ArticleInternational journal of emergency medicine2008
Predicting observation unit treatment failures in patients with skin and soft tissue infections.
Article in International journal of emergency medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- A Quality Improvement Initiative to Decrease Hospital Admission for Skin and Soft Tissue Infections From an Observation Unit.Journal of the American College of Emergency Physicians open · 2025Article
- Factors Associated With Observation Unit Admission in Emergency Department Patients With Skin and Soft Tissue Infections.Journal of the American College of Emergency Physicians open · 2025Article
- Shining Light on the Unusual: A Case Report of a Rare Presentation of Abdominal Wall Erysipelas.Cureus · 2024Article
- Associated Outcomes of Different Intravenous Antibiotics Combined with 2% Mupirocin Ointment in the Treatment of Pediatric Patients with Staphylococcal Scalded Skin Syndrome.Clinical, cosmetic and investigational dermatology · 2023Article
- Antibiotic-resistant profile and the factors affecting the intravenous antibiotic treatment course of generalized Staphylococcal Scalded Skin Syndrome: a retrospective study.Italian journal of pediatrics · 2021Article
- 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.Infectious diseases and therapy · 2018Article
- Outcomes of Early Dermatology Consultation for Inpatients Diagnosed With Cellulitis.JAMA dermatology · 2018Article
- Evaluation of Skin and Soft Tissue Infection Outcomes and Admission Decisions in Emergency Department Patients.Emergency medicine international · 2018Article
- Management of acute bacterial skin and skin structure infections with a focus on patients at high risk of treatment failure.Therapeutic advances in infectious disease · 2017Review
- Correlation of Physical Exam Findings with Fever in Patients with Skin and Soft Tissue Infections.The western journal of emergency medicine · 2017Observational
- Risk factors associated with local complications of erysipelas: a retrospective study of 152 cases.The Pan African medical journal · 2017Article
- Use of Oritavancin in Acute Bacterial Skin and Skin Structure Infections Patients Receiving Intravenous Antibiotics: A US Hospital Budget Impact Analysis.Clinical drug investigation · 2016Article
- Treatment of bacterial skin infections in ED observation units: factors influencing prescribing practice.The American journal of emergency medicine · 2015Article
- Article
- Acute Bacterial Skin and Skin Structure Infections Treated with Intravenous Antibiotics in the Emergency Department or Observational Unit: Experience at the Detroit Medical Center.Infectious diseases and therapy · 2015Article
- Treatment outcome measures for randomized controlled trials of antibiotic treatment for acute bacterial skin and skin structure infections in the emergency department setting.International journal of emergency medicine · 2015Article
- Emergency department observation units and the older patient.Clinics in geriatric medicine · 2013Review
- Effect of advanced age and vital signs on admission from an ED observation unit.The American journal of emergency medicine · 2013Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSkin and soft tissue infections are a common admission diagnosis to emergency department (ED) observation units (OU). Little is known about which patients fail OU treatment.
aimsThis study evaluates clinical factors of skin or soft tissue infections associated with further inpatient treatment after OU treatment failure.
methodsA structured retrospective cohort study of consecutive adults treated for abscess or cellulitis in our OU from April 2005 to February 2006 was performed. Records were identified using ICD-9 codes and were abstracted by two trained abstractors using a structured data collection form. Significant variables on univariate analysis P < 0.1 were entered into a multivariate logistic regression.
resultsA total of 183 patient charts were reviewed. Four patients with a non-infectious diagnosis were excluded, leaving 179 patients. The median age was 41 (interquartile range: 20-74). Following observation treatment, 38% of patients required admission. The following variables were evaluated for association with failure to discharge home: intravenous drug use, gender, a positive community-acquired methicillin-resistant Staphylococcus aureus culture, age, presence of medical insurance, drainage of an abscess in the ED, diabetes and a white blood cell count (WBC) greater than 15,000. Following multivariate analysis only female gender odds ratio (OR) 2.33 [95% confidence interval (CI): 1.06-5.15] and WBC greater than 15,000 OR 4.06 (95% CI: 1.53-10.74) were significantly associated with failure to discharge.
conclusionsAmong OU patients treated for skin and soft tissue infections, women were twice as likely to require hospitalization and patients with a WBC > 15,000 on presentation to the ED, regardless of gender, were 4 times more likely to require hospitalization.
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Registered trials
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