Comprehensive Analysis of Predisposing Factors Contributing to Recurrent Cellulitis in various age groups: A One-Year Prospective Study

Abstract

Background:
Recurrent cellulitis is a significant health issue, leading to repeated hospitalizations, increased healthcare costs, and adverse outcomes across various age groups. Identifying the risk factors associated with recurrent cellulitis in individuals aged 14 years and older is critical for developing effective prevention and management strategies.

Objective:
This observational cross-sectional study aims to identify and analyze the demographic, environmental, and clinical risk factors contributing to recurrent cellulitis in adolescents, adults, and elderly individuals.

Methods:
Data were collected from 100 patients aged 14 years and older who were diagnosed with cellulitis. Variables included demographic factors (age, gender, socioeconomic status), environmental factors (hygiene practices, living conditions, occupational exposure), and clinical factors (previous episodes of cellulitis, chronic skin conditions, obesity, diabetes, chronic venous insufficiency, MRSA colonization, and treatment adequacy). Statistical analysis, including multivariate logistic regression, was performed to determine the strength of association between these factors and the recurrence of cellulitis.

Results:
Key risk factors for recurrent cellulitis identified in this study include older age, low socioeconomic status, poor hygiene practices, and comorbidities such as obesity, chronic venous insufficiency, and diabetes. Prior episodes of cellulitis and incomplete or inadequate treatment of previous episodes were the strongest predictors of recurrence. Although MRSA colonization and environmental factors like crowded living conditions were observed, their associations were less significant.

Conclusion:
The study underscores the multifactorial nature of recurrent cellulitis, emphasizing the need for comprehensive management strategies that address both clinical and environmental factors. Effective management of comorbidities, ensuring complete treatment of initial cellulitis episodes, and improving hygiene practices are essential to reducing recurrence rates. Future research should focus on validating these findings in larger populations and exploring tailored interventions for high-risk individuals.

Keywords: cellulitis, recurrent cellulitis, risk factors, cross-sectional study, MRSA, chronic skin conditions, hygiene practices, obesity, prevention strategies.