Compression Therapy in the Management of Cellulitis: A Comparative Study
Journal of Surgery
Volume 6, Issue 3, June 2018, Pages: 68-72
Received: Mar. 31, 2018;
Accepted: Apr. 17, 2018;
Published: May 10, 2018
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Kipsang Joseph, Department of Surgery, Bungoma County Hospital, Bungoma, Kenya
Nangole Wanjala, Department of Surgery, University of Nairobi, Nairobi, Kenya
Khainga Stanley, Department of Surgery, University of Nairobi, Nairobi, Kenya
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Cellulitis is a common condition causing significant morbidity. Conventional treatment has been mainly by the use of antibiotics, limb elevation and analgesics. There is no consensus on the role of compression therapy in the management of cellulitis. This study was a comparative study of patients who presented with cellulitis at Kenyatta National Hospital. The study was set to determine the effect of compression therapy as an adjunct in the treatment of limb lower limb cellulitis The study period was between May 2014 and May2015 Patients were randomly assigned into two groups through a computer generated program. Group A patients were managed with antibiotics, limbelevation, analgesia and elasticcompression therapy.. Group Bpatients were managed with elevation, antibiotics and analgesia. The antibiotic used was amoxyclavulinic acid while the analgesic was paracetamol and diclofenac. The parameters assessed wereoedema resolution, pain, tenderness and length of hospital stay. A total of eighty patients withcellulitis were recruited inbothgroupswith each arm having 40 patients. Group A patients who were managed with compression therapy had greater reduction in pain, tenderness and oedema as compared togroup B patients. The length of hospital stay was 10.2 days in group Aand 13.4 days in groupB. Elasticcompression therapy as demonstrated in this study is beneficial inthe management of cellulitis. It results in faster resolution of cellulitis with reduction in the length of hospital stay and with no increase in complications.
Cellulitis, Compression Therapy, Outcome
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Compression Therapy in the Management of Cellulitis: A Comparative Study, Journal of Surgery.
Vol. 6, No. 3,
2018, pp. 68-72.
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
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Raff AB, Kroshinsky D. Cellulitis: A Review. JAMA 2016; 316(3):325-337.
Crest June 2005. www.acutemed.co.uk/docs/Cellulitis guidelines, CREST, 05.pdf
Moffat. C., O’Hare. L. Venous leg ulceration: treatment by high compression bandaging.’ Ostomy Wound Management. 1995; 41: 16–25.
Moffat C., O'Hare L., Charles H., Short-stretch bandaging in the treatment of venous legulcers.’ J. Wound Care 1999; 8: 303–304.
Lucia Helena Rocha Vilela, Geraldo MagelaPain Assessment in Patients with Venous Leg Ulcer Treated by Compression TherapyWithUnnas BootJ Tissue SciEng, June 2016 7:171. doi:10.4172/2157-7552.1000171
Brijesh NairCompression therapy for venous leg Indian Dermatol Online J. 2014 Jul-Sep; 5(3): 378–382. Doi:10.4103/2229-5178.137822
Treadwell T, Fowler E, Jensen BB. Management of Edema in Wound Care: A CollaborativePractice Manual for Health Professionals, Fourth Edition. Eds.-Carrie Sussman and BarbaraBates Jensen, Lippincott, Wilkins, and Williams, New York, NY, 2012.
Treadwell TA. Demystifying Compression: Answers That May Surprise You. Online continuing education webinar, http://www.slideshare.net/3MSkinWoundCare/3m-health-care-compression-webcast. 6/28/11.
Beidler SK, Douillet CD, Berndt DFet al. Inflammatory cytokine levels in chronic venousInsufficiency ulcer tissue before and after compression therapy. J VascSurg2009; 49:1013–20.
Beidler SK, Douillet CD, Berndt DFetal. Multiplexed analysis of matrix metalloproteinase’s in leg ulcer tissue of patients withchronic venousinssufficiency before and after compression therapyWound Repair Regen2008; 16:642–8.
Treadwell TA, Macdonald J. Infection, Edema, and Compression Therapy: Are TheyCompatible? Poster presentation Symposium on Advanced Wound Care, San Diego, California, April 6-9, 2017.
Woo PC, Lum PN, Wong SS, et al. ‘Cellulitis complicating lymphoedema. Eur J ClimicrobiolInfect Dis 2000; 19:294.