Various severity classification schemes have been developed to assist in management
None of these schemes have been validated and they are meant for guidance only. For example, not every immunocompromised patient has a severe cellulitis
No systemic signs of infection
Systemic signs of infection (e.g. fever, chills, nausea)
Lymphangitis and/or rapidly advancing edge
SIRS = Two or more of
- Temp >38ºC or <36ºC
- Respiratory rate >24 breaths/min
- Heart rate >90 bpm
- WBC >12 or <4x10⁹/L
Deep infection: bullae, skin sloughing
End organ dysfunction
Day 2 Reassessment
- Antibiotics Why and Why Not 2018 Dalhousie CPD Academic Detailing Service, November 2018.
- Stevens DL, Bisno AL, Chambers HF, et al. Practice Guidelines for the Diagnosis and Management of Skin and Soft Tissue Infections: 2014 Update by the Infectious Diseases Society of America. Clinical Infectious Diseases 2014;59(2): e10–52.
- Raff AB, Kroshinsky D. Clinical Review and Education: Cellulitis. JAMA. 2016;316(3):325-337 .