Primary Care and Population Science, Faculty of Medicine, University of Southampton, Southampton, U.K.
Centre for Evidence Based Dermatology, University of Nottingham, Nottingham, U.K.
Br J Dermatol. 2019 Apr;180(4):810-820. doi: 10.1111/bjd.17445. Epub 2019 Jan 24.
Cellulitis is a common painful infection of the skin and underlying tissues that recurs in approximately one-third of cases. The only proven strategy to reduce the risk of recurrence is long-term, low-dose antibiotics. Given current concerns about antibiotic resistance and the pressure to reduce antibiotic prescribing, other prevention strategies are needed.
To explore patients' views about cellulitis and different ways of preventing recurrent episodes.
Adults aged ≥ 18 years with a history of first-episode or recurrent cellulitis were invited through primary care, hospitals and advertising to complete a survey, take part in an interview or both.
Thirty interviews were conducted between August 2016 and July 2017. Two hundred and forty surveys were completed (response rate 17%). Triangulation of quantitative and qualitative data showed that people who have had cellulitis have wide-ranging beliefs about what can cause cellulitis and are often unaware of risk of recurrence or potential strategies to prevent recurrence. Enhanced foot hygiene, applying emollients daily, exercise and losing weight were more popular potential strategies than the use of compression stockings or long-term antibiotics. Participants expressed caution about long-term oral antibiotics, particularly those who had experienced only one episode of cellulitis.
People who have had cellulitis are keen to know about possible ways to prevent further episodes. Enhanced foot hygiene, applying emollients daily, exercise and losing weight were generally viewed to be more acceptable, feasible strategies than compression or antibiotics, but further research is needed to explore uptake and effectiveness in practice.
蜂窝织炎是一种常见的皮肤和皮下组织疼痛性感染，约有三分之一的病例会复发。降低复发风险的唯一经证实策略是长期、低剂量使用抗生素。鉴于当前对抗生素耐药性的担忧以及减少抗生素处方的压力，需要其他预防策略。
探讨患者对蜂窝织炎和预防复发性发作的不同方法的看法。
通过初级保健、医院和广告邀请年龄≥18 岁、有首发或复发性蜂窝织炎病史的成年人完成调查、参加访谈或两者兼而有之。
2016 年 8 月至 2017 年 7 月期间共进行了 30 次访谈。完成了 240 份调查（响应率为 17%）。定量和定性数据的三角分析表明，患有蜂窝织炎的人对什么会导致蜂窝织炎有广泛的看法，并且通常不知道复发的风险或潜在的预防复发策略。增强足部卫生、每天涂抹保湿霜、运动和减肥是比使用压缩袜或长期使用抗生素更受欢迎的潜在策略。参与者对长期口服抗生素持谨慎态度，尤其是那些只经历过一次蜂窝织炎发作的人。
患有蜂窝织炎的人渴望了解预防进一步发作的可能方法。增强足部卫生、每天涂抹保湿霜、运动和减肥通常被认为是比压缩或抗生素更可接受、可行的策略，但需要进一步研究以探讨在实践中的采用率和有效性。
