Factores de riesgo para la celulitis de miembros inferiores: revisión sistemática y metaanálisis

• Nicolás Felipe Villamil Manrique ^[1] ; Anderson Gustavo Torres Virgüez ^[1] ; Julián Eduardo Soto Duran ^[1] ; Adrián Daniel Claros Achury ^[2] ; Camila Tatiana Sarmiento Trujillo ^[1] ; Laura Cristina Ramírez Olaya ^[3] ; Angélica María García Gamboa ^[4]
  1. [1] Fundación Universitaria Juan N. Corpas

     Fundación Universitaria Juan N. Corpas

     Colombia

     
  2. [2] Universidad de Ciencias Aplicadas y Ambientales

     Universidad de Ciencias Aplicadas y Ambientales

     Colombia

     
  3. [3] Universidad de La Sabana

     Universidad de La Sabana

     Colombia

     
  4. [4] Universidad del Cauca

     Universidad del Cauca

     Colombia

     

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• Localización: Piel: Formación continua en dermatología, ISSN 0213-9251, Vol. 38, Nº. 10 (Diciembre), 2023, págs. 619-627
• Idioma: español
• DOI: 10.1016/j.piel.2023.05.005
• Títulos paralelos:
  • Risk factors for lower limb cellulitis: Systematic review and meta-analysis
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• Resumen
  • español

    Introducción la celulitis es una infección bacteriana que se caracteriza por afectar la dermis profunda y el tejido celular subcutáneo, principalmente en los miembros inferiores. Identificar los factores de riesgo asociados es un objetivo clave para prevenir su aparición.

    Objetivo determinar los factores de riesgo para la celulitis de miembros inferiores.

    Metodología se llevó a cabo una revisión sistemática y metaanálisis que incluyó 3 estudios de forma definitiva. Se analizaron datos de 933 participantes, de los cuales 311 presentaban celulitis.

    Resultados los factores de riesgo son: antecedente de celulitis OR 15,37 (IC 95%: 3,19; 74,16), safenectomía OR 13,03 (IC 95%: 4,33; 39,16), enfermedades de la piel OR 11,8 (IC 95%: 4,42; 31,53), úlceras en miembros inferiores OR 10,93 (IC 95%: 2,92; 40,96), trombosis venosa profunda OR 10,19 (IC 95%: 2,88; 36,05), alteración de la barrera cutánea OR 7,17 (IC 95%: 4,88; 10,55), traumatismo contuso en miembros inferiores OR 6,95 (IC 95%: 3,04; 15,90), intertrigo en región interdigital OR 6,27 (IC 95%: 2,25; 20,03), edema crónico de miembros inferiores OR 5,01 (IC 95%: 1,37; 18,30), cirugía ortopédica en miembros inferiores OR 3,91 (IC 95%: 1,87; 8,18), cirugía previa de miembro inferior OR 3,53 (IC 95%: 2,42; 5,16), dermatomicosis OR 3,17 (IC 95%: 2,03; 4,94), raza blanca OR 2,95 (IC 95%: 1,83; 4,76), distrofia de las uñas de los pies OR 2,73 (IC 95%: 1,46; 5,09), natación OR 2,61 (IC 95%: 1,59; 4,28), obesidad OR 2,45 (IC 95%: 1,39; 4,32) y xerodermia OR 2,29 (IC 95%: 1,21; 4,33).

    Conclusiones se deben considerar y evaluar los factores de riesgo descritos para mitigar o sospechar los casos de celulitis en miembros inferiores.

  • English

    Introduction Cellulitis is a bacterial infection characterized by affecting the deep dermis and subcutaneous cellular tissue, mainly in the lower limbs. Identifying the associated risk factors is a key objective to prevent its appearance.

    Objective To determine the risk factors for cellulitis of the lower limbs.

    Methodology A systematic review and meta-analysis was completed and included 3 studies in a definitive way. Data from 933 participants were analyzed, 311 of whom had cellulitis.

    Results Risk factors are: history of cellulitis OR 15.37 (95% CI: 3.19; 74.16), saphenectomy OR 13.03 (95% CI: 4.33; 39.16), skin diseases OR 11.8 (95% CI: 4.42; 31.53), lower limb ulcers OR 10.93 (95% CI: 2. 92; 40.96), deep vein thrombosis OR 10.19 (95% CI: 2.88; 36.05), skin barrier disruption OR 7.17 (95% CI: 4.88; 10.55), blunt trauma to lower limbs OR 6.95 (95% CI: 3.04; 15.90), interdigital region intertrigo OR 6. 27 (95% CI: 2.25; 20.03), chronic lower limb edema OR 5.01 (95% CI: 1.37; 18.30), orthopedic surgery on lower limbs OR 3.91 (95% CI: 1.87; 8.18), previous lower limb surgery OR 3.53 (95% CI: 2.42; 5.16), dermatomycosis OR 3. 17 (95% CI: 2.03; 4.94), white race OR 2.95 (95% CI: 1.83; 4.76), toenail dystrophy OR 2.73 (95% CI: 1.46; 5.09), swimming OR 2.61 (95% CI: 1.59; 4.28), obesity OR 2.45 (95% CI: 1.39; 4.32) and xeroderma OR 2.29 (95% CI, 1.21; 4.33).

    Conclusions The risk factors described should be considered and evaluated to mitigate or suspect cases of cellulitis in the lower limbs.

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