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

老年顏面蜂窩組織炎病患特性分析：與年輕成年人比較

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)

《台灣家庭醫學雜誌》 21卷3期 (2011/09) Pp. 122-130

https://doi.org/10.7023/TJFM.201109.0122

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)

並列摘要

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)

並列關鍵字

cellulitis ； face ； geriatrics ； infectious sources ； young adults

參考文獻

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