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최근 5년간 연조직염 입원 환자에 대한 임상적 고찰
A Clinical Study of Inpatients with Cellulitis over the Recent 5 Years

대한피부과학회지 2014년 52권 7호 p.479 ~ p.485

민정(Min Jung) - 성균관대학교 의과대학 강북삼성병원 피부과학교실
남재희(Nam Jae-Hui) - 성균관대학교 의과대학 강북삼성병원 피부과학교실
정호주(Jung Ho-Joo) - 성균관대학교 의과대학 강북삼성병원 피부과학교실
박지혜(Park Ji-Hye) - 성균관대학교 의과대학 강북삼성병원 피부과학교실
이가영(Lee Ga-Young) - 성균관대학교 의과대학 강북삼성병원 피부과학교실
김원석(Kim Won-Serk) - 성균관대학교 의과대학 강북삼성병원 피부과학교실

Abstract

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.

키워드

Antibiotics, Cellulitis, CRP, Erysipelas, WBC

KMID : 0363220140520070479

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주제코드

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DOI

KCD코드

ICD 03

건강보험코드

최근 5년간 연조직염 입원 환자에 대한 임상적 고찰 A Clinical Study of Inpatients with Cellulitis over the Recent 5 Years

Abstract

키워드

최근 5년간 연조직염 입원 환자에 대한 임상적 고찰
A Clinical Study of Inpatients with Cellulitis over the Recent 5 Years