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Management of Cellulitis in Adults

Rohit Bajrang Mangrulkar, Payal Dhanraj, Siddharth Jain, Anitha Jagdish Kandi, Sarojini Pramod Jadhav

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New Indian Journal of Surgery 16(1):p 13-18, Jan -March 2025. | DOI: 10.21088/ijamy.0974.6986.16125.2

How Cite This Article:

D. Payal, R.B. Mangrulkar, et al. Management of Cellulitis in Adults. New Indian J Surg. 2025;16(1):13–8.

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Received : January 25, 2025         Accepted : February 03, 2025          Published : March 25, 2025

Abstract

Background: Cellulitis is a bacterial skin and soft tissue infection which occur when the physical skin barrier, the immune system and/or the circulatory systems are impaired. Objectives: The purpose of our prospective observational study was to see the outcome of management of cellulitis in adults in department of General Surgery at tertiary care centre catering the patients from rural areas. Material: Present prospective observational study was carried out on 200 patients whoagedmorethan18years&werehospitalizedtothedepartmentofGeneral Surgery in tertiary care centre from December 2020 to November 2022. Result: Total 200 patients with cellulitis were enrolled in this study with mean age of 44.79 and range was 21-70 years. The most common age group in present study was 41-50 years of age 71(35.5%). There was male preponderance with male – female ratio of 3 : 2. About 71(35.5%) cases had trauma and 34(17%). Pain 189 (94%), swelling 178 (89%), redness 159 (79.5%) and local rise of temperature 150 (75%) were seen as hallmark features of cellulitis. Most common anatomical involvement in cellulitis was lower extremities 165 (82.5%). About 63.5% cases belonged to Class I according to CREST classification. About 60% of cases underwent surgical management while 40% cases responded to conservative line of management. All 120 patients who were managed surgically underwent fasciotomy. 50.8% cases underwent debridement. Morbidity was higher in elderly individuals above 60 years,malepatients&whohadhistoryoftraumafollowedbyDM. Conclusion: From this study we conclude that, as the age increases, complications and morbidity associated with cellulitis increases. CREST classification demonstrates good precision in deciding the duration of hospitalization. Proper understanding of the risk factors and factors associated with the complications of cellulitis will help healthcare professionals in implementing preventive measures.


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There are no additional data available. All raw data and code are available upon request.

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This research received no funding.

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All authors contributed significantly to the work and approve its publication.

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This article does not involve any human or animal subjects, and therefore does not require ethics approval.

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Cite this article

D. Payal, R.B. Mangrulkar, et al. Management of Cellulitis in Adults. New Indian J Surg. 2025;16(1):13–8.


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator. 


Received Accepted Published
January 25, 2025 February 03, 2025 March 25, 2025

DOI: 10.21088/ijamy.0974.6986.16125.2

Keywords

CellulitisCREST classificationCellulitis management

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Received January 25, 2025
Accepted February 03, 2025
Published March 25, 2025

licence


Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator. 


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