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研究印度北部下肢蜂窝织炎的临床特征及治疗方法。

To Study the Clinical Profile and Management of Cellulitis of Lower Limb in Northern India.

作者信息

Bhagat Tripta S, Kumar Luv, Garg Prakhar, Goel Apoorv, Aggarwal Amit, Gupta Shalabh

机构信息

Santosh Medical College Hospital, Ghaziabad, Uttar Pradesh, India.

出版信息

Int J Low Extrem Wounds. 2023 Mar;22(1):44-47. doi: 10.1177/1534734620986679. Epub 2021 Mar 20.

Abstract

Cellulitis is a bacterial infection of the dermis and subcutaneous tissues occupying a large proportion of hospital beds. This study was conducted for analysis of patients with cellulitis according to their demographics and clinical presentation and to examine their comorbidities, complications, and its management. This observational cross-sectional study was conducted in the Department of Surgery at Santosh Medical College and Hospitals involving a total of 60 cases having cellulitis and other soft tissue infections of lower limb. Analysis of their demographic profile, management, and complications was done. Cellulitis is seen commonly in males, 46 (76.6%). The mean age of patients affected by cellulitis in the study was 36.4 ± 1.23 years. The most common site affected is leg involving more people in field jobs. The most common risk factor was trauma in 46.6%, and other factors were diabetes mellitus and smoking, while abscess formation was the most common complication observed in 36.6% of cases. A total of 56.6% cases were managed conservatively, while 43.3% cases required surgical intervention. Mean hospital stay in this study was 5.02 ± 0.23 days. It was concluded that cellulitis is subcutaneous, spreading bacterial infection is more common in males, and its incidence is highest in working age group population. Lower limb is commonly involved. Trauma, smoking, and diabetes are significant risk factors for development of cellulitis. Abscess is the most common complication. About 50% patients with cellulitis can be managed conservatively and the rest require surgical intervention.

摘要

蜂窝织炎是一种真皮和皮下组织的细菌感染,占用了医院的很大一部分床位。本研究旨在根据蜂窝织炎患者的人口统计学和临床表现进行分析,并检查其合并症、并发症及其管理情况。这项观察性横断面研究在桑托什医学院及医院的外科进行,共纳入60例患有蜂窝织炎和下肢其他软组织感染的病例。对他们的人口统计学特征、管理情况和并发症进行了分析。蜂窝织炎在男性中较为常见,有46例(76.6%)。本研究中受蜂窝织炎影响患者的平均年龄为36.4±1.23岁。最常受影响的部位是腿部,涉及更多从事野外工作的人。最常见的危险因素是创伤,占46.6%,其他因素是糖尿病和吸烟,而脓肿形成是最常见的并发症,在36.6%的病例中观察到。共有56.6%的病例采用保守治疗,而43.3%的病例需要手术干预。本研究中的平均住院天数为5.02±0.23天。得出的结论是,蜂窝织炎是皮下的、扩散性细菌感染,在男性中更常见,其发病率在工作年龄组人群中最高。下肢常受累。创伤、吸烟和糖尿病是蜂窝织炎发生的重要危险因素。脓肿是最常见的并发症。约50%的蜂窝织炎患者可以采用保守治疗,其余患者需要手术干预。

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