Successful addition of topical antibiotic treatment after surgery in treatment-refractory nontuberculous mycobacterial skin and soft tissue infections

Antimicrob Agents Chemother. 2023 Dec 14;67(12):e0078823. doi: 10.1128/aac.00788-23. Epub 2023 Nov 28.

Abstract

Treatment of skin and soft tissue infections with nontuberculous mycobacteria sometimes fails despite repeated debridements and long-term systemic antibiotic therapy. These treatment-refractory infections can cause significant morbidity and pose a treatment challenge. Following surgery, we treated three patients with negative pressure wound therapy with the instillation and dwell time of topical antibiotics, in addition to systemic antibiotic treatment. Treatment was successful and well tolerated, except for some local irritation.

Keywords: nontuberculous mycobacteria; skin and soft tissue infections; topical antibiotic treatment.

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Humans
  • Mycobacterium Infections, Nontuberculous* / drug therapy
  • Mycobacterium Infections, Nontuberculous* / microbiology
  • Mycobacterium Infections, Nontuberculous* / surgery
  • Nontuberculous Mycobacteria
  • Skin
  • Soft Tissue Infections* / drug therapy
  • Soft Tissue Infections* / surgery

Substances

  • Anti-Bacterial Agents