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Guidelines
Orbital Cellulitis

Orbital Cellulitis

Note

Droplet / Contact Precautions

For 24 hours of appropriate antimicrobial therapy

Diagnostics

  • Individualized therapy recommended in consultation with ID, ENT, ophthalmology

  • Diagnosis is confirmed by computed tomography

Treatment

AND

AND

OR

Vancomycin
​
  • If MRSA risk factors, failed 1st line treatment, or systemically unwell
  • Use in place of cloxacillin

Allergy Alternative

For Beta-Lactam Allergy Alternatives, Consult ID

Oral Step-Down Therapy

Duration of Therapy

Minimum of 3-5 days of IV therapy, with a usual total duration of 2-3 weeks

More Information

Pediatr Infect Dis J. 2001;20(10):1002, Lancet Infect Dis 2016; 16: e139–52