The Use of Oral Steroids in the Treatment of Cellulitis
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Purpose
The prevalence of cellulitis in society is very high, as much as 3% of visits to Emergency Departments are for the treatment of this disease. The treatment of cellulitis varies depending on the severity. Low severity cases are treated with pain control and antibiotics by mouth and high severity are treated with antibiotics intravenously and pain control. The investigator's hypothesis is to see if the addition of steroids, which are known to decrease inflammation, will decrease the length of the disease process. If so, it will decrease the length of stay if IV antibiotics are needed, it will decrease duration of days out of work and decrease the overall pain control required and therefore patient satisfaction.
| Condition | Intervention | Phase |
|---|---|---|
|
Cellulitis Erysipelas |
Drug: Prednisone |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Utility of Prednisone in the Treatment of Cellulitis |
- Time to cellulitis resolving [ Time Frame: 48 hours after initiation of treatment ] [ Designated as safety issue: No ]
- Length of stay [ Time Frame: after treatment completed ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 35 |
| Study Start Date: | September 2009 |
| Estimated Study Completion Date: | July 2010 |
| Estimated Primary Completion Date: | March 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Prednisone
Use of prednisone to decrease LOS and overall treatment time of cellulitis
|
Drug: Prednisone
Prednisone, 60 mg, one time at time of diagnosis
Other Names:
|
Detailed Description:
The incidence of cellulitis is about 24.6 cases per 1000 person-years, which is an estimate, since cellulitis is not a reportable disease. In some Emergency Departments up to 3% of visits are for cellulitis. Depending on the severity of the disease, some are treated as outpatients, and others are admitted for IV antibiotics. In some Emergency Departments cases of cellulitis are treated in an observation area for 23 hours with doses of IV antibiotics. My proposed research is to see if the addition of one dose of prednisone the treatment will decrease the inflammatory reaction enough to decrease length of stay and treatment and increase patient satisfaction.
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- 18-70 years old
- signs/symptoms of cellulitis
Exclusion Criteria:
- steroid use in last 2 weeks
- hx of adrenal insufficiency
- suspicion for dvt or abcess
- systemic signs of sepsis
- ICU admission
Contacts and Locations| Contact: Scott Goldstein, DO | 717-531-8955 ext opt 5 | sgoldstein1@hmc.psu.edu |
| Principal Investigator: | Scott Goldstein, DO | Penn State |
More Information
No publications provided
| Responsible Party: | Scott Goldstein, Penn State University |
| ClinicalTrials.gov Identifier: | NCT00893048 History of Changes |
| Other Study ID Numbers: | 8876 |
| Study First Received: | May 1, 2009 |
| Last Updated: | May 4, 2009 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Penn State University:
|
prednisone cellulitis erysipelas steroids oral |
Additional relevant MeSH terms:
|
Cellulitis Erysipelas Skin Diseases, Infectious Infection Suppuration Connective Tissue Diseases Inflammation Pathologic Processes Streptococcal Infections Gram-Positive Bacterial Infections Bacterial Infections Skin Diseases, Bacterial |
Skin Diseases Prednisone Glucocorticoids Hormones Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs Pharmacologic Actions Antineoplastic Agents, Hormonal Antineoplastic Agents Therapeutic Uses Anti-Inflammatory Agents |
ClinicalTrials.gov processed this record on May 21, 2013