题名

The Characteristics of Facial Cellulitis in Geriatric Patients: Comparison with Young Adults

并列篇名

老年顏面蜂窩組織炎病患特性分析：與年輕成年人比較

DOI

10.7023/TJFM.201109.0122

作者

康世肇(Shih-Chao Kang)；涂曦丰(Hsi-Feng Tu)；楊珮怡(Pei-Yi Yang)；唐高駿(Gau-Jun Tang)；黃信彰(Shinn-Jang Hwang)

关键词

cellulitis ； face ； geriatrics ； infectious sources ； young adults

期刊名称

台灣家庭醫學雜誌

卷期/出版年月

21卷3期（2011 / 09 / 01）

页次

122 - 130

内容语文

英文
中文摘要

Purpose: Facial cellulitis has been documented in the pediatric/young population, but less often discussed in the elderly. Our study aims to determine the characteristics of facial cellulitis in geriatric patients and to compare them with young adults. Methods: We retrospectively collected electronic discharge summaries for inpatients aged ≥ 15 years who had been admitted to a community hospital from 2005 to 2007 with facial cellulitis. Results: A total of 133 subjects were enrolled, 67 males and 66 females (age 15-91 years), and 141 admission records were examined. Fifty-four subjects aged ≥ 65 years were classified as geriatric, the other 79 as young adult (contrast). Compared with young adult group, the geriatric group had significantly longer hospital stays (＞7 days) and lower hemoglobin levels (p＜0.05). Positive microorganism culture rates were low in both the geriatric and young adult groups (1.85% and 5.75%, respectively). The distributions of infectious sources differed significantly between the two groups (p=0.006). The geriatric group had a higher ratio of odontogenic infections and unknown sources than the young adult group. In contrast, the young adult group had a higher ratio of skin defect-related infections and respiratory tract infections than the geriatric group. Conclusion: In summary, facial cellulitis revealed several characteristics in geriatric patients such as long hospital stay, low hemoglobin level, and some distributional differences of infecting sources. The instances of co-morbid diabetes mellitus, head/neck tumors, and odontogenic infections did not differ significantly between the two groups. (Taiwan J Fam Med 2011; 21: 122-130)
英文摘要

