Cellulitis in aged persons: a neglected infection in the literature

Area of Science:

• Infectious Diseases
• Geriatrics
• Dermatology

Background:

• Cellulitis is a common skin and soft tissue infection, frequently impacting the lower limbs.
• Limited literature exists on cellulitis specifically in elderly populations.
• This study addresses the under-described characteristics of cellulitis in aged individuals.

Purpose of the Study:

• To describe the clinical features, management, and outcomes of cellulitis in patients aged 65 and older.
• To identify common risk factors and complications associated with cellulitis in this demographic.
• To inform prevention and treatment strategies for elderly patients.

Main Methods:

• A retrospective descriptive study was conducted at the Internal Medicine Department of Sahloul hospital in Tunisia.
• Included patients aged 65 years and older admitted for cellulitis of the legs, arms, or face.
• Data collected included patient demographics, comorbidities, infection site, severity, treatment, and outcomes.

Main Results:

• 158 patients (mean age 73) were included, with 98% of infections located in the lower limbs.
• Diabetes mellitus was present in 50.6% of patients.
• Most patients (91.1%) showed favorable outcomes with intravenous antibiotic therapy, though 13.3% had severe cellulitis.

Conclusions:

• Cellulitis in individuals aged 65 and older predominantly affects the lower limbs and is frequently associated with diabetes mellitus.
• Intravenous antibiotic therapy is effective, leading to good outcomes in the majority of cases.
• Preventing skin and soft tissue infections is vital for maintaining the health of the elderly population.