Claeys et al used the CREST Scoring System to help guide management of a patient with an acute bacterial skin and skin structure infection (ABSSSI). The authors are from Wayne State University.
Patient selection: acute bacterial skin and skin structure infection (ABSSSI)
Parameters:
(1) Clinical Resource Efficiency Support Team (CREST)
(2) systemic toxicity
(3) comorbidities that may complicate or delay resolution of infection
(4) Standardized Early Warning Score (SEWS), from 0 to 18
(5) other findings
Systemic Toxicity
Comorbidities
SEWS
CREST
none, no sepsis
none uncontrolled
< 4
I
systemically ill, no sepsis
NA
< 4
II
none, no sepsis
present
< 4
II
significant, sepsis
variable, may be unstable
< 4
III
sepsis syndrome, life threatening infection
NA
>= 4
IV
CREST
Route
Location
I
oral
outpatient
II
IV
inpatient 48 hours, then continue as outpatient
III
IV
inpatient
IV
IV, often with surgery
inpatient
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