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- Title
Evaluation of Dundee and ALT-70 predictive models for cellulitis in 56 patients who underwent tissue culture.
- Authors
Walker, Trent D.; Gilkey, Ty W.; Trinidad, John Christopher; Chung, Catherine G.; Wang, Henry; Mostaghimi, Arash; Kaffenberger, Benjamin H.
- Abstract
Nonpurulent cellulitis lacks a gold standard to distinguish noninfectious sources of inflammation. Two models have been created that evaluate cellulitis. The ALT-70 model was created to reduce the overdiagnosis of cellulitis and provide clinical direction. The Dundee classification was developed to grade the severity of previously diagnosed cases of cellulitis and enhance treatment and clinical outcomes. We analyzed a dataset of 56 patients who were admitted to the OSU Wexner Medical Center with a primary admission diagnosis of cellulitis. Each patient underwent extensive tissue culture sampling to identify potential pathogens. Patients were scored using both models, then evaluated based on the positive tissue culture and skin and soft tissue infection. In both models, we found low sensitivity and specificity to predict patients with positive tissue culture cellulitis. Determination of a gold standard for classification of cellulites is important to improve future diagnosis and risk models. We recommend further study to develop a scalable consensus standard in the diagnosis of nonpurulent cellulitis.
- Subjects
DUNDEE (Scotland); TISSUE culture; CELLULITIS; SOFT tissue infections; PREDICTION models
- Publication
Archives of Dermatological Research, 2023, Vol 315, Issue 3, p665
- ISSN
0340-3696
- Publication type
Article
- DOI
10.1007/s00403-022-02409-0