최근 5년간 연조직염 입원 환자에 대한 임상적 고찰A Clinical Study of Inpatients with Cellulitis over the Recent 5 Years
- Other Titles
- A Clinical Study of Inpatients with Cellulitis over the Recent 5 Years
- Authors
- 민정[민정]; 남재희[남재희]; 정호주[정호주]; 박지혜[박지혜]; 이가영[이가영]; 김원석[김원석]
- Issue Date
- 2014
- Publisher
- 대한피부과학회
- Keywords
- Antibiotics; Cellulitis; CRP; Erysipelas; WBC
- Citation
- 대한피부과학회지, v.52, no.7, pp.479 - 485
- Indexed
- SCOPUS
KCI
- Journal Title
- 대한피부과학회지
- Volume
- 52
- Number
- 7
- Start Page
- 479
- End Page
- 485
- URI
- https://scholarworks.bwise.kr/skku/handle/2021.sw.skku/56580
- ISSN
- 0494-4739
- Abstract
- Background: Cellulitis is an acute infection of the dermal and subcutaneous layers of the skin, which is commonlytreated 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 theKangbuk 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). Therewas a positive correlation between age and hospitalized days (p<0.05). Cellulitis most frequently occurred in thefoot (32.1%). The most common cutaneous symptoms were erythema, tenderness, and swelling (100%), and the mostcommon 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 notonly between CRP and hospitalized days (p<0.05) but also between white blood cell (WBC) count and hospitalizeddays (p<0.05). First-generation cephalosporin was chosen as the primary antibiotic in 33 patients (40.3%) and themean duration of antibiotic treatment was 12.4 days. There was no significant difference of hospitalized daysbetween first-generation cephalosporin and other antibiotics (p>0.05). Systemic steroid was administered in 21patients (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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