Int. J. Environ. Res. Public Health 2010, 7(11), 4078-4088; doi:10.3390/ijerph7114078
Article

Ambient Ozone and Emergency Department Visits for Cellulitis

1,* email, 1email, 2email and 3,4email
Received: 10 October 2010; in revised form: 12 November 2010 / Accepted: 16 November 2010 / Published: 19 November 2010
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract: Objectives were to assess and estimate an association between exposure to ground-level ozone and emergency department (ED) visits for cellulitis. All ED visits for cellulitis in Edmonton, Canada, in the period April 1992–March 2002 (N = 69,547) were examined. Case-crossover design was applied to estimate odds ratio (OR, and 95% confidence interval) per one interquartile range (IQR) increase in ozone concentration (IQR = 14.0 ppb). Delay of ED visit relating to exposure was probed using 0- to 5-day exposure lags. For all patients in the all months (January–December) and lags 0 to 2 days, OR = 1.05 (1.02, 1.07). For male patients during the cold months (October-March): OR = 1.05 (1.02, 1.09) for lags 0 and 2 and OR = 1.06 (1.02, 1.10) for lag 3. For female patients in the warm months (April-September): OR = 1.12 (1.06, 1.18) for lags 1 and 2. Cellulitis developing on uncovered (more exposed) skin was analyzed separately, observed effects being stronger. Cellulitis may be associated with exposure to ambient ground level ozone; the exposure may facilitate cellulitis infection and aggravate acute symptoms.
Keywords: cellulitis; skin infection; emergency department visit; ozone; bacteria; urban
PDF Full-text Download PDF Full-Text [95 KB, Updated Version, uploaded 19 June 2014 02:44 CEST]
The original version is still available [80 KB, uploaded 19 June 2014 02:44 CEST]

Export to BibTeX |
EndNote


MDPI and ACS Style

Szyszkowicz, M.; Porada, E.; Kaplan, G.G.; Rowe, B.H. Ambient Ozone and Emergency Department Visits for Cellulitis. Int. J. Environ. Res. Public Health 2010, 7, 4078-4088.

AMA Style

Szyszkowicz M, Porada E, Kaplan GG, Rowe BH. Ambient Ozone and Emergency Department Visits for Cellulitis. International Journal of Environmental Research and Public Health. 2010; 7(11):4078-4088.

Chicago/Turabian Style

Szyszkowicz, Mieczysław; Porada, Eugeniusz; Kaplan, Gilaad G.; Rowe, Brian H. 2010. "Ambient Ozone and Emergency Department Visits for Cellulitis." Int. J. Environ. Res. Public Health 7, no. 11: 4078-4088.

Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert