Epidemiological study, clinical signs, complications and treatment of cellulite in children
Cellulite is the most common soft tissue infection in children. Children are more prone to cellulite because they are more susceptible to trauma, insect or animal bites, and wounds and scratches. The aim of this study was to determine the frequency of causes, complications and treatment of cellulite in Hazrat Masoumeh Hospital in Qom.
This descriptive study was performed on all patients admitted to Hazrat Masoumeh Hospital in Qom during 2013-2014. Data were extracted from patientschr(chr('39')39chr('39')) medical records and subjected to statistical analysis.
The mean age was 38.15 ± 42.94 The prevalence of sex was almost the same. The most affected areas were lower extremities 43%, upper extremities 26.5%, face and eyes 6.6%. The most common clinical manifestations were edema 75%, redness 62% and fever 38%. The most commonly prescribed antibiotics were ceftriaxone 47%, cloxacillin 34.7% and clindamycin 28%. The most common underlying causes included bite 16%, trauma 10% and previous wound 9%. Complications reported included abscesses of 10% and osteomyelitis of 1.6%. The mean ESR was 32.46 26 26, CRP23 ± 24.14, WBC 4587 ± 12261. Preference was seen with PMN at 80.5%. Blood culture was positive in 8% and according to the response of antibiograms, the highest resistance was to cefazolin and then ceftriaxone and the highest sensitivities were to imipenem and ceftazidime.
Finally, due to the limitations of retrospective research in collecting information correctly and planned, it seems that instead of future research, which has a more focused approach to evaluating specific treatments and diagnostic methods for diseases such as cellulite, is still empty in Iran and needs to be done. This research is felt. Research that can determine the prevalence of organisms involved in this disease in the area where we live, as well as the appropriate type of treatment for all inpatients and outpatients.
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