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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Risk factors for erysipelas of the leg (cellulitis): Case-control study
BMJ, Volume 318, No. 7198, Year 1999
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Description
Objective: To assess risk factors for erysipelas of the leg (cellulitis). Design: Case-control study. Setting: 7 hospital centres in France. Subjects: 167 patients admitted to hospital for erysipelas of the leg and 294 controls. Results: In multivariate analysis, a disruption of the cutaneous barrier (leg ulcer, wound, fissurated toe-web intertrigo, pressure ulcer, or leg dermatosis) (odds ratio 23.8, 95% confidence interval 10.7 to 52.5), lymphoedema (71.2, 5.6 to 908), venous insufficiency (2.9, 1.0 to 8.7), leg oedema (2.5, 1.2 to 5.1) and being overweight (2.0, 1.1 to 3.7) were independently associated with erysipelas of the leg. No association was observed with diabetes, alcohol, or smoking. Population attributable risk for toe-web intertrigo was 61%. Conclusion: This first case-control study highlights the major role of local risk factors (mainly lymphoedema and site of entry) in erysipelas of the leg. From a public health perspective, detecting and treating toe-web intertrigo should be evaluated in the secondary prevention of erysipelas of the leg. © 1999, BMJ Publishing Group Ltd. All rights reserved.
Authors & Co-Authors
Dupuy, Alain
France, Creteil
Hôpital Henri Mondor
Benchikhi, Hakima
France, Creteil
Hôpital Henri Mondor
Roujeau, Jean Claude
France, Creteil
Hôpital Henri Mondor
Bernard, Philippe M.
France, Reims
Hopital Robert Debre Chu de Reims
Chosidow, Olivier
France, Paris
Hôpital Universitaire Pitié Salpêtrière
Guillaume, Jean Claude
France, Colmar
Hôpital Pasteur Colmar
Grob, Jean Jacques
France, Marseille
Hôpital Sainte Marguerite
Bastuji-Garin, Sylvie
United States, Boston
Commonwealth of Massachusetts
Statistics
Citations: 401
Authors: 8
Affiliations: 8
Identifiers
Doi:
10.1136/bmj.318.7198.1591
ISSN:
09598138
Research Areas
Health System And Policy
Noncommunicable Diseases
Substance Abuse
Study Design
Cross Sectional Study
Case-Control Study