This review looks at interventions for the skin infections 'cellulitis' and 'erysipelas'. These two terms are now considered different presentations. The most common pathogens in adults are streptococci and Staphylococcus aureus. Cellulitis and erysipelas can result in local necrosis and. tissue. Cellulitis and erysipelas are nearly always unilateral, and the lower extremities are the most common site of involvement. Cellulitis may present with or.


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The treatment period for recurrent erysipelas is 4—6 weeks.

A long treatment period is indicated, in particular, for patients whose erysipelas affects skin areas that, due to poor blood or lymph circulation, are oedematous and poorly erisipela vs cellulitis. If erysipelas recurs frequently e. The medicine used is either benzathine penicillin 1.

Cellulitis and erysipelas

Cellulitis is a common painful skin infection, usually bacterial, that may require hospitalisation in severe cases. There is variation in erisipela vs cellulitis types of treatments prescribed, so this review aims to collate evidence on the best treatments available.


The infection most commonly affects the skin of the lower leg but can infect the skin in any part of the body, usually following an injury to the skin.

The symptoms include severe pain, swelling, and inflammation, often accompanied by fever, rigours, nausea, and feeling generally unwell. The infection is usually treated with antibiotics, however corticosteroids and physical treatments have been used to reduce pain, redness, and swelling, erisipela vs cellulitis improve the circulation to the skin.

We identified 25 randomised controlled trials. No two trials investigated the same antibiotics, erisipela vs cellulitis there was no standard treatment regime used as a comparison.

Erysipelas and cellulitis

We are not able to define the best treatment for cellulitis and our limited conclusions are mostly based on single trials.

No single treatment was erisipela vs cellulitis superior. Abstract Introduction Cellulitis is a common problem, caused by spreading bacterial inflammation of the skin, with redness, pain, and lymphangitis.

Erysipelas is a form of cellulitis with marked superficial inflammation, typically affecting the lower limbs and the face. The most common pathogens in adults are streptococci and Staphylococcus aureus. Cellulitis and erysipelas can result in local necrosis and abscess formation.

Around a quarter of affected people have erisipela vs cellulitis than one episode of cellulitis within 3 years.

Methods and outcomes We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of treatments for cellulitis and erysipelas?

What are the effects of treatments to prevent recurrence of cellulitis and erysipelas? Medline, Embase, The Cochrane Library and other important databases up to May BMJ Clinical Evidence reviews are updated periodically, please check our website for the most up-to-date version of this review.

Results We found 14 systematic reviews, RCTs, or observational studies that met our inclusion criteria. Conclusions In this systematic review we present information relating to the effectiveness and safety of the following interventions: Cellulitis deeper infection of the connective tissue Both infections are most common on the feet or lower legs, but they may also affect other parts of the body.

Erysipelas can develop on the face, and cellulitis may also occur on the palm of the handfor instance. There it can spread in a V-shape in the tendon sheaths between the thumbwrist and little finger.

Erysipelas and cellulitis: Overview - National Library of Medicine - PubMed Health

Erysipelas affects the upper layers of the skin. The typical symptom is a painful and shiny light-red swelling of a quite clearly defined area of skin.

Red streaks leading from that area may be a sign that the infection has started to spread along the lymph vessels too. In more severe cases, blisters may form as well.

Interventions for cellulitis and erysipelas

Nearby lymph nodes sometimes erisipela vs cellulitis up and become more sensitive to pressure. People usually have a fever and generally feel unwell right from the start of the infection, when the skin first turns red.

  • Cellulitis and erysipelas
  • Erysipelas and cellulitis
  • Interventions for cellulitis and erysipelas | Cochrane
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Infection in the upper layers of skin In cellulitisthe reddened skin is less erisipela vs cellulitis defined than it is in erysipelasand it is often dark-red or slightly purplish.