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The Capital Region of Denmark - a part of Copenhagen University Hospital
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Compression bandaging does not compromise peripheral microcirculation in patients with cellulitis of the lower leg

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Cellulitis ranks among the most frequent infections, and antibiotic treatment is the accepted mainstay of therapy. There is disagreement on the guidelines for the use of compression bandaging as supplementary treatment, and the evidence within the field is scarce. To determine whether compression bandaging impairs microcirculation in patients with cellulitis of the lower leg, thereby having a negative impact on the supply of oxygen, nutritional components, and antibiotics. Adult patients were prospectively enrolled for compression bandaging in addition to antibiotic treatment. The peripheral blood flow rate was measured before and after application of the compression bandage and on the following day. For this, we applied the heat-washout method, which has previously been shown to provide an accurate estimate of peripheral microcirculation. Comparing the blood flow rate before and after application of the compression bandage showed no significant change and therefore no alteration in microcirculation (p = 0.61). Compression bandaging of the lower leg does not impair microcirculation in patients with cellulitis. This strongly indicates that compression bandaging can play a positive role as supportive treatment in addition to standard antibiotic therapy.

Original languageEnglish
JournalEuropean Journal of Dermatology
Volume29
Issue number4
Pages (from-to)396-400
Number of pages5
ISSN1167-1122
DOIs
Publication statusPublished - 1 Aug 2019

ID: 59362549