Confidence of recurrent cellulitis self-diagnosis among people with lymphoedema: a qualitative interview study

Mitesh Patel1, Siang Ing Lee1, Nick J Levell2

  • 1School of Medicine, University of Nottingham, Nottingham.

Insights

People with lymphoedema and recurrent cellulitis are confident in self-diagnosing their condition. Greater involvement of patients in the cellulitis diagnosis process may be beneficial.

Area of Science:

  • Medical Diagnostics
  • Dermatology
  • Patient Experience

Background:

  • Accurate cellulitis diagnosis is challenging due to lack of validated criteria.
  • Improving cellulitis diagnosis in specific populations like those with lymphoedema is a research priority.
  • The role of non-healthcare professionals in cellulitis diagnosis has not been previously studied.

Purpose of the Study:

  • To explore the experiences of individuals with lymphoedema and recurrent cellulitis in the diagnostic process of lower-limb cellulitis.

Main Methods:

  • Qualitative study employing single, semi-structured interviews.
  • Interviews were conducted between October 29 and December 19, 2018.
  • Participants included adults with suspected cellulitis, diagnosed within the last 12 months or with a history of recurrent cellulitis.

Main Results:

  • Three main themes emerged: recurrence of cellulitis symptoms, the diagnostic experience, and suggestions for improvement.
  • Individuals with lymphoedema often recognized recurrent cellulitis symptoms and felt confident in self-diagnosis.
  • Participants suggested diagnostic checklists and educational resources to enhance cellulitis diagnosis.

Conclusions:

  • Individuals with lymphoedema and recurrent cellulitis demonstrate confidence in self-diagnosis.
  • There is potential for increased patient involvement in the cellulitis diagnostic pathway.
Abstract

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