Cellulitis classification: Difference between revisions
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==Classification== | ==Classification== | ||
In 2011, Marwick et al modified the previously used Eron classification to stratify patients according to severity<ref name="pmid20926396">{{cite journal| author=Marwick C, Broomhall J, McCowan C, Phillips G, Gonzalez-McQuire S, Akhras K | display-authors=etal| title=Severity assessment of skin and soft tissue infections: cohort study of management and outcomes for hospitalized patients. | journal=J Antimicrob Chemother | year= 2011 | volume= 66 | issue= 2 | pages= 387-97 | pmid=20926396 | doi=10.1093/jac/dkq362 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20926396 }} </ref>. The criteria for severity were based on systemic signs of sepsis along with taking into account their Standardized Early Warning Score (SEWS) and patient comorbidities. The SEWS is a form of an early warning system, where the physician calculates a score using the patient's clinical observations, with the score of 4 indicating the most severe presentation. The SEWS was found to be lacking and patients were either undertreated or overtreated<ref name="pmid21515526">{{cite journal| author=Gordon CF, Beckett DJ| title=Significant deficiencies in the overnight use of a Standardised Early Warning Scoring system in a teaching hospital. | journal=Scott Med J | year= 2011 | volume= 56 | issue= 1 | pages= 15-8 | pmid=21515526 | doi=10.1258/smj.2010.010009 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21515526 }} </ref>. New tools are being developed to accurately stratify patients according to risk<ref name="pmid30244362">{{cite journal| author=Claeys KC, Zasowski EJ, Lagnf AM, Sabagha N, Levine DP, Davis SL | display-authors=etal| title=Development of a Risk-Scoring Tool to Determine Appropriate Level of Care in Acute Bacterial Skin and Skin Structure Infections in an Acute Healthcare Setting. | journal=Infect Dis Ther | year= 2018 | volume= 7 | issue= 4 | pages= 495-507 | pmid=30244362 | doi=10.1007/s40121-018-0212-3 | pmc=6249187 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30244362 }} </ref>. | In 2011, Marwick et al modified the previously used Eron classification to stratify patients according to severity<ref name="pmid20926396">{{cite journal| author=Marwick C, Broomhall J, McCowan C, Phillips G, Gonzalez-McQuire S, Akhras K | display-authors=etal| title=Severity assessment of skin and soft tissue infections: cohort study of management and outcomes for hospitalized patients. | journal=J Antimicrob Chemother | year= 2011 | volume= 66 | issue= 2 | pages= 387-97 | pmid=20926396 | doi=10.1093/jac/dkq362 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20926396 }} </ref>. The criteria for severity were based on systemic signs of sepsis along with taking into account their Standardized Early Warning Score (SEWS) and patient comorbidities. The SEWS is a form of an early warning system, where the physician calculates a score using the patient's clinical observations, with the score of 4 indicating the most severe presentation<ref name="pmid29626022">{{cite journal| author=Sullivan T, de Barra E| title=Diagnosis and management of cellulitis. | journal=Clin Med (Lond) | year= 2018 | volume= 18 | issue= 2 | pages= 160-163 | pmid=29626022 | doi=10.7861/clinmedicine.18-2-160 | pmc=6303460 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29626022 }} </ref>. The SEWS was found to be lacking and patients were either undertreated or overtreated<ref name="pmid21515526">{{cite journal| author=Gordon CF, Beckett DJ| title=Significant deficiencies in the overnight use of a Standardised Early Warning Scoring system in a teaching hospital. | journal=Scott Med J | year= 2011 | volume= 56 | issue= 1 | pages= 15-8 | pmid=21515526 | doi=10.1258/smj.2010.010009 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21515526 }} </ref>. New tools are being developed to accurately stratify patients according to risk<ref name="pmid30244362">{{cite journal| author=Claeys KC, Zasowski EJ, Lagnf AM, Sabagha N, Levine DP, Davis SL | display-authors=etal| title=Development of a Risk-Scoring Tool to Determine Appropriate Level of Care in Acute Bacterial Skin and Skin Structure Infections in an Acute Healthcare Setting. | journal=Infect Dis Ther | year= 2018 | volume= 7 | issue= 4 | pages= 495-507 | pmid=30244362 | doi=10.1007/s40121-018-0212-3 | pmc=6249187 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30244362 }} </ref>. | ||
==References== | ==References== | ||
Latest revision as of 16:50, 1 March 2021
Overview
Cellulitis can be classified according to the Dundee classification.
Classification
In 2011, Marwick et al modified the previously used Eron classification to stratify patients according to severity[1]. The criteria for severity were based on systemic signs of sepsis along with taking into account their Standardized Early Warning Score (SEWS) and patient comorbidities. The SEWS is a form of an early warning system, where the physician calculates a score using the patient's clinical observations, with the score of 4 indicating the most severe presentation[2]. The SEWS was found to be lacking and patients were either undertreated or overtreated[3]. New tools are being developed to accurately stratify patients according to risk[4].
References
- ↑ Marwick C, Broomhall J, McCowan C, Phillips G, Gonzalez-McQuire S, Akhras K; et al. (2011). "Severity assessment of skin and soft tissue infections: cohort study of management and outcomes for hospitalized patients". J Antimicrob Chemother. 66 (2): 387–97. doi:10.1093/jac/dkq362. PMID 20926396.
- ↑ Sullivan T, de Barra E (2018). "Diagnosis and management of cellulitis". Clin Med (Lond). 18 (2): 160–163. doi:10.7861/clinmedicine.18-2-160. PMC 6303460. PMID 29626022.
- ↑ Gordon CF, Beckett DJ (2011). "Significant deficiencies in the overnight use of a Standardised Early Warning Scoring system in a teaching hospital". Scott Med J. 56 (1): 15–8. doi:10.1258/smj.2010.010009. PMID 21515526.
- ↑ Claeys KC, Zasowski EJ, Lagnf AM, Sabagha N, Levine DP, Davis SL; et al. (2018). "Development of a Risk-Scoring Tool to Determine Appropriate Level of Care in Acute Bacterial Skin and Skin Structure Infections in an Acute Healthcare Setting". Infect Dis Ther. 7 (4): 495–507. doi:10.1007/s40121-018-0212-3. PMC 6249187. PMID 30244362.