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Incidence of Cellulitis in Lower Extremity Burns: 6-Year Analysis
Joseph N Batac1, Roger L Simpson, Catherine J Sinnott
1From the Nassau University Medical Center Burn Center, East Meadow, NY.
Annals of Plastic Surgery
|April 18, 2018
Summary
Male patients, deeper burns, and delayed hospital admission increase the risk of lower extremity burn wound cellulitis. Early identification and intervention are key to preventing this common complication.
Area of Science:
- Burn wound management
- Infectious complications in burns
Background:
- Cellulitis is a common complication of lower extremity burns.
- Risk factors for burn-associated cellulitis include diabetes, burn etiology, delayed hospitalization, and burn depth.
Purpose of the Study:
- To identify specific risk factors for developing lower extremity burn wound cellulitis.
Main Methods:
- Retrospective chart review of burn center admissions from 2010-2016.
- Inclusion criteria: lower extremity burns of any etiology; exclusion criteria: outpatient evaluations and pediatric patients (≤12 years).
Main Results:
- 34% of 218 patients developed cellulitis.
- Independent risk factors identified: male sex, greater burn depth, and burn-to-admission delay.
- Total body surface area was a risk factor on univariate but not multivariate analysis.
Conclusions:
- Identifying high-risk patients is crucial for preventing burn wound cellulitis.
- Surgical intervention (excision and grafting) for high-risk patients may prevent this complication.
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