Case survey of management of cellulitis in a tertiary teaching hospital.

The Medical Journal of Australia
A A AlyD G MacLellan

Abstract

To examine management of cellulitis in a tertiary teaching hospital, identify inefficiencies and suggest revised management guidelines. Retrospective case survey, based on patient hospital records. Heidelberg Repatriation Hospital, Melbourne, Victoria (a tertiary teaching hospital), in 1991 and 1992. All patients admitted with lower-limb cellulitis as the primary diagnosis. 118 patients were included. Underlying disease predisposing to cellulitis was found in 79%, but was adequately investigated in only 20% of these. Blood cultures were performed in 55%, all with negative results. Other microbiological investigations also had poor yields. Combination therapy with intravenous (i.v.) flucloxacillin and penicillin was given to 76%, with duration varying widely (mean, six days). Where documented (73%), most patients (94%) responded to antibiotics within five days. However, in 40% of patients i.v. therapy was continued for longer and in 10% for 10 days or more, with no significant difference in outcome. Length of hospital stay averaged 13 days, with prolonged stay often associated with surgical intervention or intercurrent problems. However, 15% of patients remained in hospital longer than 10 days for no clear indication. Outpatient...Continue Reading

Citations

Dec 24, 2005·Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG·Sabine BrenneckeNorbert H Brockmeyer
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