Concheiro J, Loureiro M, González-Vilas D, García-Gavín J, Sánchez-Aguilar D, Toribio J
Departamento de Dermatología, Facultad de Medicina, Complejo Hospitalario Universitario, Santiago de Compostela, A Coruña, España.
Actas Dermosifiliogr. 2009 Dec;100(10):888-94.
Erysipelas and cellulitis are relatively common cutaneous infections that can sometimes be the cause of a prolonged hospital admission. The objective of this study was to determine the most relevant epidemiologic factors and their influence on the length of hospital stay, comparing our results with those of previous studies.
We performed a retrospective, observational, cross-sectional study of 122 patients admitted over a 5-year period to the dermatology department of our hospital with a diagnosis of erysipelas or cellulitis.
Patients with a diagnosis of erysipelas or cellulitis represented 8.6% of all admissions during the study period. The mean age was 58.93 years and the female to male ratio was 1.06:1. The most common site of involvement was on the legs (76.22%). Overweight or obesity was present in 42.6% of patients and tinea pedis was detected in 33.6% of cases. A skin abscess developed in 7.4% of cases. The mean length of admission was 10.20 days; length of stay increased with age and with the erythrocyte sedimentation rate (ESR) on admission (P < .01 for both differences).
We confirm general epidemiologic factors such as sex and age distributions, predominant site, past history, and length of hospital stay. In view of their predictive value for the length of hospital stay, we propose that age and the ESR on admission should be considered to be indirect indicators of disease severity.
丹毒和蜂窝织炎是相对常见的皮肤感染，有时可能导致住院时间延长。本研究的目的是确定最相关的流行病学因素及其对住院时间的影响，并将我们的结果与以往研究的结果进行比较。
我们对我院皮肤科在5年期间收治的122例诊断为丹毒或蜂窝织炎的患者进行了一项回顾性、观察性横断面研究。
在研究期间，诊断为丹毒或蜂窝织炎的患者占所有入院患者的8.6%。平均年龄为58.93岁，男女比例为1.06:1。最常见的受累部位是腿部（76.22%）。42.6%的患者存在超重或肥胖，33.6%的病例检测到足癣。7.4%的病例发生了皮肤脓肿。平均住院时间为10.20天；住院时间随年龄和入院时红细胞沉降率（ESR）的增加而延长（两者差异P <.01）。
我们证实了性别和年龄分布、主要部位、既往史和住院时间等一般流行病学因素。鉴于它们对住院时间的预测价值，我们建议将年龄和入院时的ESR视为疾病严重程度的间接指标。
