Patients’ understanding of cellulitis and their information needs: a mixed-methods study in primary and secondary care

<jats:sec><jats:title>Background</jats:title><jats:p>Cellulitis is a painful infection of the skin and underlying tissues, commonly affecting the lower leg. Approximately one-third of people experience recurrence. Patients’ ability to recover from cellulitis or prevent recurrence is likely to be influenced by their understanding of the condition.</jats:p></jats:sec><jats:sec><jats:title>Aim</jats:title><jats:p>To explore patients’ perceptions of cellulitis, and their information needs.</jats:p></jats:sec><jats:sec><jats:title>Design and setting</jats:title><jats:p>Mixed-methods study comprising semi-structured, face-to-face interviews and a cross-sectional survey, recruiting through primary and secondary care, and advertising.</jats:p></jats:sec><jats:sec><jats:title>Method</jats:title><jats:p>Adults aged ≥18 years with a history of cellulitis were invited to take part in a survey, qualitative interview, or both.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>In all, 30 interviews were conducted between August 2016 and July 2017. Qualitative data highlighted a low awareness of cellulitis before the first episode, uncertainty about when it had been diagnosed, concern/surprise at the severity of cellulitis, and a perceived insufficient information provision. People were surprised that they had never heard of cellulitis and that they had not received advice or leaflets giving self-care information. Some sought information from the internet and found this confusing.</jats:p><jats:p>A total of 240 surveys were completed (response rate 17%). These showed that, although many participants had received information on the treatment of cellulitis (60.0%, <jats:italic>n</jats:italic> = 144), they often reported receiving no information about causes (60.8%, <jats:italic>n</jats:italic> = 146) or prevention of recurrence (73.3%, <jats:italic>n</jats:italic> = 176).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>There is a need to provide information for people with cellulitis, particularly in regard to naming their condition, the management of acute episodes, and how to reduce the risk of recurrences.</jats:p></jats:sec>