The effect of soft-tissue ultrasound on the management of cellulitis in the emergency department

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Vivek S TayalChristian A Tomaszewski

Abstract

To evaluate the effect of diagnostic soft-tissue ultrasound (US) on management of emergency department (ED) patients with clinical cellulitis. This was a prospective observational study in an urban ED of adult patients with clinical soft-tissue infection without obvious abscess. The treating physician's pretest opinions regarding the need for further drainage procedures and the probability of subcutaneous fluid collection were determined. Emergency sonologists then performed US of the infected area, and the effect on management plan was recorded. Ultrasound changed the management of patients with cellulitis in 71/126 (56%) of cases. In the pretest group that was believed not to need further drainage, US changed the management in 39/82 (48%), with 33 receiving drainage and 6 receiving further diagnostics or consultation. In the pretest group in which further drainage was believed to be needed, US changed the management in 32/44 (73%), including 16 in whom drainage was eliminated and 16 who had further diagnostic interventions. US had a management effect in all pretest probabilities for fluid from 10% to 90%. Soft-tissue US changes physician management in approximately half of patients in the ED with clinical cellulitis. US may g...Continue Reading

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References

Aug 12, 1999·Radiologic Clinics of North America·S J Primack
Aug 12, 1999·Radiologic Clinics of North America·J G Craig
Nov 11, 1999·Radiographics : a Review Publication of the Radiological Society of North America, Inc·N J BureauE Cardinal
Nov 7, 2000·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·H C ChaoT Y Lin
Apr 3, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·M Blaivas
Apr 24, 2001·Radiologic Clinics of North America·D W StrukD F Worsley
Apr 24, 2001·Radiologic Clinics of North America·S L Moore, M Rafii
Feb 27, 2004·The New England Journal of Medicine·Morton N Swartz
Jul 20, 2004·The American Journal of Emergency Medicine·Deepak ChandwaniDennis Cochrane
Nov 16, 2004·Clinics in Geriatric Medicine·Susan C MillerVincent Mor
Jul 5, 2005·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Benjamin T SquireCraig Anderson

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Citations

Dec 22, 2011·Emerging Infectious Diseases·Paul HannamDylan R Pillai
May 23, 2014·Case Reports in Emergency Medicine·Dywanda L LewisLisa Moreno-Walton
Jan 7, 2011·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Catherine LiuUNKNOWN Infectious Diseases Society of America
Nov 27, 2010·Clinical Rheumatology·Ximena WortsmanJuan Honeyman
Sep 21, 2007·Current Infectious Disease Reports·Fredrick M Abrahamian, Eric W Snyder
Sep 24, 2008·Pediatric Radiology·Ann M Dietrich, Brian D Coley
Jan 25, 2011·Annals of Emergency Medicine·Bradley W FrazeeArun Nagdev
Feb 2, 2010·Annals of Emergency Medicine·William T Hosek, John Gullett
Aug 12, 2009·The Journal of Emergency Medicine·Adam B SivitzArun D Nagdev
Mar 27, 2009·Annals of Emergency Medicine·Uché Blackstock, Michael B Stone
Feb 26, 2008·Infectious Disease Clinics of North America·Fredrick M AbrahamianGregory J Moran
Aug 16, 2014·Journal of the European Academy of Dermatology and Venereology : JEADV·K ZarchiG B E Jemec
Oct 8, 2013·Pediatric Clinics of North America·Nicola Baker, Dale Woolridge
Oct 8, 2013·Pediatric Clinics of North America·Rakesh D Mistry
Oct 16, 2014·The Journal of Emergency Medicine·Brett A Marvel, Gavin R Budhram
May 29, 2016·The Journal of Emergency Medicine·Patrick BovinoMark Scheatzle
Mar 14, 2007·Pediatric Emergency Care·Lei Chen, M Douglas Baker
Feb 5, 2019·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Adrian D HaimovichR Andrew Taylor
May 14, 2008·Current Opinion in Pediatrics·Jason A Levy, Richard G Bachur
Jul 11, 2008·Current Opinion in Critical Care·Robin K Guillory, Oliver L Gunter
Feb 27, 2009·Pediatric Emergency Care·Daniela Ramirez-SchremppAndrew S Liteplo
Jan 17, 2009·Pediatric Emergency Care·Daniela Ramirez-SchremppAndrew S Liteplo
Jun 25, 2009·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Olanrewaju A SoremekunRichard D Zane
Apr 8, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Rakesh D MistryElizabeth R Alpern
Apr 14, 2010·Current Opinion in Pediatrics·Christine A Odell
Mar 27, 2019·JAAPA : Official Journal of the American Academy of Physician Assistants·Michael BreunigDeanne Kashiwagi
Sep 13, 2018·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Kelly R BergmannAnupam Kharbanda
May 23, 2014·Disaster Medicine and Public Health Preparedness·Tatjana GazibaraErica I Lubetkin
Aug 14, 2019·Hospital Pediatrics·Akshata Hopkins, Stephanie J Doniger
Nov 20, 2019·Pediatric Dermatology·Ana Isabel Rodríguez BanderaRaúl de Lucas Laguna
Feb 6, 2020·Pediatric Emergency Care·Ian Surdhar, David Kirschner
Jun 8, 2018·Emergency Radiology·Courtney E NelsonSummer L Kaplan
May 21, 2020·Open Access Emergency Medicine : OAEM·Roshana ShresthaAlok Pradhan
Jul 7, 2018·Southern Medical Journal·Michael WagnerKevin Bergman
Oct 18, 2018·Emergency Radiology·Daniel HillmanAndrew Petraszko
Mar 20, 2020·The Western Journal of Emergency Medicine·Frances M RussellElisa J Sarmiento
Mar 15, 2020·Emergency Medicine Journal : EMJ·Joseph Roland Brown, William Shyy
Nov 11, 2020·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Daniel RusieckiColin Bell
Jan 10, 2014·Journal of Graduate Medical Education·Daniel J SchnobrichAlisa Duran-Nelson
Dec 12, 2020·Infectious Disease Clinics of North America·Timothy J Hatlen, Loren G Miller
Jan 27, 2021·Infectious Disease Clinics of North America·Rachel J Bystritsky
Apr 19, 2015·Current Opinion in Pediatrics·Daniel B FensterCindy G Roskind

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