Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/13491
Title: Case survey of management of cellulitis in a tertiary teaching hospital.
Authors: Aly, Ahmad;Roberts, N M;Seipol, K S;MacLellan, D G
Affiliation: Heidelberg Repatriation Hospital, Melbourne, VIC.
Issue Date: 18-Nov-1996
Citation: Medical Journal of Australia; 165(10): 553-6
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 review was common (75%), but persistence or relapse of cellulitis was found in only four patients on review.Management of inpatients with cellulitis is inefficient, with excessive use of microbiological investigations, inadequate investigation and treatment of underlying disease, prolonged use of intravenous antibiotics, unnecessarily long hospital stays, questionable use of combination antibiotic therapy and excessive outpatient review (rather than review by a local medical practitioner).
Internal ID Number: 8941241
URI: http://ahro.austin.org.au/austinjspui/handle/1/13491
URL: http://www.ncbi.nlm.nih.gov/pubmed/8941241
Type: Journal Article
Subjects: Adult
Aged
Aged, 80 and over
Anti-Bacterial Agents.therapeutic use
Cellulitis.drug therapy.therapy
Female
Hospitals, Teaching
Humans
Leg
Male
Middle Aged
Recurrence
Retrospective Studies
Treatment Outcome
Appears in Collections:Journal articles

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