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Cellulitis incidence in a defined population

Published online by Cambridge University Press:  07 September 2005

S. M. ELLIS SIMONSEN ,
E. R. VAN ORMAN ,
B. E. HATCH ,
S. S. JONES ,
L. H. GREN ,
K. T. HEGMANN  and
J. L. LYON
S. M. ELLIS SIMONSEN
Affiliation:
Department of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT 84108, USA
E. R. VAN ORMAN
Affiliation:
Department of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT 84108, USA
B. E. HATCH
Affiliation:
Department of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT 84108, USA
S. S. JONES
Affiliation:
Department of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT 84108, USA
L. H. GREN
Affiliation:
Department of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT 84108, USA
K. T. HEGMANN
Affiliation:
Department of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT 84108, USA
J. L. LYON
Affiliation:
Department of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT 84108, USA
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Abstract

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A population-based insurance claims database was used to examine cellulitis incidence, anatomical sites of infection, complicating diagnoses, source of health service, and recurrence rates. Insurance claim files were searched for cellulitis ICD-9-CM codes 681.0–682.9. Complications of cellulitis including erysipelas, lymphadenitis, lymphangitis, and necrotizing fasciitis were also identified by ICD-9-CM codes. We found a cellulitis incidence rate of 24·6/1000 person-years, with a higher incidence among males and individuals aged 45–64 years. The most common site of infection was the lower extremity (39·9%). The majority of patients were seen in an outpatient setting (73·8%), and most (82·0%) had only one episode of cellulitis during the 5-year period studied. There was a very low incidence of cellulitis complications, including necrotizing fasciitis. Cellulitis is fairly common, usually treated in outpatient settings, and is infrequently complicated by erysipelas, lymphadenitis, lymphangitis, or necrotizing fasciitis.

Type
Research Article
Information
Epidemiology & Infection , Volume 134 , Issue 2 , April 2006 , pp. 293 - 299
Copyright
2005 Cambridge University Press