Cellulitis resident survival guide: Difference between revisions
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{{familytree |F01| |F02| | | | | |F03 | | |F04|F01= Yes |F02= No }} | {{familytree |F01| |F02| | | | | |F03 | | |F04|F01= Yes |F02= No }} | ||
{{familytree | |!| | |!| | | | | | }} | {{familytree | |!| | |!| | | | | | }} | ||
{{familytree |G01| |G02| | | | | | | | |G01= Initiate antibiotics that cover both MRSA and gram negative rods. To cover MRSA: | {{familytree |G01| |G02| | | | | | | | |G01=<div style="float: center; text-align: left;"> Initiate antibiotics that cover both MRSA and gram negative rods. To cover MRSA: | ||
* Vancomycin or | * Vancomycin or | ||
* Daptomycin | * Daptomycin | ||
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* Piperacillin-Tazobactam | * Piperacillin-Tazobactam | ||
* Ceftriaxone plus metronidazole | * Ceftriaxone plus metronidazole | ||
* Levofloxacin plus metronidazole | G02= Infection most likely due to MRSA. Initiate | * Levofloxacin plus metronidazole | G02=<div style="float: center; text-align: left;"> Infection most likely due to MRSA. Initiate | ||
* Vancomycin or | * Vancomycin or | ||
* Daptomycin }} | * Daptomycin }} |
Revision as of 19:35, 19 October 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Synonyms and keywords:
Overview
Causes
Life Threatening Causes
No known life-threatening causes are included.
Common Causes
The cellulitis is bacterial in origin caused by invasion of bacteria through the skin barrier. The common causes are:
- Streptococcus pyogenes
- Staphylococcus aureus
- Haemophilus influenza type B
- Clostridium
- Streptococcus pneumoniae
- Neisseria meningitidis
Diagnosis
Shown below is an algorithm summarizing the diagnosis of cellulitis according to the Infectious Diseases Society of America guidelines.
Patients presents with clinical symptoms suggestive of cellulitis, i.e.
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Perform compression Doppler ultrasound of the limb and D-dimers level | |||||||||||||||||
Positive | Negative | ||||||||||||||||
likely Deep venous thrombosis (DVT) | DVT unlikely. High clinical suspicion for cellulitis | ||||||||||||||||
Assess levels of inflammatory markers | |||||||||||||||||
Raised ESR, CRP and leukocytosis | |||||||||||||||||
Does patient have any signs of rapidly progressive or systemic infection?
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Perform the following tests:
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Treatment
Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.
Is the cellulitis having a purulent discharge? | |||||||||||||||||||||||||||||||||||||||
Yes | No | ||||||||||||||||||||||||||||||||||||||
Are there any of the following clinical signs?
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Yes | No | ||||||||||||||||||||||||||||||||||||||
Initiate intravenous antibiotic therapy. The coverage of the micro-organisms is determined by:
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Yes | No | {{{F03 }}} | {{{F04}}} | ||||||||||||||||||||||||||||||||||||
Initiate antibiotics that cover both MRSA and gram negative rods. To cover MRSA:
Plus one of the following to cover for gram negative rods
| Infection most likely due to MRSA. Initiate
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Do's
- The content in this section is in bullet points.
Don'ts
- The content in this section is in bullet points.