Risk factors associated with abscess formation among patient with leg erysipelas (cellulitis) in sub-Saharan Africa: a multicenter study

Pitché, P.; Saka, Bayaki; Diatta, Ahy Boubacar; Faye, Ousmane; Diané, B.; Sangaré, A.; Niamba, P.; Mandengue, Christine; Kobengue, Léon; Diop, Assane; Ly, Fatimata; Dieng, Mame Thierno; Dicko, Alassane; Soumah, M.M.; Cissé, Mohamed; Kourouma, S.; Kouassi, Isidore; Boukari, T.; Akakpo, S.; Landoh, Dadja Essoya; Tchangaï-Walla, K.

doi:10.1186/s12895-015-0037-7

Cited by 14 publications

(15 citation statements)

References 5 publications

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“…However, the BDH was the first reason for hospitalization in our series. The mean age of BDH in our study was similar to that found in the Pitché et al study [13]. One reason for this age range was the young, active age group with a higher risk of trauma.…”

Section: Discussionsupporting

confidence: 90%

“…The micro-traumas caused during this work could constitute ports of entry of the germs. Similar results were reported by Pitché et al [13]. According to these authors, this frequency peak could be explained by: the phenomenon of maceration and microbial growth due to heat; stasis edema of stasis favored by the strong heat; the high frequency of micro traumas to the lower limbs, which are frequent during this period act as germ entry points.…”

Section: Discussionsupporting

confidence: 85%

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2017

Our Dermatol Online

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 85%

Untitled

2017

Our Dermatol Online

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“…It is reported that nicotine reduces the healing of the infectious wounds and decline the effect of drug therapy. The results of our study were in accordance with the study conducted by Pitché P.V et al 11 On the other hand, alcohol consumption in the patients may also lead to drug interactions. Thus, counseling of the patients for these social habits is important in order to improve the therapeutic effects of drugs.…”

Section: Occupational Status and Social Habitssupporting

confidence: 92%

Cellulitis: A Study of Drug Use Evaluation in a Tertiary Care Teaching Hospital

Patil¹,

Sreekanth²,

Baby³

et al. 2018

IJOPP

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Background: Inappropriate use of drugs especially antibiotics, in the treatment of cellulitis results in therapeutic failure and recurrence of cellulitis. Drug use evaluation is a performance improvement method that focuses on evaluation and improvement of drug use processes to achieve optimal therapeutic outcomes. Objectives: The present work deals with the drug use evaluation in cellulitis with an aim to improve therapeutic outcomes of the disease. Methodology: The prospective observational study on the drug utilization evaluation in cellulitis was carried out on a total of 67 cellulitis in-patients from the departments of medicine, surgery, orthopaedics of Navodaya Medical College Hospital and Research Centre, Raichur. Relevant information was recorded in a structured proforma & data was evaluated. The drugs used in the treatment were evaluated by comparing with by using CREST (Clinical Resource Efficiency Support Team guidelines, developed by Central Medical Advisory Committee, Ireland) guidelines. Results: Out of 67 patients 53 patients were diagnosed with Class 2 cellulitis, 13 patients were Class 3 cellulitis and only 1 patient was Class 4 cellulitis (Class 1 cellulitis patients are treated on outpatient basis and hence not included in the study). The rank order of antibiotics prescribed in the treatment was as follows: Cephalosporins>aminoglycosides>penicillins>macrolides>fluoroquinolones. Conclusion: An overall deviation in 28.3% patients as been observed in the line of treatment with respect to antibiotics use as per CREST guidelines. Further, deviation was also observed in prophylactic antibiotics prescribed to prevent the recurrence of cellulitis. The study also revealed the lack of awareness in the cellulitis patients regarding the disease, its recurrence and prevention. Thus, the study intensifies the need to create the awareness among the physicians regarding the appropriate use of antibiotics and in patients to prevent its occurrence and recurrence.

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“…Leg abscesses and necrotising fasciitis were the most frequently reported complications of cellulitis. 23 24 26 27 A delay in antibiotic therapy for 10 days or more, nicotine addiction and use of NSAIDS, antibiotics or cataplasm prior to consultation were associated with the occurrence of local complications of lower limb cellulitis, table 4 . These findings are similar to other studies done elsewhere.…”

Section: Discussionmentioning

confidence: 99%

Risk factors and complications of lower limb cellulitis in Africa: a systematic review

et al. 2018

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ObjectiveTo summarise available data on the risk factors, complications and the factors associated with complications of lower limb cellulitis in Africa.MethodsWe did electronic searches on PubMed, EMBASE, Scopus and African Journals Online from 1 January 1986 to 30 October 2017, extracted and summarised data on the risk factors, complications and the factors associated with the complications of lower limb cellulitis from eligible literature.ResultsA total of seven studies were retained for final review after the search and screening processes. Local risk factors of cellulitis reported were: disruption of the skin barrier, neglected wounds, toe-web intertrigo, leg ulcers, use of depigmentation drugs and leg oedema. Obesity was the only reported general risk factor of cellulitis. Five studies reported on the complications of cellulitis which included: abscess formation, necrotising fasciitis, bullae, haemorrhagic lesions, necrosis, phlebitis and amputations. Nicotine addiction, chronic use of non-steroidal anti-inflammatory drugs, delay in the initiation of antibiotic treatment and elevated erythrocyte sedimentation rate were risk factors of complications of lower limb cellulitis identified from three studies.ConclusionThis review highlights the important role of local risk factors in the pathogenesis of lower limb cellulitis in Africa. The association between voluntary skin depigmentation and lower limb cellulitis should alert public health authorities and the general population to the health risks associated with this practice. The identification and improved management of the risk factors of lower limb cellulitis and its complications could go a long way in decreasing the morbidity and health costs incurred by lower limb cellulitis in Africa.

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Risk factors associated with abscess formation among patient with leg erysipelas (cellulitis) in sub-Saharan Africa: a multicenter study

Cited by 14 publications

References 5 publications

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Untitled

Cellulitis: A Study of Drug Use Evaluation in a Tertiary Care Teaching Hospital

Risk factors and complications of lower limb cellulitis in Africa: a systematic review

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