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題名 | 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 |
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作者 | 康世肇; 涂曦丰; 楊珮怡; 唐高駿; 黃信彰; Kang, Shih-chao; Tu, Hsi-feng; Yang, Pei-yi; Tang, Gau-jun; Hwang, Shinn-jang; |
期刊 | 臺灣家庭醫學雜誌 |
出版日期 | 20110900 |
卷期 | 21:3 2011.09[民100.09] |
頁次 | 頁122-130 |
分類號 | 416.95 |
語文 | eng |
關鍵詞 | 顏面蜂窩組織炎; 老年人; Cellulitis; Face; Geriatrics; Infectious sources; Young adults; |
中文摘要 | 目的:顏面蜂窩組織炎常見於兒童及年輕族群,但在老年族群中較少相關研究文獻。本研究目的在了解該並在老年患者的特性,並與年輕成年患者作一比較。方法:本研究針對於2005至2007年間,某社區醫院15歲及以上之顏面蜂窩組織炎出院病歷摘要電子檔,進行回溯式分析。結果:於研究期間,共有133名個案及其141筆住院資料納入分析,包含67名男性及66名女性,年齡自15至91歲。高齡組(65歲及以上)佔54人,其餘79人作為年輕成年(對照)組。相較之下,高齡組有顯著較長住院日以及較低之血紅素值(p<0.05)。兩組的微生物培養陽性率均低(高齡組:1.85%;年輕成年組:5.75%)。在顏面蜂窩組織炎住院患者病因分布上,高齡組與年輕成年組有顯著差異(p=0.006),諸如高齡組有偏高比例之齒源性感染及不明來源感染。相較之下,年輕成年組有偏高的皮膚缺損感染及呼吸道源感染。結論:相較於年輕族群,顏面蜂窩組織炎在老年病患反映了某些特性,諸如較長住院日、低血紅素值、以及病因分布上的差異。在共伴症中,糖尿病、頭頸部腫瘤、及齒源性感染,在兩組間的分布並無顯著差異。 |
英文摘要 | 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. |
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