Cellulitis in aged persons: a neglected infection in the literature

Cellulitis is a frequent soft tissue and skin infection. The lower limbs are affected in 70 to 80% of cases. Cellulitis in aged persons is not yet well described in literature. A retrospective descriptive study conducted in the Internal Medicine Department of Sahloul hospital in Sousse in Tunisia. I...

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Main Authors: Anis Mzabi, Wafa Marrakchi, Zeineb Alaya, Fatma Ben Fredj, Amel Rezgui, Elyes Bouajina, Chedia Laouani Kechrid
Format: Article
Language:English
Published: The Pan African Medical Journal 2017-06-01
Series:The Pan African Medical Journal
Subjects:
Online Access: https://www.panafrican-med-journal.com/content/article/27/160/pdf/160.pdf
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author Anis Mzabi
Wafa Marrakchi
Zeineb Alaya
Fatma Ben Fredj
Amel Rezgui
Elyes Bouajina
Chedia Laouani Kechrid
author_facet Anis Mzabi
Wafa Marrakchi
Zeineb Alaya
Fatma Ben Fredj
Amel Rezgui
Elyes Bouajina
Chedia Laouani Kechrid
author_sort Anis Mzabi
collection DOAJ
description Cellulitis is a frequent soft tissue and skin infection. The lower limbs are affected in 70 to 80% of cases. Cellulitis in aged persons is not yet well described in literature. A retrospective descriptive study conducted in the Internal Medicine Department of Sahloul hospital in Sousse in Tunisia. It included patients whose age was up to 65 years old admitted into hospital for cellulitis of the legs, the arms or the face. One hundred fifty eight patients with a mean age of 73 years old (range: 65 to 94 years old) were included. Female to male sex ratio was 0.68. Among them, we noted diabetes mellitus in 81 cases (50.6%). The infection was located in the lower limbs in 155 cases (98%), in the face in two cases (1.3%) and in the upper limb in one case (0.7%). Twenty one patients (13.3%) presented with severe cellulitis and one presented with necrotizing fasciitis. All patients received intra venous antibiotic therapy. Surgical treatment was indicated in 14 cases. Cefazolin was prescribed in 77 cases (48%). Favorable evolution was noted in 144 patients (91.1%). Forty four patients (27.8%) received prophylactic antibiotics. Prevention of skin and soft tissue infection is a crucial step to preserve health in aged persons.
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spelling doaj.art-3606b316e01f4a7cb58a02a8af71f8ba2022-12-21T18:42:20ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882017-06-012716010.11604/pamj.2017.27.160.1200712007Cellulitis in aged persons: a neglected infection in the literatureAnis Mzabi0Wafa Marrakchi1Zeineb Alaya2Fatma Ben Fredj3Amel Rezgui4Elyes Bouajina5Chedia Laouani Kechrid6 Department of Internal Medicine, Sahloul Hospital, Faculty of Medicine of Sousse, Sousse, Tunisia Department of Internal Medicine, Sahloul Hospital, Faculty of Medicine of Sousse, Sousse, Tunisia Department of Rheumatology, Farhat Hached Hospital, Faculty of Medicine of Sousse, Sousse, Tunisia Department of Internal Medicine, Sahloul Hospital, Faculty of Medicine of Sousse, Sousse, Tunisia Department of Internal Medicine, Sahloul Hospital, Faculty of Medicine of Sousse, Sousse, Tunisia Department of Rheumatology, Farhat Hached Hospital, Faculty of Medicine of Sousse, Sousse, Tunisia Department of Internal Medicine, Sahloul Hospital, Faculty of Medicine of Sousse, Sousse, Tunisia Cellulitis is a frequent soft tissue and skin infection. The lower limbs are affected in 70 to 80% of cases. Cellulitis in aged persons is not yet well described in literature. A retrospective descriptive study conducted in the Internal Medicine Department of Sahloul hospital in Sousse in Tunisia. It included patients whose age was up to 65 years old admitted into hospital for cellulitis of the legs, the arms or the face. One hundred fifty eight patients with a mean age of 73 years old (range: 65 to 94 years old) were included. Female to male sex ratio was 0.68. Among them, we noted diabetes mellitus in 81 cases (50.6%). The infection was located in the lower limbs in 155 cases (98%), in the face in two cases (1.3%) and in the upper limb in one case (0.7%). Twenty one patients (13.3%) presented with severe cellulitis and one presented with necrotizing fasciitis. All patients received intra venous antibiotic therapy. Surgical treatment was indicated in 14 cases. Cefazolin was prescribed in 77 cases (48%). Favorable evolution was noted in 144 patients (91.1%). Forty four patients (27.8%) received prophylactic antibiotics. Prevention of skin and soft tissue infection is a crucial step to preserve health in aged persons. https://www.panafrican-med-journal.com/content/article/27/160/pdf/160.pdf cellulitisaged persondiabetesnecrotizing fasciitisantibioticsurgery
spellingShingle Anis Mzabi
Wafa Marrakchi
Zeineb Alaya
Fatma Ben Fredj
Amel Rezgui
Elyes Bouajina
Chedia Laouani Kechrid
Cellulitis in aged persons: a neglected infection in the literature
The Pan African Medical Journal
cellulitis
aged person
diabetes
necrotizing fasciitis
antibiotic
surgery
title Cellulitis in aged persons: a neglected infection in the literature
title_full Cellulitis in aged persons: a neglected infection in the literature
title_fullStr Cellulitis in aged persons: a neglected infection in the literature
title_full_unstemmed Cellulitis in aged persons: a neglected infection in the literature
title_short Cellulitis in aged persons: a neglected infection in the literature
title_sort cellulitis in aged persons a neglected infection in the literature
topic cellulitis
aged person
diabetes
necrotizing fasciitis
antibiotic
surgery
url https://www.panafrican-med-journal.com/content/article/27/160/pdf/160.pdf
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