Evaluation of Skin and Soft Tissue Infection Outcomes and Admission Decisions in Emergency Department Patients
Joint Authors
Black, Nicholas
Schrock, Jon W.
Source
Emergency Medicine International
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-06-13
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Skin and soft tissue infections are common presenting complaints for Emergency Department (ED) patients.
Although they are common, there remain no definitive guidelines on decisions of admission for these patients.
Objectives.
To determine the influence of demographic and clinical information of those presenting with skin and soft tissue infection(s) (SSTI) on both disposition and treatment failure.
Methods.
We prospectively enrolled adults with SSTI seen at a large urban ED.
Secondary outcome was treatment failure.
Statistics utilized t-tests and multivariate logistic regression.
Results.
We enrolled 125 subjects and 32 were admitted.
15.2% of patients failed treatment with both increasing age and infection area correlating with admission.
IV drug use (IVDU) (OR: 10.2; 95% confidence interval [CI]: 1.9 to 50.0) and recent antibiotic use (OR: 2.9; 95% CI 1.003 to 8.333) independently predicted admission.
Age and recent surgery in the area of infection (OR: 6.4; 95% CI 1.3 to 30.8) showed positive association with treatment failure.
IV antibiotics (OR: 22.3; 95% CI 2.8 to 179.4) and admission (OR: 12.1; 95% CI 2.9 to 50.4) strongly predicted treatment failure.
Conclusions.
Age, infection size, IVDU, and recent antibiotics predicted admission.
Age, recent surgery at infection site, IV antibiotics, and admission correlated with treatment failure.
American Psychological Association (APA)
Black, Nicholas& Schrock, Jon W.. 2018. Evaluation of Skin and Soft Tissue Infection Outcomes and Admission Decisions in Emergency Department Patients. Emergency Medicine International،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1157086
Modern Language Association (MLA)
Black, Nicholas& Schrock, Jon W.. Evaluation of Skin and Soft Tissue Infection Outcomes and Admission Decisions in Emergency Department Patients. Emergency Medicine International No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1157086
American Medical Association (AMA)
Black, Nicholas& Schrock, Jon W.. Evaluation of Skin and Soft Tissue Infection Outcomes and Admission Decisions in Emergency Department Patients. Emergency Medicine International. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1157086
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1157086