Clinical characteristics of skin and soft tissue infection of in-patient at Pranburi hospital
skin and soft tissue infection
Keywords:skin and soft tissue infection
Skin and soft tissues infection is a disease that is common in medical practice. People have the opportunity to have wound or scratches on the skin, causing bacteria in the environment have the opportunity to enter to the wounds lead to infection. However, if receiving improper treatment, the infection can progress and have complications.
Objective: 1. The aim of this study was to explore clinical characteristics in patients infected with skin and soft tissue treated in-patient unit at Pranburi hospital 2. to find the relationship between factors of patients related to the length of hospital stay.
Method of study: retrospective research by collected data after patients infected with skin and soft tissue receiving treatment in the ward Pranburi Hospital Between November 1, 2018 - June 30, 2019. 94 cases were used. The descriptive statistics were presented with the percentage, mean and inferential statistics including analysis, chi square.
Results: The study found 51 male patients, 43 females, with an average age of 52.8 years, with no underlying diseases 34 patients and 60 patients with underlying disease. The cause of infection found that 68 cases of unknown caused, 21 patients were caused by accidents, 5 were bitten by animals, most of which came with symptoms of swelling and redness 62 cases, the remaining were 32 cases of wound or tissue necrosis. The most common in the area were legs about 44 patients, followed by feet about 32 patients, other areas such as the body, arms, hands and buttocks. Most patients have no history of infection in the past. Type of infection, it was found that the infection of the superficial skin or cellulitis 43 cases and 12 cases of abscesses with cellulitis, 14 cases caused by post traumatic wound infection, 13 cases of infected diabetic foot and 8 cases with necrotizing fasciitis. All patients received intravenous antibiotics. There were 45 patients receiving antibiotics alone. Received 11 pus drainage surgery, 38 cases underwent debridement. The results of the treatment were cured from 92 cases. Only 2 people were sent to other hospitals. Patients who received treatment had only one complication, namely hospital acquired pneumonia. There were 3 cases of recurrent infections at the same location. There were no recurrent 91 cases. All patients had an average hospital stay of 5.8 days. From the analysis of the chi square relationship, it was found that the types of infection and tissue debridement were significantly related to the length of hospital stay.
Conclusion: The type of infection and tissue debridement is associated with statistically significant length of hospital days. The results of treatment for skin and soft tissue infections in the district hospital are effective. Fast diagnosis and treatment help reduce the incidence of complications in this group of patients.
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