原著
Clinical Manifestations of Skin and Soft Tissue Infections Including Cellulitis in Children
2018 年 64 巻 1 号 p. 46-52
詳細
2018 年 64 巻 1 号 p. 46-52
Objective: The clinical manifestations of skin and soft tissue infections, including facial and non-facial cellulitis, have not yet been characterized in detail in children. The purpose of the present study was to elucidate the clinical manifestations of skin and soft tissue infections in children with facial and non-facial cellulitis.
Materials and Methods: This retrospective study reviewed the management of children with skin and soft tissue infections, including cellulitis, who were admitted to Sagamihara Kyodo Hospital between January 2001 and December 2013. Exclusion criteria were patients with immunosuppression, surgical site infections, and missing medical records.
Results: Data from twenty patients (10 males and 10 females) in the facial group and 25 (16 males and 9 females) in the non-facial group were analyzed. No significant differences were observed in the median age (interquartile range) at admission between the groups: 3.9 years (1.6-7.7 years) and 4.2 years (0.9-7.9 years) in the facial and non-facial groups, respectively. In the facial group, most patients were admitted between October and April (85%), whereas those in the non-facial group were mainly admitted between April and August (72%). No significant differences were observed in blood examination findings between the groups. Pus cultures were performed on discharges collected using needle aspiration in 14 patients. Methicillin-sensitive Staphylococcus aureus (MSSA) was isolated from 7 patients and Streptococcus pyogenes and coagulase-negative staphylococci from 2 patients. Penicillin-sensitive S. pneumoniae was isolated from 1 out of 24 patients (4%) for whom blood cultures were performed.
Conclusions: These results suggest seasonal differences in admissions, but minimal differences in clinical manifestations between the groups.
