Case Commentary: Another prong of attack? Topical antibiotic instillation with negative pressure wound therapy for nontuberculous mycobacterial skin and soft tissue infections

Antimicrob Agents Chemother. 2023 Dec 14;67(12):e0104823. doi: 10.1128/aac.01048-23. Epub 2023 Nov 28.

Abstract

Nontuberculous mycobacteria (NTM) skin infections remain therapeutically challenging. Given the diversity in infections, host responses, and antimicrobials, clinical guidelines are often built on case series and observational studies. In this commentary, we respond to a paper by Stemkens et al. that introduces an emerging strategy: adjunctive negative pressure wound therapy with instillation and dwell time combined with topical antibiotics for refractory NTM skin and soft tissue infections. We delve into the primary considerations surrounding this innovative approach.

Keywords: Mycobacterium; negative pressure wound therapy; skin and soft tissue Infection; wound.

Publication types

  • Comment

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Humans
  • Mycobacterium Infections, Nontuberculous* / drug therapy
  • Mycobacterium Infections, Nontuberculous* / microbiology
  • Negative-Pressure Wound Therapy*
  • Nontuberculous Mycobacteria
  • Skin Diseases, Bacterial* / drug therapy
  • Soft Tissue Infections* / drug therapy
  • Soft Tissue Infections* / microbiology

Substances

  • Anti-Bacterial Agents