Risk factors for erysipelas of the leg (cellulitis) : case-control study
Identifieur interne : 000820 ( France/Analysis ); précédent : 000819; suivant : 000821Risk factors for erysipelas of the leg (cellulitis) : case-control study
Auteurs : A. Dupuy [France] ; H. Benchikhi [France] ; J.-C. Roujeau [France] ; P. Bernard [France] ; L. Vaillant [France] ; O. Chosidow [France] ; B. Sassolas [France] ; J.-C. Guillaume [France] ; J.-J. Grob [France] ; S. Bastuji-Garin [France]Source :
- BMJ. British medical journal : (International ed.) [ 0959-8146 ] ; 1999.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
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.
Affiliations:
- France
- Alsace (région administrative), Centre-Val de Loire, Champagne-Ardenne, Grand Est, Provence-Alpes-Côte d'Azur, Région Bretagne, Région Centre, Île-de-France
- Brest, Colmar, Créteil, Marseille, Paris, Reims, Tours
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Pascal:99-0344683Le document en format XML
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<sZ>9 aut.</sZ>
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<settlement type="city">Marseille</settlement>
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<author><name sortKey="Bastuji Garin, S" sort="Bastuji Garin, S" uniqKey="Bastuji Garin S" first="S." last="Bastuji-Garin">S. Bastuji-Garin</name>
<affiliation wicri:level="1"><inist:fA14 i1="08"><s1>Public Health Department, Hôpital Henri Mondor</s1>
<s3>FRA</s3>
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<wicri:noRegion>Hôpital Henri Mondor</wicri:noRegion>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Case control study</term>
<term>Epidemiology</term>
<term>Erysipelas</term>
<term>Human</term>
<term>Leg</term>
<term>Lower limb</term>
<term>Lymphedema</term>
<term>Multivariate analysis</term>
<term>Risk factor</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Erysipèle</term>
<term>Jambe</term>
<term>Membre inférieur</term>
<term>Homme</term>
<term>Etude cas témoin</term>
<term>Facteur risque</term>
<term>Lymphoedème</term>
<term>Analyse multivariable</term>
<term>Epidémiologie</term>
<term>Porte entrée</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term>
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<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>
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<li>Centre-Val de Loire</li>
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<name sortKey="Chosidow, O" sort="Chosidow, O" uniqKey="Chosidow O" first="O." last="Chosidow">O. Chosidow</name>
<name sortKey="Grob, J J" sort="Grob, J J" uniqKey="Grob J" first="J.-J." last="Grob">J.-J. Grob</name>
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