Prospective Observational Study on Therapeutic Management of Cellulitis in Tertiary Care Hospital
Journal: International Journal of Science and Research (IJSR) (Vol.7, No. 5)Publication Date: 2018-05-05
Authors : Polisetty Sushma;
Page : 644-646
Keywords : Uncomplicated cellulites; complicated cellulitis; Combinational antibiotic therapy;
Abstract
, Importance, Cellulitis is an infection of the deep dermis and subcutaneous tissue, presenting with expanding erythema, warmth, tenderness, and swelling. Methodology, A prospective observational study on therapeutic management of complicated and uncomplicated cellulites was done on 30 IN patients with subsequent follow up for 1 month. The duration of stay of uncomplicated patients in hospital was average 20 days whereas complicated patients was 1month 18 days.10 % of uncomplicated patients were on single antibiotic along with supportive therapy and for complicated cellulites patients 100 % were on combinational antibiotic therapy. Out of 13 complicated cellulites patients 4 patients were suffering with recurrent cellulites infections. Culture sensitivity was done to all complicated patients but delay in culture sensitivity test prolonged 2 patients stay in hospital, treatment failure, financial burden of patient, and 1 patient underwent amputation. The most common isolated micro-organisems for complicated cellulites were to be E. coli, klebssila, p. aerogenosa. Conclusion, The efficacy of antibiotic therapy to uncomplicated patients were 90 % and complicated patients were 60 %. Early detection of sensitive antibiotics among individual patients with early culture sensitivity test orders may lead to right choice of antibiotics. Proper therapeutic management and early positive outcomes along with decreased financial burden on patient.
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