection | 20/34 (59) | 15/166 (9) | 6/130 (5) | 4/215 (2) | 0/111 (0) |
| Frequency of application | |||||
| 1x/day | 5/34 (15) | 11/166 (7) | 11/130 (9) | 18/215 (8) | 12/111 (11) |
| 2x/day | 18/34 (53) | 132/166 (80) | 107/130 (82) | 177/215 (82) | 88/111 (79) |
| 3x/day | 9/34 (27) | 19/166 (11) | 10/130 (8) | 19/215 (9) | 10/111 (9) |
| Application duration | |||||
| 3 days | 3/34 (9) | 9/166 (5) | 2/130 (2) | 5/215 (2) | 6/111 (5) |
| 5 days | 13/34 (38) | 73/166 (44) | 63/130 (49) | 97/215 (45) | 53/111 (48) |
| 7 days | 13/34 (38) | 58/166 (35) | 47/130 (36) | 74/215 (34) | 32/111 (29) |
| 10 days | 1/34 (3) | 15/166 (9) | 8/130 (6) | 26/215 (12) | 8/111 (7) |
| Antiseptic body wash | 28/119 (24) | 204/257 (79) | 174/230 (76) | 251/259 (97) | 155/155 (100) |
| CHG | 10/28 (36) | 87/204 (43) | 110/174 (63) | 134/251 (53) | 71/155 (46) |
| Bleach | 16/28 (57) | 116/204 (57) | 58/174 (33) | 113/251 (45) | 81/155 (52) |
| Capful of bleach into bath water | 0/16 (0) | 15/116 (13) | 7/58 (12) | 14/113 (12) | 9/81 (11) |
| 1/4 cup to full bathtub | 5/16 (31) | 32/116 (28) | 23/58 (40) | 38/113 (34) | 31/81 (38) |
| 1/4 cup to half-full bathtub | 4/16 (25) | 41/116 (35) | 16/58 (28) | 40/113 (35) | 24/81 (30) |
| 1/4 cup to quarter-full bathtub | 7/16 (44) | 19/116 (16) | 8/58 (14) | 16/113 (14) | 11/81 (14) |
| Frequency of body washes | |||||
| ≥1x/day | 12/28 (43) | 93/204 (46) | 84/174 (48) | 127/251 (51) | 16/155 (10) |
| Every other day | 10/28 (36) | 93/204 (46) | 67/174 (39) | 104/251 (41) | 22/155 (14) |
| 1x/week | 6/28 (21) | 13/204 (6) | 0/174 (0) | 0/251 (0) | 41/155 (27) |
| 2x/week | … | … | … | … | 67/155 (43) |
| Duration of body washesc | |||||
| 3 days | 1/28 (4) | 12/203 (6) | 2/174 (1) | 7/251 (3) | … |
| 5 days | 3/28 (11) | 35/203 (17) | 31/174 (18) | 44/251 (17) | … |
| 7 days | 11/28 (39) | 75/203 (37) | 61/174 (35) | 90/251 (36) | … |
| 10 days | 2/28 (7) | 21/203 (10) | 27/174 (16) | 41/251 (16) | … |
| 1–3 months | 8/28 (29) | 33/203 (16) | 21/174 (12) | 28/251 (11) | 75/155 (48) |
| 6 months | … | … | … | … | 58/155 (37) |
| 12 months | … | … | … | … | 15/155 (10) |
| Systemic antibiotics for decolonization | 2/119 (2) | 3/257 (1) | 4/229 (2) | 27/259 (10) | 15/155 (10) |
Data are presented as no./No. (%). Denominators vary based on REDCap survey branch logic and missing responses.
Abbreviations: CHG, chlorhexidine gluconate; SSTI, skin and soft tissue infection; TMP-SMX, trimethoprim-sulfamethoxazole.
aScenario included only questions regarding decolonization; results reported for ongoing (maintenance) decolonization regimen.
bRespondents could select >1 option.
cFor duration of antiseptic body washes for the male wrestler, 9 of 174 (5%) wrote in the response “during wrestling season.”