Guidelines
Simple Cellulitis - Tx

Simple Cellulitis - Tx

Notes

Manage predisposing factors: elevate the limb, treat edema, treat tinea pedis, arrange wound care

Often takes 48-72h+ before improvements in erythema/edema

Duration of Therapy

5-10 days depending on response

Suggested Regimen

OR

IV route for patients with systemic signs of infection

Gram negative coverage not necessary unless specific risk factors

Injury occurring in water (Aeromonas - fresh, Vibrio spp. - salt)

Penetrating injury with foreign body (i.e. nail through shoe)

Diabetic foot infection

Immunocompromise

ALSO CONSIDER

Penicillin monotherapy may be used (oral or IV depending on severity) if the findings are highly suggestive of erysipelas

Reassess Therapy on Day 3