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KMID : 0363220140520070479
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Korean Journal of Dermatology
2014 Volume.52 No. 7 p.479 ~ p.485
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A Clinical Study of Inpatients with Cellulitis over the Recent 5 Years
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Min Jung
Nam Jae-Hui
Jung Ho-Joo
Park Ji-Hye
Lee Ga-Young
Kim Won-Serk
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Abstract
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Background: Cellulitis is an acute infection of the dermal and subcutaneous layers of the skin, which is commonly treated by a dermatologist but there are few reports about clinical data on cellulitis in Korean literature.
Objective: This study evaluated the clinical characteristics of inpatients diagnosed as cellulitis in the recent 5 years.
Methods: We reviewed the medical records of 77 patients who were diagnosed as cellulitis and hospitalized at the Kangbuk Samsung Hospital from March 2008 to February 2013.
Results: The study included data from 77 patients with cellulitis (mean age, 51.7 years; 44 men, 33 women). There was a positive correlation between age and hospitalized days (p＜0.05). Cellulitis most frequently occurred in the foot (32.1%). The most common cutaneous symptoms were erythema, tenderness, and swelling (100%), and the most common systemic symptom was fever (23.4%). Tinea pedis was the most common cause of cellulitis (31.2%). Elevation of C-reactive protein (CRP) was observed in 30 patients (40%) and there were positive correlations not only between CRP and hospitalized days (p＜0.05) but also between white blood cell (WBC) count and hospitalized days (p＜0.05). First-generation cephalosporin was chosen as the primary antibiotic in 33 patients (40.3%) and the mean duration of antibiotic treatment was 12.4 days. There was no significant difference of hospitalized days between first-generation cephalosporin and other antibiotics (p＞0.05). Systemic steroid was administered in 21 patients (27.3%), and was not significantly related to hospitalized days (p＞0.05).
Conclusion: The clinical course of cellulitis was inversely correlated to the elevation of patient`s age, WBC count, and CRP.
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KEYWORD
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Antibiotics, Cellulitis, CRP, Erysipelas, WBC
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