Risk factors for erysipelas of the leg (cellulitis): case-control study
Identifieur interne : 000795 ( France/Analysis ); précédent : 000794; suivant : 000796Risk factors for erysipelas of the leg (cellulitis): case-control study
Auteurs : Alain Dupuy [France] ; Hakima Benchikhi [France] ; Jean-Claude Roujeau [France] ; Philippe Bernard [France] ; Loïc Vaillant [France] ; Olivier Chosidow ; Bruno Sassolas ; Jean-Claude Guillaume ; Jean-Jacques Grob [France] ; Sylvie Bastuji-GarinSource :
- BMJ [ 0959-8138 ] ; 1999-06-12.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- complications : Dermatitis, Leg Ulcer, Lymphedema, Pressure Ulcer, Venous Insufficiency.
- etiology : Cellulitis.
- Analysis of Variance, Case-Control Studies, Data Collection, Female, Humans, Male, Middle Aged, Risk Factors.
Abstract
Objective: To assess risk factors for erysipelas of the leg (cellulitis). Design: Case-control study. Setting: 7 hospital centres in France. Subjects: 167 patients admitted to hospital for erysipelas of the leg and 294 controls. Results: In multivariate analysis, a disruption of the cutaneous barrier (leg ulcer, wound, fissurated toe-web intertrigo, pressure ulcer, or leg dermatosis) (odds ratio 23.8, 95% confidence interval 10.7 to 52.5), lymphoedema (71.2, 5.6 to 908), venous insufficiency (2.9, 1.0 to 8.7), leg oedema (2.5, 1.2 to 5.1) and being overweight (2.0, 1.1 to 3.7) were independently associated with erysipelas of the leg. No association was observed with diabetes, alcohol, or smoking. Population attributable risk for toe-web intertrigo was 61%. Conclusion: This first case-control study highlights the major role of local risk factors (mainly lymphoedema and site of entry) in erysipelas of the leg. From a public health perspective, detecting and treating toe-web intertrigo should be evaluated in the secondary prevention of erysipelas of the leg.
Url:
- https://api.istex.fr/document/19D61257E383FAA816D46EB92F73712C26E91B09/fulltext/pdf
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC28138
DOI: 10.1136/bmj.318.7198.1591
Affiliations:
- France
- Centre-Val de Loire, Provence-Alpes-Côte d'Azur, Région Centre, Île-de-France
- Créteil, Marseille, Tours
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ISTEX:19D61257E383FAA816D46EB92F73712C26E91B09Le document en format XML
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Studies</term><term>Cellulitis (etiology)</term><term>Data Collection</term><term>Dermatitis (complications)</term><term>Female</term><term>Humans</term><term>Leg Ulcer (complications)</term><term>Lymphedema (complications)</term><term>Male</term><term>Middle Aged</term><term>Pressure Ulcer (complications)</term><term>Risk Factors</term><term>Venous Insufficiency (complications)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Analyse de variance</term><term>Cellulite sous-cutanée (étiologie)</term><term>Collecte de données</term><term>Dermatite ()</term><term>Escarre ()</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Insuffisance veineuse ()</term><term>Lymphoedème ()</term><term>Mâle</term><term>Ulcère de la jambe ()</term><term>Études cas-témoins</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Dermatitis</term><term>Leg Ulcer</term><term>Lymphedema</term><term>Pressure Ulcer</term><term>Venous Insufficiency</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Cellulitis</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Cellulite sous-cutanée</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Analysis of Variance</term><term>Case-Control Studies</term><term>Data Collection</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Risk Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Analyse de variance</term><term>Collecte de données</term><term>Dermatite</term><term>Escarre</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Insuffisance veineuse</term><term>Lymphoedème</term><term>Mâle</term><term>Ulcère de la jambe</term><term>Études cas-témoins</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective: To assess risk factors for erysipelas of the leg (cellulitis). Design: Case-control study. Setting: 7 hospital centres in France. Subjects: 167 patients admitted to hospital for erysipelas of the leg and 294 controls. Results: In multivariate analysis, a disruption of the cutaneous barrier (leg ulcer, wound, fissurated toe-web intertrigo, pressure ulcer, or leg dermatosis) (odds ratio 23.8, 95% confidence interval 10.7 to 52.5), lymphoedema (71.2, 5.6 to 908), venous insufficiency (2.9, 1.0 to 8.7), leg oedema (2.5, 1.2 to 5.1) and being overweight (2.0, 1.1 to 3.7) were independently associated with erysipelas of the leg. No association was observed with diabetes, alcohol, or smoking. Population attributable risk for toe-web intertrigo was 61%. Conclusion: This first case-control study highlights the major role of local risk factors (mainly lymphoedema and site of entry) in erysipelas of the leg. From a public health perspective, detecting and treating toe-web intertrigo should be evaluated in the secondary prevention of erysipelas of the leg.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Centre-Val de Loire</li><li>Provence-Alpes-Côte d'Azur</li><li>Région Centre</li><li>Île-de-France</li></region><settlement><li>Créteil</li><li>Marseille</li><li>Tours</li></settlement></list><tree><noCountry><name sortKey="Bastuji Garin, Sylvie" sort="Bastuji Garin, Sylvie" uniqKey="Bastuji Garin S" first="Sylvie" last="Bastuji-Garin">Sylvie Bastuji-Garin</name><name sortKey="Chosidow, Olivier" sort="Chosidow, Olivier" uniqKey="Chosidow O" first="Olivier" last="Chosidow">Olivier Chosidow</name><name sortKey="Guillaume, Jean Claude" sort="Guillaume, Jean Claude" uniqKey="Guillaume J" first="Jean-Claude" last="Guillaume">Jean-Claude Guillaume</name><name sortKey="Sassolas, Bruno" sort="Sassolas, Bruno" uniqKey="Sassolas B" first="Bruno" last="Sassolas">Bruno Sassolas</name></noCountry><country name="France"><region name="Île-de-France"><name sortKey="Dupuy, Alain" sort="Dupuy, Alain" uniqKey="Dupuy A" first="Alain" last="Dupuy">Alain Dupuy</name></region><name sortKey="Benchikhi, Hakima" sort="Benchikhi, Hakima" uniqKey="Benchikhi H" first="Hakima" last="Benchikhi">Hakima Benchikhi</name><name sortKey="Bernard, Philippe" sort="Bernard, Philippe" uniqKey="Bernard P" first="Philippe" last="Bernard">Philippe Bernard</name><name sortKey="Grob, Jean Jacques" sort="Grob, Jean Jacques" uniqKey="Grob J" first="Jean-Jacques" last="Grob">Jean-Jacques Grob</name><name sortKey="Roujeau, Jean Claude" sort="Roujeau, Jean Claude" uniqKey="Roujeau J" first="Jean-Claude" last="Roujeau">Jean-Claude Roujeau</name><name sortKey="Vaillant, Loic" sort="Vaillant, Loic" uniqKey="Vaillant L" first="Loïc" last="Vaillant">Loïc Vaillant</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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