Cellulitis classification
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Overview
Cellulitis can be classified according to the Dundee classification.
Classification
In 2011, Marwick et al modified the previously used Eron classification to stratify patients according to severity[1]. The criteria for severity were based on systemic signs of sepsis along with taking into account their Standardized Early Warning Score (SEWS) and patient comorbidities. The SEWS is a form of an early warning system, where the physician calculates a score using the patient's clinical observations, with the score of 4 indicating the most severe presentation[2]. The SEWS was found to be lacking and patients were either undertreated or overtreated[3]. New tools are being developed to accurately stratify patients according to risk[4].
References
- ↑ Marwick C, Broomhall J, McCowan C, Phillips G, Gonzalez-McQuire S, Akhras K; et al. (2011). "Severity assessment of skin and soft tissue infections: cohort study of management and outcomes for hospitalized patients". J Antimicrob Chemother. 66 (2): 387–97. doi:10.1093/jac/dkq362. PMID 20926396.
- ↑ Sullivan T, de Barra E (2018). "Diagnosis and management of cellulitis". Clin Med (Lond). 18 (2): 160–163. doi:10.7861/clinmedicine.18-2-160. PMC 6303460. PMID 29626022.
- ↑ Gordon CF, Beckett DJ (2011). "Significant deficiencies in the overnight use of a Standardised Early Warning Scoring system in a teaching hospital". Scott Med J. 56 (1): 15–8. doi:10.1258/smj.2010.010009. PMID 21515526.
- ↑ Claeys KC, Zasowski EJ, Lagnf AM, Sabagha N, Levine DP, Davis SL; et al. (2018). "Development of a Risk-Scoring Tool to Determine Appropriate Level of Care in Acute Bacterial Skin and Skin Structure Infections in an Acute Healthcare Setting". Infect Dis Ther. 7 (4): 495–507. doi:10.1007/s40121-018-0212-3. PMC 6249187. PMID 30244362.