Cellulitis incidence in a defined population

Cellulitis incidence in a defined population
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DOI:
10.1017/s095026880500484x
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发表时间:
2006-04-01
影响因子:
4.2
通讯作者:
Lyon, JL
Lyon, JL
中科院分区:
医学4区
文献类型:
--
作者:
Simonen, SME;Van Orman, ER;Lyon, JL

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一个基于人群的保险索赔数据库被用来检查蜂窝织炎的发病率,感染的解剖部位,并发症的诊断,卫生服务的来源,和复发率。检索了蜂窝织炎ICD-9-CM代码681.0-682.9的保险索赔文件。蜂窝织炎的并发症包括丹毒、淋巴结炎、淋巴管炎和坏死性筋膜炎也通过ICD-9-CM代码确定。我们发现蜂窝织炎的发病率为24.6/1000人-年,男性和45-64岁的个体发病率较高。最常见的感染部位是下肢(39.9%)。大多数患者(73.8%)在门诊就诊,大多数(82.0%)在研究的5年期间仅发生过一次蜂窝织炎。蜂窝织炎并发症(包括坏死性筋膜炎)的发生率非常低。蜂窝织炎相当常见,通常在门诊治疗,很少并发丹毒、淋巴结炎、淋巴管炎或坏死性筋膜炎。
A population-based insurance claims database was used to examine cellulitis incidence, anatomical sites of infection, complicating diagnoses, source of health service, and recurrence rates. Insurance claim files were searched for cellulitis ICD-9-CM codes 681.0-682.9. Complications of cellulitis including erysipelas, lymphadenitis, lymphangitis, and necrotizing fasciitis were also identified by ICD-9-CM codes. We found a cellulitis incidence rate of 24.6/1000 person-years, with a higher incidence among males and individuals aged 45-64 years. The most common site of infection was the lower extremity (39.9%). The majority of patients were seen in an outpatient setting (73.8%), and most (82.0%) had only one episode of cellulitis during the 5-year period studied. There was a very low incidence of cellulitis complications, including necrotizing fasciitis. Cellulitis is fairly common, usually treated in outpatient settings, and is infrequently complicated by erysipelas, lymphadenitis, lymphangitis, or necrotizing fasciitis.