Purpose: Facial cellulitis has been documented in the pediatric/young population, but less often discussed in the elderly. Our study aims to determine the characteristics of facial cellulitis in geriatric patients and to compare them with young adults. Methods: We retrospectively collected electronic discharge summaries for inpatients aged ≥ 15 years who had been admitted to a community hospital from 2005 to 2007 with facial cellulitis. Results: A total of 133 subjects were enrolled, 67 males and 66 females (age 15-91 years), and 141 admission records were examined. Fifty-four subjects aged ≥ 65 years were classified as geriatric, the other 79 as young adult (contrast). Compared with young adult group, the geriatric group had significantly longer hospital stays (＞7 days) and lower hemoglobin levels (p＜0.05). Positive microorganism culture rates were low in both the geriatric and young adult groups (1.85% and 5.75%, respectively). The distributions of infectious sources differed significantly between the two groups (p=0.006). The geriatric group had a higher ratio of odontogenic infections and unknown sources than the young adult group. In contrast, the young adult group had a higher ratio of skin defect-related infections and respiratory tract infections than the geriatric group. Conclusion: In summary, facial cellulitis revealed several characteristics in geriatric patients such as long hospital stay, low hemoglobin level, and some distributional differences of infecting sources. The instances of co-morbid diabetes mellitus, head/neck tumors, and odontogenic infections did not differ significantly between the two groups. (Taiwan J Fam Med 2011; 21: 122-130)
主题分类 醫藥衛生 > 社會醫學
参考文献
  1. Department of Statistics, Ministry of the Interior, Republic of China. In: Department of Statistics, ed. MOI Statistical Information Service. Taipei, Taiwan: Ministry of the Interior, Republic of China, 2007. Available from: www.moi.gov.tw/stat/english/ index.asp.
  2. Beck da Silva, L.,Rohde, L.E.,Clausell, N.(2008).Etiology and management of anemia in patients with heart failure: how much iron is missing?.Congest Heart Fail,14,25-30.
  3. Bengondo, C.H.,Bita, R.C.,Avang, N.T.(2006).Cellulitis and phlegmons of dental origin in the CHU of Yaounde.Odontostomatol Trop,29(113),22-6.
  4. Berenstein, A.,Lasjaunias, P.,Kricheff, I.I.(1983).Functional anatomy of the facial vasculature in pathologic conditions and its therapeutic application.Am J Neuroradiol,4,149-53.
  5. Cheah, J.S.,Thai, A.C.,Alli, R.(1985).Infections in diabetes with special reference to diabetics in Singapore.Ann Acad Med Singapore,14,240-6.
  6. Chen, H.D.,Shaw, C.K.,Tseng, W.P.(1997).Prevalence of diabetes mellitus and impaired glucose tolerance in Aborigines and Chinese in eastern Taiwan.Diabetes Res Clin Pract,38,199-205.
  7. Chou, P.,Li, C.L.,Kuo, H.S.(1997).Comparison of the prevalence in two diabetes surveys in Pu-Li, Taiwan, 1987-1988 and 1991-1992.Diabetes Res Clin Pract,38,61-7.
  8. de-Vicente-Rodriguez, J.C.(2004).Maxillofacial cellulitis.Med Oral Patol Oral Cir Bucal,9 Suppl,133-8+126-33.
  9. Fisher, R.G.,Benjamin, D.K., Jr.(2002).Facial cellulitis in childhood: a changing spectrum.South Med J,95,672-4.
  10. Gellady, A.M.,Shulman, S.T.,Ayoub, E.M.(1978).Periorbital and orbital cellulitis in children.Pediatrics,61,272-7.
  11. Harris, R.A.,Hardman, D.T.,Brown, A.R.(1996).Cellulitis and the occult diabetic.ANZ J Surg,66,175-7.
  12. Kang, S.C.,Tsao, H.M.,Liu, C.T.(2008).The characteristics of acute pyelonephritis in geriatric patients: experiences in rural northeastern Taiwan.Tohoku J Exp Med,214,61-7.
  13. Kimura, A.C.,Pien, F.D.(1993).Head and neck cellulitis in hospitalized adults.Am J Otolaryngol,14,343-9.
  14. Lin, I.H.,Huang, I.S.(2007).Nasal septal abscess complicated with acute sinusitis and facial cellulitis in a child.Auris Nasus Larynx,34,241-3.
  15. Nahata, M.C.,Vashi, V.I.,Swanson, R.N.(1999).Pharmacokinetics of ampicillin and sulbactam in pediatric patients.Antimicrob Agents Chemother,43,1225-9.
  16. Ngapeth-Etoundi, M.,Itoua, E.S.,Obounou, A.(2001).Clinical study of dental and periodontal infectious complications observed at the Central Hospital of Yaounde - apropos of 161 cases.Odontostomatol Trop,24,5-10.
  17. Rush, D.E.,Abdel-Haq, N.,Zhu, J.F.(2007).Clindamycin versus Unasyn in the treatment of facial cellulitis of odontogenic origin in children.Clin Pediatr,46,154-9.
  18. Sheller, B.,Williams, B.J.,Lombardi, S.M.(1997).Diagnosis and treatment of dental caries-related emergencies in a children's hospital.Pediatr Dent,19,470-5.
  19. Stevenson, A.,Hider, P.,Than, M.(2005).The utility of blood cultures in the management of non-facial cellulitis appears to be low.N Z Med J,118,U1351.
  20. Thomas, R.,Kanso, A.,Sedor, J.R.(2008).Chronic kidney disease and its complications.Primary Care Clin Office Pract,35,329-44.
  21. Ugboko, V.I.,Owotade, F.J.,Ajike, S.O.(2002).A study of orofacial bacterial infections in elderly Nigerians.SADJ,57,391-4.
  22. Wilkin, J.K.(1988).Why is flushing limited to a mostly facial cutaneous distribution?.J Am Acad Dermatol,19,309-13.
被引用次数
  1. 廖桂聲、洪耀銘(2013)。梔子柏皮湯加減治療「蜂窩性組織炎」案例。北台灣中醫醫學雜誌，5(2)，59-77。
print cancel