{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T04:32:56Z","timestamp":1778128376401,"version":"3.51.4"},"reference-count":33,"publisher":"Georg Thieme Verlag KG","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dtsch Med Wochenschr"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Das Erysipel ist eine bakterielle Weichgewebeinfektion, die durch \u03b2-h\u00e4molysierende Streptokokken verursacht wird und sich entlang der Lymphspalten der Haut nach proximal ausbreitet. Die Eintrittspforten der Erreger k\u00f6nnen kleinere Verletzungen oder auch chronische Wunden sein. Die Diagnose Erysipel wird klinisch durch die sich ausbreitende R\u00f6tung und \u00dcberw\u00e4rmung der Haut, den reduzierten Allgemeinzustand mit Fieber und Sch\u00fcttelfrost sowie mittels serologischer Entz\u00fcndungsparameter gestellt und muss von zahlreichen Differenzialdiagnosen abgegrenzt werden. Die systemische Therapie erfolgt meist mit Penicillin. In der Lokaltherapie ist der Stellenwert der Ma\u00dfnahmen wie Kompressionstherapie oder K\u00fchlung derzeit noch umstritten. Insbesondere f\u00fcr die Rezidivprophylaxe sind die langfristige Therapie des Lymph\u00f6dems sowie die konsequente Vermeidung und Therapie von Eintrittspforten essenziell.<\/jats:p>","DOI":"10.1055\/a-1392-8128","type":"journal-article","created":{"date-parts":[[2021,7,29]],"date-time":"2021-07-29T08:19:29Z","timestamp":1627546769000},"page":"822-830","source":"Crossref","is-referenced-by-count":9,"title":["Diagnostik und Therapie des Erysipels: Ein Positionspapier der\u00a0Initiative Chronische Wunden (ICW) e.\u200aV."],"prefix":"10.1055","volume":"146","author":[{"given":"Knut","family":"Kr\u00f6ger","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Gef\u00e4\u00dfmedizin, Helios Klinik Krefeld"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Schwarzkopf","sequence":"additional","affiliation":[{"name":"Institut Schwarzkopf, Aura an der Saale"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephan","family":"Eder","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Gef\u00e4\u00dfchirurgie und Gef\u00e4\u00dfmedizin, Schwarzwald-Baar-Klinikum, Villingen-Schwenningen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kerstin","family":"Protz","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Versorgungsforschung in der Dermatologie und bei Pflegeberufen, Comprehensive Wound Center, Hamburg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"M\u00fcnter","sequence":"additional","affiliation":[{"name":"Praxis f\u00fcr Allgemeinmedizin, Hamburg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joachim","family":"Dissemond","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Dermatologie, Venerologie, Allergologie, Universit\u00e4tsklinik Essen, Essen"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,6,15]]},"reference":[{"key":"ref2","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-662-49544-5","volume-title":"Braun-Falco\u2019s Dermatologie, Venerologie und Allergologie","author":"G Plewig","year":"2018"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1111\/j.1365-4362.1996.tb02971.x","article-title":"Erysipelas: an update","volume":"35","author":"C Chartier","year":"1996","journal-title":"Int J Dermatol"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"51","DOI":"10.5455\/medarh.2012.66.s51-s53","article-title":"Cellulitis \u2013 epidemiological and clinical characteristics","volume":"66","author":"M Hadzovic-Cengic","year":"2012","journal-title":"Med Arch"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1111\/j.1610-0387.2005.04799.x","article-title":"Treatment of erysipelas in Germany and Austria \u2013 results of a survey in German and Austrian dermatological clinics","volume":"3","author":"S Brennecke","year":"2005","journal-title":"J Dtsch Dermatol Ges"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"1033","DOI":"10.1001\/jamadermatol.2019.0884","article-title":"Featherstone Assessment of Antibiotic Treatment of Cellulitis and Erysipelas: A Systematic Review and Meta-analysis","volume":"155","author":"R Brindle","year":"2019","journal-title":"JAMA Dermatol"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"904","DOI":"10.1056\/NEJMcp031807","article-title":"Cellulitis","volume":"350","author":"M N Schwartz","year":"2004","journal-title":"NEJM"},{"key":"ref8","first-page":"CD004299","article-title":"Interventions for cellulitis and erysipelas","volume":"6","author":"S A Kilburn","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1001\/jama.2016.0287","article-title":"The third international consensus definitions for sepsis and septic shock (Sepsis-3)","volume":"315","author":"M Singer","year":"2016","journal-title":"JAMA"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1111\/ddg.12611_suppl","article-title":"Indikation und praktische Durchf\u00fchrung mikrobiologischer Diagnostik bei Patienten mit chronischen Wunden","volume":"13","author":"A Schwarzkopf","year":"2015","journal-title":"J\u00a0Dtsch Dermatol Ges"},{"key":"ref12","isbn-type":"print","first-page":"337","volume-title":"Krankenhaus- und Praxishygiene. 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