Erysipelas and cellulitis: clinical and microbiological spectrum in an Italian tertiary care hospital
Erysipelas and cellulitis: clinical and microbiological spectrum in an Italian tertiary care hospital
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DOI：
10.1016/j.jinf.2004.12.010
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发表时间：
2005-12-01
影响因子：
28.2
通讯作者：
de Lalla, F
中科院分区：
文献类型：
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作者：
Lazzarini, L;Conti, E;de Lalla, F
1995年1月至2002年12月期间在作者所在机构因丹毒或蜂窝织炎住院的患者纳入了这项回顾性研究。在研究期间，有200例软组织感染住院治疗。患者的平均年龄为58岁。最常见的部位是腿部（66%），其次是手臂（24%）和面部（6%）。大多数患者（71%）具有公认的软组织感染危险因素。71%的病例出现发热，平均持续时间为3天。141例中有3例（2%）血培养呈阳性，而92例中有73例（79%）皮肤拭子呈阳性。入院时，191例患者中有100例（50%）、176例患者中有151例（85%）和154例患者中有150例（97%）的白细胞计数（WBC）、红细胞沉降率（ESR）和c反应蛋白（CRP）水平高于正常水平。住院时间大于10天的患者CRP和ESR值明显高于住院时间小于10天的患者(P
Patients hospitalized in the authors' institution for erysipelas or cellulitis between January 1995 and December 2002 were included in this retrospective review. Two hundred cases of soft tissue infections were hospitalized during the study period. The mean age of the patients was 58 years. The most commonly involved site was the leg (66%), followed by the arm (24%) and face (6%). Most patients (71%) had a recognized risk factor for soft tissue infection. Fever was present in 71% of cases, with a mean duration of 3 days. Blood cultures were positive in 3 out of 141 (2%) cases, whereas cutaneous swabs were positive in 73 out of 92 (79%) cases. On admission, white blood cells counts (WBC), erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) levels were elevated above normal levels in 100 out of 191 (50%) cases, 151 out of 176 (85%) cases, and 150 out of 154 (97%) cases, respectively. Patients with a hospital stay of more than 10 days had significantly higher CRP and ESR values than patients hospitalized for 10 days or less (P