A clinical study of lower limb cellulitis
DOI:
https://doi.org/10.18203/2349-2902.isj20221894Keywords:
Cellulitis, Necrotizing fascitis, Renal failure, SepsisAbstract
Background: Cellulitis is a soft tissue infection emerging as a major health issue in India. The aim of this study was to understand the incidence and associated causative factors of lower limb cellulits.
Methods: This study was carried out at Department of General Surgery. This was a prospective, and NRI Institute of Medical Sciences, observational, clinical study included 100 patients who were admitted to the Visakhapatnam, with lower limb cellulitis. Period of study was between November 2017 to February 2022.
Results: The average age of incidence in the present study was 54.6 years and major risk factor is trauma. Among them 44% had open wound and of them only 34% of patients had growth for bacteria. Of 100 patients,15% progressed to necrotizing fascitis. The rate of mortality was 3% which was attributed to elderly age, renal failure and sepsis.
Conclusions: Hospital stay in cellulitis harness the years of healthy life leading to a reduction in income, aggravation of poverty levels and reduction in socioeconomic development of an individual. Proper understanding of the risk factors and factors associated with the complications of lower limb cellulitis will help healthcare professionals in implementing preventive strategies and consequently curb both the financial and health burden associated with the disease.
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References
Townsend CM, Beauchamp RD, Evers BM, Mattox KL. Sabiston Text Book of Surgery. 18th Edition. Saunders. 2007;307:2021-3.
Kumar V. Infectious diseases – bacterial infections. In: Kumar V, Abbas AK, Fausto N, editors. Robbins & Cotran Pathologic Basis of Disease. Philadelphia: Elsevier Inc. 2005;371-96.
Björnsdóttir S, Gottfredsson M, Thórisdóttir AS, Gunnarsson GB, Ríkardsdóttir H, Kristjánsson M, Hilmarsdóttir I. Risk factors for acute cellulitis of the lower limb: a prospective case-control study. Clin Infect Dis. 2005;41(10):1416-22.
Chartier C, Grosshans E. Erysipelas. Int J Dermatol. 1990;29:459-67.
Jorup-Rönström C. Epidemiological, bacteriological and complicating features of erysipelas. Scand J Infect Dis. 1986;18:519-24.
Krasagakis K, Samonis G, Valachis A, Maniatakis P, Evangelou G, Tosca A. Local complications of erysipelas: a study of associated risk factors. Clin Exp Dermatol. 2011;36:351-4.
McNamara DR, Tleyjeh IM, Berbari EF, Lahr BD, Martinez JW, Mirzoyev SA, Baddour LM. Incidence of lower-extremity cellulitis: a population-based study in Olmsted county, Minnesota. Mayo Clin Proc. 2007;82(7):817-21.
Dupuy A, Benchikhi H, Roujeau JC, Bernard P, Vaillant L, Chosidow O, Sassolas B, Guillaume JC, Grob JJ, Bastuji-Garin S. Risk factors for erysipelas of the leg (cellulitis): case-control study. BMJ. 1999;318(7198):1591-4.
Carratala J, Roson B, Fernandez Sabe N, Shaw E, del Rio O, Rivera A, et al. Factors associated with complications and mortality in adult patients hospitalized for infectious cellulitis. Eur J Clin Microbiol Infect Dis. 2003;22(3):151-7.
Halpern J, Holder R Langford NJ. Ethnicity and other risk factors for acute lower limb cellulitis. Br J Dermatol. 2008;158(6):1288-92.