Factors associated with complications and mortality in adult patients hospitalized for infectious cellulitis
Factors associated with complications and mortality in adult patients hospitalized for infectious cellulitis
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DOI：
10.1007/s10096-003-0902-x
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发表时间：
2003-03-01
影响因子：
4.5
通讯作者：
Gudiol, F
中科院分区：
文献类型：
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作者：
Carratalà, J;Rosón, B;Gudiol, F
本研究的目的是分析 332 名因蜂窝组织炎住院的成年患者的医疗结果，包括并发症和死亡风险。微生物学记录了 128 例（39%）的感染。金黄色葡萄球菌（46 例）和化脓性链球菌（22 例）是最常见的致病菌。总体而言，63 名患者（19%）提前出院（少于或等于 4 天），166 名患者（50%）住院超过 4 天，没有出现任何并发症。一百三名患者 (31%) 出现一种或多种并发症或死亡。其中，78 例需要手术清创，10 例需要整形手术，7 例接受截肢，15 例就诊时出现休克。比较三个研究组（提前出院的患者、住院时间少于或等于 4 天且无并发症的患者以及出现 1 种或多种并发症或死亡的患者）时，早期出院的患者（低风险）更常见的是女性，并且就诊时出现多种合并症、低蛋白血症、肾功能不全和/或皮肤坏死的可能性较小。全面的。死亡率（
The aim of this study was to analyze medical outcomes, including risks for complications and mortality, in 332 adult patients hospitalized for cellulitis. The infection was documented microbiologically in 128 cases (39%). Staphylococcus aureus (46 cases) and Streptococcus pyogenes (22 cases) were the most frequent causative pathogens. Overall, 63 patients (19%) were discharged early (less than or equal to4 days) and 166 patients (50%) were hospitalized for more than 4 days without developing any complications. One hundred three patients (31%) had one or more complications or died. Of these, 78 required surgical debridement, 10 required plastic surgery, 7 underwent amputation, and 15 had shock on presentation. When comparing the three study groups (patients discharged early, patients hospitalized for less than or equal to4 days without complications, and patients Who developed 1 or more complication or who died), patients who were discharged early (low risk) were more frequently female and were less likely to have multiple comorbid conditions, hypoalbuminemia, renal insufficiency, and/or cutaneous necrosis at presentation. Overall. mortality (